Question for VN medicos

#1
Danl

Danl

Absinthe Minded
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#1
I have a torn tendon in my right elbow. Golfers elbow. Ortho did a sonagram and it shows the tear. He recommends PRP therapy. I have not heard of this before but it looks somewhat promising. Any input from VN docs or anyone that has had this procedure would be appreciated.

BTW, anyone have experience with these?


Elbow Sleeve
 
#2
#2
It was suggested for me to try for a knee issue. Insurance wouldn’t cover it. Ended up having knee surgery. Later found out, many ins carriers will not cover it. With that said, it’s been several years and things may have changed🤷‍♀️
 
#3
#3
Danl said:
I have a torn tendon in my right elbow. Golfers elbow. Ortho did a sonagram and it shows the tear. He recommends PRP therapy. I have not heard of this before but it looks somewhat promising. Any input from VN docs or anyone that has had this procedure would be appreciated.

BTW, anyone have experience with these?




Elbow Sleeve
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On the inner or outer side of your elbow? If you don’t mind me asking, how old are you?
 
#5
#5
Danl said:
Outer elbow. Early 60s.
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I would usually start with some topical over the counters like arnica cream and some home exercises. Sometimes the use of a tennis elbow brace can be helpful. You can find elbow tendinitis exercise online pretty easy. It’ll typically go away after a while, sometimes up to 6 months. Occasionally cortisone shots can be helpful for pain.

The problem is more of a “wear and tear” issue than it is an actual tear. One of the reasons PRP isn’t covered by insurances is that there isn’t any significant research that shows it does anything more than what I’ve listed to solve the problem for you. Certainly people have tried it and it has helped, but not in a significant portion of the population.
 
#6
#6
newyorkvol said:
I would usually start with some topical over the counters like arnica cream and some home exercises. Sometimes the use of a tennis elbow brace can be helpful. You can find elbow tendinitis exercise online pretty easy. It’ll typically go away after a while, sometimes up to 6 months. Occasionally cortisone shots can be helpful for pain.

The problem is more of a “wear and tear” issue than it is an actual tear. One of the reasons PRP isn’t covered by insurances is that there isn’t any significant research that shows it does anything more than what I’ve listed to solve the problem for you. Certainly people have tried it and it has helped, but not in a significant portion of the population.
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Thanks for the input. I appreciate it.

In this case, its an actual tear. I've been treating the damned thing for about 7 months with PT, creams, braces, etc. It has gotten a little better, at least tolerable. But now, I'm ready to try something more aggressive to get some better result.

I do appreciate your feedback.
 
#7
#7
If you have a large tear, surgery may be the only option. The above is correct: with epicondylitis, usually rest, NSAIDs, compression bracing, and PT will do the trick. Steroid injections will provide immediate relief but may hurt long-term. Studies on PRP have not been positive.
 
#8
#8
kiddiedoc said:
If you have a large tear, surgery may be the only option. The above is correct: with epicondylitis, usually rest, NSAIDs, compression bracing, and PT will do the trick. Steroid injections will provide immediate relief but may hurt long-term. Studies on PRP have not been positive.
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Thanks for the input. I appreciate it.

I'm frustrated that PT, braces, analgesic creams, and NSAIDs haven't been more effective in reducing the pain and soreness in my elbow. I suspect that the "rest" component hasn't been a large enough portion of the recovery regimen. Its my right elbow and I'm extremely right handed. I stay busy with chores and play. Its hard to just sit.
 
#9
#9
Danl said:
Thanks for the input. I appreciate it.

I'm frustrated that PT, braces, analgesic creams, and NSAIDs haven't been more effective in reducing the pain and soreness in my elbow. I suspect that the "rest" component hasn't been a large enough portion of the recovery regimen. Its my right elbow and I'm extremely right handed. I stay busy with chores and play. Its hard to just sit.
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I've had lateral epicondylitis in my dominant arm before, and I hear you. I finally resorted to a steroid injection, rest, and modifying my workout routine once improved. Been fine since.

If you don't mind me asking, are you local? I have several good friends at KOC.
 
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#10
#10
kiddiedoc said:
I've had lateral epicondylitis in my dominant arm before, and I hear you. I finally resorted to a steroid injection, rest, and modifying my workout routine once improved. Been fine since.

If you don't mind me asking, are you local? I have several good friends at KOC.
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Yes, I'm currently local. Any recommendations are appreciated.
 
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#13
#13
My dad is in the middle of something similar but involving his bicep tendon. The doc suspects it's a slight tendon tear and he goes for an MRI in a few days. The doctor said he can go in laparoscopic and reattach the tendon. There was no mention of PRP.
 
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#15
#15
Coug said:
My dad is in the middle of something similar but involving his bicep tendon. The doc suspects it's a slight tendon tear and he goes for an MRI in a few days. The doctor said he can go in laparoscopic and reattach the tendon. There was no mention of PRP.
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That biceps repair is tricky. He'll have to be very careful not to disrupt the anchor, as it takes a long time to heal and become stable.
 
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