The Elbow

Help: treatment

Type IV is not reacting on infiltrations with procaine.

A type IV tenniselbow is quite common (8-10% of all tenniselbows).

Most lesions are cured with three infiltrations of 10 cc procaïne (1%) in the upper belly of the extensor carpi radiales muscles.
An important condition however is that the technique of infiltration is correct and the procedure (three infiltrations with a weekly interval) is respected.

Infiltrations are substituted by deep transverse frictions in the rare event that the former did not afford permanent relief.
The technique is the same as for the palpation: a pinching grip.
Friction is applied in sessions of 15 minutes three times a week.
It should be curative after 6-10 sessions.