Tennis Elbow, Immense Pain Causing Difficulty In Folding The Hand, No Improvement With Medicines, Injection

Hello Since severe Tennis Elbow is an inflammatory condition, the obvious treatment would be a short course of non-steroidal anti-inflammatory drugs ( NSAIDs), prescribed by a doctor. Anti-Inflammatory Gel can also be helpful to relieve Tennis Elbow pain. Some doctors may even inject the affected area with a corticosteroid (a naturally occurring substance which can settle down inflammation). Ice Packs are a cheap and effective treatment for Tennis Elbow, applied for ten minutes every couple of hours (never apply ice directly to the skin).  In addition to anti inflammatory treatments,  the patient should rest from aggravating activities for around two weeks to allow the inflammation to settle down. If it s not possible to rest completely then a Compression Strap (elbow support) is very effective at reducing the stress on the painful area, whilst allowing the user to continue with activities.  Once the severe elbow pain has subsided rehabilitation under the supervision of a  Physiotherapist can cure the problem and prevent a recurrence. A progressive strengthening programme using Resistance Bands has been shown to be the best long term approach to Tennis Elbow. In some cases of Tennis Elbow, conservative treatment can prove ineffective. This usually occurs in very longstanding cases, where the pain has been present for more than six months. In these cases, the inflammatory nature of the condition gives way to a chronic degeneration of the tendons of the extensor muscles.  In these chronic, degenerative cases, where conservative treatment has not helped, then an orthopaedic surgeon may consider surgery to cure the problem. Thanks