When would tennis elbow require surgical intervention?

When does tennis elbow require surgery? So tennis elbow often in more than 90% of cases can be treated non-operatively. So with the modalities we discussed, so that's the steroid injections, the PRP injections, shockwave therapy, acupuncture and the very other treatments that people employ. In about 5% of cases where all those conditions, all those treatments have been used and the symptoms still are not resolving, then you will need to do an operative procedure and that procedure can usually is open or it can be arthroscopic as well. The surgery again is day case type surgery and the wound takes about two weeks to heal and the condition in terms of pain relief and grip strength takes about six to eight weeks and more than 80 to 90 percent of people improve significantly after that. The other time you might consider surgery acutely is if somebody's had an injury which has led to acute tennis elbow and the scan confirms a significant tear of the common extensor tendon, but that tends to be a very small number of patients in this whole group and they would require surgery. But in the ones where it's a chronic condition, then it's usually the ones where other non-operative measures have failed and then you go down the surgical pathway. But it has more than 80% of patients get improved significantly after this sort of treatment.