vative therapy without the use of glucocorticosteroids, the pain syndrome in epicondylitis is usually completely eliminated within 2-3 weeks, during blockades – within 1-3 days. In rare cases, persistent pain is observed, which does not disappear even after injections of glucocorticosteroid drugs. The probability of such a course increases with chronic epicondylitis with frequent relapses, joint hypermobility syndrome and bilateral epicondylitis.
If the pain syndrome persists for 3-4 months, surgical treatment is indicated – excision of the affected areas of the tendon in the area of its attachment to the bone. The operation is performed as planned under general anesthesia or conduction anesthesia. In the postoperative period, a splint is applied, the stitches are removed after 10 days. Subsequently, rehabilitation therapy is prescribed, including physical therapy, massage and physiotherapy procedures.