“Excruciating.” That’s the word every active person uses to tell us about the pain of “runner’s heel” (plantar fasciitis), “tennis elbow” and other tendon injuries. That little twinge you felt on your daily jog or practicing your forehand has now become a knife-sharp sting in the exact same spot with every step or every swing you take, every day. It’s impossible to ignore the pain…and you shouldn’t. Tendon injuries need attention. Sometimes, rest, therapy and a change in activities may ease the pain…but often the damage is permanent, and only gets worse.
Until now. Using precision ultrasound imaging guidance and a minimally invasive treatment, we can delicately remove the damaged tendon tissue and get you back to the activities you love in a matter of weeks – with little to no pain.
We’ve talked several times about image guided tendon treatment for plantar fasciitis, but what about tennis elbow? We spoke with Dr. Jeffrey Elbich about the difference in the procedure.
Q. Tell us about the difference in the image guided tendon treatment procedure on the elbow vs. on the heel?
A. The procedure is quite similar; patient positioning is essentially upright in a chair as opposed to lying down. It seems to be a less sensitive area compared with plantar work, but I still give IV medicine (moderate sedation) to maximize comfort. The procedure time a slight bit quicker because it’s usually smaller treatment zone.
Q. How big is the incision and where is it?
A. The incision is approximately 2-3mm over the lateral (outside) elbow.
Q. What’s the recovery time?
A. For the outpatient procedure, there will be some post-procedural discomfort and swelling expected for a few days, you’ll have some lifting restrictions for about 2 weeks. A patient can expect pain relief an average of 1-2 months after the procedure.
Q. What has the patient reaction been afterward?
A. We’ve had good results with the elbow treatment ~90% success.
Q. What does your ideal patient for this type of treatment look like?
A. Any individual that has had pain localized to specific location on elbow (lateral epicondyle), going on for more than four months, despite conservative measures and at home remedies. An office visit will confirm the pain location, as well as ultrasound to see if there is targetable tissue.
The treatment requires only a local anesthetic and a tiny incision, and is virtually pain-free. We use a targeted application of ultrasound energy to break down the damaged tendon tissue while leaving surrounding healthy tissue untouched.
Is image-guided treatment right for me?
If you answer yes to these questions, it may be time to discuss our image-guided tendon treatment.
- Have you given up any activities due to tendon pain?
- Have you been suffering for three months or longer?
- Have you taken multiple steps to get rid of your pain without lasting success?
- Are you tired of masking the pain or enduring it rather than treating it at the source?
Call us at (804) 828-2600 to discuss whether image-guided treatment is the right option for you.