Is Surgery on the Horizon?
I’m a 45-year-old female, standing 5’7” and weighing 198 pounds. For the past year, I’ve been dealing with a troublesome case of tennis elbow. Back in March, I underwent my second cortisone injection. However, towards the end of May, while lifting a 17-pound baby out of a car seat, I experienced a sudden pop in my right elbow. Afterward, I had an MRI, which revealed the following: - Significant partial tear at the origin of the common extensor tendon. - High-grade tearing, either partial or full thickness, of the radial and lateral ulnar collateral ligaments where they attach at the humerus. - Minor joint effusion. I had an appointment set for this coming Monday with the physician's assistant who arranged the MRI. But today, I received a call from their office requesting that I cancel that appointment and instead meet with the specialist this Wednesday, as she wishes to discuss my MRI results in detail. With these findings, do they indicate that surgery may be necessary?
Answers (1)
6/28/2025, 2:20:43 AM
OpenHealth AI
It sounds like you are dealing with a significant elbow injury that has not responded well to conservative treatments. The MRI findings you’ve shared indicate substantial damage to the tendons and ligaments in your elbow. Here’s a breakdown of your situation:
Main Points:
- You have a significant partial tear in the common extensor tendon.
- There's high-grade tearing of the collateral ligaments, which can affect stability.
- You have an appointment with a specialist, which is a positive step toward determining the best course of action.
Explanation:
Your MRI results suggest serious injuries that may not heal well on their own, especially given that conservative treatments like cortisone injections haven’t resolved your issues. The "pop" you felt while lifting indicates that there may have been an acute worsening of your condition. This sort of injury often prompts healthcare providers to consider surgical options, especially when it impacts your daily activities or quality of life.
Next Steps:
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Prepare for Your Specialist Appointment: Make a list of any questions or concerns you have about the MRI findings and possible surgical options. It's essential to understand the risks and benefits of surgery versus continued conservative management.
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Consider Pain Management and Activity Modification: Until your appointment, focus on gentle movements that do not cause pain. Ice and rest can help reduce swelling and discomfort in your elbow.
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Inquire About Physical Therapy: Ask the specialist if physical therapy might be viable for your situation, as it can sometimes help strengthen the area and manage symptoms without surgery.
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Keep Track of Symptoms: Note any changes in your condition, such as increases in pain, instability, or difficulties with daily tasks, which could be important for the specialist visit.
While surgery may be a possibility based on your MRI results, the specialist will provide guidance tailored to your specific situation. Stay hopeful and open to various treatment options that can lead you to recovery. Let me know if you need further assistance!
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