Published on: 4/28/2025
Doctors typically begin with conservative treatments—including rest, physical therapy, and anti-inflammatory medications—to manage chronic elbow pain. If these initial approaches prove inadequate, more advanced interventions like injections or surgery may be considered.
Chronic elbow pain—commonly associated with conditions like tennis elbow or lateral epicondylitis—typically begins with conservative treatment. This includes resting from aggravating activities while working with a physical therapist on gentle stretching and strengthening exercises for the arm. Over-the-counter anti-inflammatory medications such as ibuprofen can reduce pain and inflammation when not contraindicated. Wearing a supportive brace during activities helps stabilize the elbow. If these conservative methods don't provide sufficient relief, doctors may suggest corticosteroid injections for short-term pain management, though their long-term benefits are limited. Emerging treatments like platelet-rich plasma (PRP) injections and shock wave therapy show promise, but require further research to confirm their long-term effectiveness. When all other treatments fail to resolve the pain, surgery becomes the final treatment option.
(References)
Lai WC, Erickson BJ, Mlynarek RA, Wang D. Chronic lateral epicondylitis: challenges and solutions. Open Access J Sports Med. 2018 Oct 30;9:243-251. doi: 10.2147/OAJSM.S160974. PMID: 30464656; PMCID: PMC6214594
Uttamchandani SR, Phansopkar P. Conservative Management of Lateral Epicondylalgia: A Review. Cureus. 2024 May 8;16(5):e59875. doi: 10.7759/cureus.59875. PMID: 38854316; PMCID: PMC11157989.
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