PRP for Tennis Elbow

Tennis elbow (lateral epicondylitis) is a condition I often see in individuals who frequently use their hands, at work, in sports, or through daily activities. It’s caused by small tears in the tendon on the outside of the elbow, usually from repeated strain. 

Because this tendon doesn’t get much blood flow, healing can be slow. That’s why the pain often lingers, even with rest or physical therapy. Standard treatments may ease symptoms, but they don’t always fix the underlying problem. 

In this article, I’ll explain what’s happening in your elbow and how regenerative options like PRP may support real, lasting recovery.

A Common Overuse Injury with a Frustrating Recovery 

Despite the name, tennis elbow isn’t just a sports injury. I often hear my patients who’re office workers, athletes, and even parents complain about:

• Pain on the outside of the elbow, sometimes spreading down the forearm
• Stiffness, swelling, or a noticeable drop in grip strength
• Discomfort with simple tasks like turning a doorknob or holding a coffee cup

If the underlying cause isn’t addressed, the pain may last for weeks or even months.

Why Traditional Treatments Don’t Always Work 

For early or mild cases of tennis elbow, I usually start with conservative treatments like rest, bracing, anti-inflammatory medications, and physical therapy.

These options may ease pain and support recovery when the tendon is only mildly irritated. But if your injury becomes chronic or recurring, these standard treatments often aren’t enough. That’s because they don’t target the actual tendon damage underneath.

With ongoing strain, the tendon can start to break down. This degeneration takes longer to heal and may not always respond to basic care.

In such cases, I recommend regenerative treatments, like platelet-rich plasma (PRP), to help the tendon repair. 

How PRP Therapy Supports Natural Healing in the Elbow 

PRP therapy solution is made from your own blood and has platelets that release natural growth factors. These growth factors may support healing and help repair damaged tissue. 

It contains up to 10 times more of these healing components than regular blood. By delivering a concentrated dose of your body’s healing cells, PRP supports tissue repair and a more natural recovery process.

How PRP Stimulates Tendon Recovery 

A PRP injection may help:

• Stimulate collagen production, which helps rebuild the tendons
• Support the growth of healthy tendon cells
• Reduce inflammation, which can ease pain and swelling
• Improve blood flow through the formation of blood vessels
• Attract stem cells to support long-term tissue repair

The Safety and Reliability of PRP for Elbow Injuries 

Many of my patients ask if PRP has any side effects. The short answer is: PRP is safe. Because it’s made from your own blood, there’s no risk of rejection, allergic reaction, or disease transmission.

The only side effect you may experience is mild soreness or bruising at the site of injection, which goes away in a few days.

According to a study of 19 patients with tennis elbow, most reported less pain and better function after treatment. Nearly 90% were satisfied with their results, and there were no serious side effects.

What to Expect During a PRP Injection for Tennis Elbow 

PRP is a simple, minimally invasive procedure that usually takes 45 minutes to 1 hour.

Here’s what you can expect during the procedure:

1. I start by drawing a small amount of blood from your arm, usually between 15 and 30 ml.
2. The sample then goes into a centrifuge, which spins it for 10 to 15 minutes. This separates and concentrates the platelets.
3. Once the PRP is ready, I clean the injection site and apply a local anesthetic to keep you comfortable.
4. I then inject the PRP into the affected tendon, often using ultrasound for accuracy.

After the procedure, you’ll spend a few minutes in recovery. Meanwhile, I’ll go over your post-procedure instructions and answer any questions you have before you head home.

Pain, Downtime, and Recovery Tips 

I always set realistic expectations with my patients before the treatment. You can return to desk work within a day, as the downtime is minimal.

Here’s a general recovery timeline:

• Days 1-3: You might feel mild soreness or stiffness. Rest, ice the area, and avoid heavy activity.
• Week 1-2: Light activity is fine. Avoid repetitive strain on the elbow.
• Weeks 4-6: You’ll start noticing improvement. Flare-ups become less frequent and less intense.
• Weeks 8-12+: Tendon continues healing. Full recovery may take 3–6 months.

I also recommend that my patients stay hydrated and eat balanced meals to support healing. Avoid NSAIDs for 7–10 days, as they may interfere with PRP’s effects. Lastly, make sure to start physical therapy around week 2 or 3 to rebuild strength. I stay involved throughout your recovery, with regular follow-ups to track your progress and help you return to pain-free movement.

Who’s a Good Candidate for PRP for Tennis Elbow? 

I recommend PRP for people who:

• Have had symptoms lasting longer than 6 to 8 weeks
• Experience recurring pain or strain that interferes with daily activities
• Haven’t noticed any improvement with cortisone, physical therapy, or bracing
• Want to avoid surgery after conservative treatments haven’t helped
• Are healthy without chronic diseases or active infections

When PRP May Not Be the Right Fit 

PRP is safe for most people, but I do not recommend it if you:

• Have complete tendon tears that usually require surgery
• Have an active infection or serious health condition
• Have a bleeding disorder or anemia
• Are pregnant
• Take blood thinners that can’t be safely paused
• Are undergoing cancer treatment or have active cancer

What Research and Our Clinic  Say About PRP Results 

Over the years, I’ve seen PRP help my patients break the cycle of pain and return to the activities they love.

It’s not a miracle cure, but it can jumpstart the healing process when other treatments haven’t worked.

Success Rates in Medical Studies 

Research continues to support the success of PRP injections for tennis elbow. One study looked at 230 patients with symptoms lasting at least three months who hadn’t improved with standard care.

By 12 weeks, the PRP group had 55% less pain, compared to 47% in the control group. At 24 weeks, pain relief in the PRP group improved to over 71%. Overall, 84% of patients said the treatment was successful, with no serious side effects.

These results match what I’ve seen in my practice. Many patients come in after months or years of failed treatments. After PRP, they often find lasting relief.

Timelines and Expectations 

Most people start to feel better around 4 to 6 weeks. Full results often take 8 to 12 weeks, or sometimes a bit longer. With proper care and rehab, many experience long-term relief and a reduced risk of recurrence. 

At my clinic, every PRP treatment plan is customized. We look at your activity level, job demands, and overall health to give you the best possible chance at recovery.

Thinking About PRP? Here’s How to Get Started 

If elbow pain is still getting in your way, even after rest, physical therapy, or other treatments, it may be time to consider PRP.

Start by booking a consultation. If PRP is a good fit for your condition, I’ll walk you through the process step by step. You’ll know exactly what to expect. My goal is to help you return to the activities you love. Ready to take the next step toward lasting relief? Book your appointment today.