The Elbow

Help: Treatment

Type II is not reacting on infiltrations with triamcinolone.

It is very rare for a type II tenniselbow not to respond to infiltrations with triamcinolone.
With a good infiltration technique, full relief is obtained in all cases after one to three infiltrations
However, after the initial relief, up to 30% will recur (usually after two to three months).

If there is absolutely no initial relief at all, the following possibilities should be considered:

Is the diagnosis correct?
Is the localisation correct?
Is another type of tennis elbow the cause for the ongoing pain?
Is there, besides the tennis elbow, also another pathology?
Is there a double localisation of the lesion?
Sometimes there exists, besides the type II lesion (which has been successfully treated), another type III or type IV lesion, causing the persistant complaints.
Is the technique of infiltration correct?