Medial epicondylitis brace treatments
Conservative treatment is the norm (rest, physio, chiro, osteo, acupuncture, etc.). The more sceptical among us will say that all types of treatment should run six to eight weeks. In short, most cases of medial epicondylitis heal on their own over time.
Cortisone injections are rarely required and care must be taken to avoid adjacent structures such as the ulnar nerve.
Surgery (debridement or release under local anesthesia) is a last resort for people who show no signs of improvement after six months of treatment. It is preceded by a lidocaine test (injection of anesthetic into the medial epicondyle) to provide temporary pain relief. If the test is negative, surgery is not necessary, but if it is positive (i.e. all pain disappear for some hours), the chances of the operation being successful are over 90%. However, postoperative healing takes a little longer than for lateral epicondylitis (complete healing takes 4 to 6 months, rather than the two to four required for lateral epicondylitis).
The debridement procedure is performed under local anesthetic and takes about 30 minutes. No postoperative immobilization of the elbow is needed, and the patient can resume normal tasks that don’t require effort. Physiotherapy is optional. Complications are rare (fewer than 1%).