Brief Answer:
Complete tear requires only surgical repair. No place for conservative

Detailed Answer:
Hi there.

Welcome to Healthcare Magic.

Thanks for the query.

I have read your problem and understood your query.

You are facing the severe stages of Tennis elbow, where the clinical picture of just inflammation of the common extensor tendon origin has progressed to complete tear of the extensor origin.

There is no scope for any sort of treatment at this stage except primary repair.

This procedure involves removing the dead tendon and muscle portions and taking a tendon fraft from the Palmaris longus tendon near the wrist and using this graft to reconstruct the torn tendons of the common extensor origin. This is held to the bone by suture anchors.

This procedure can be done open or arthroscopically.

I suggest you consult with an Elbow arthroscopic surgeon for this procedure.

Till then, avoid lifting weights, twisting movements. Apply ice pack over the outer aspect of the elbow. Take anti-inflammatory medication. This condition cannot be resolved by itself because it is a complete tear. If it wear a partial tear, it would have had chance of recovery by conservative means.

I hope I have answered your query.

I will be available to answer your follow up queries.

Thanking you.

Regards,

Dr. Aashish Raghu

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Brief Answer:
Nothing to worry

Detailed Answer:
Hi there.

Thanks for the follow up query.

Lymph nodes enlarge near an area of inflammation or infection.

Epitrochlear Lymph nodes are near the outer aspect of the elbow around the lower end of your arm. So it is mostly due to 'reactive' lymph nodes due to the inflammation nearby.

Nothing to worry. It is only of the sensitive lymph nodes reacting to the inflammation.

Once the Tennis elbow is successfully treated, the lymph nodes will go back to normal.

I hope I have answered your query.

Thanking you.

Regards,

Dr. Aashish Raghu

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