Tennis elbow

[Kelly Mandery]

I have a patient that suffers from chronic tennis elbow, He has done 2 rounds of PRP, Shockwave therapy and has done BPC-157 and reports to continue to have pain. Looking for recommendations on next steps

[Kelly Mandery]

I should add that a previous provider had done injections of Pentosan Polysulfate near the elbow. Saw no improvement

[Kristelle Reyes]

Hello @byurthgmail-com and @drkriswyahoo-com, would love to have your insights here. Thank you! 🙂

[Robin Rose]

I have used draping with such regular success- other plant extracts: available from spectrum

[Elizabeth Yurth]

Do you have imaging?? It is useful to know if you are dealing with tendinosis, tendonitis, significant tear??? how old is he?? Are hormones OK? Estrogen is needed for tendon healing so if low E than will have trouble healing. Always look up the chain as well-shoulder and neck issues will often cause the elbow to remain problematic. IN ONE STUDY MORE THAN HALF OF RECALCITRANT EPICONDYLITIS HAD ISSUES WITH ROtator CUFF AND LACKED FULL SHOULDER ROM. If al that checks out then, can add TB4 to the mix.  I often use botox in this gorup as well . ANd a topically applied NTG to improve vascular flow.

https://academic.oup.com/painmedicine/article/21/9/1971/5658647?login=true

Dr Yurth

 

 

[William Seeds, MD]

thanks Dr Yurth for the insight!

@kellytotalbodywellnessbrownsburg-com

also check out this thread from a previous conversation: https://ssrpinstitute.org/srrp-discussion-board/topic/refractory-tendonitis/

just making sure you saw this

[Kristelle Reyes]

Claim your CME here: https://earnc.me/E2zYP1

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