Case study · Sports MedicineSample
ImprovingChronic lateral epicondylitis after failed conservative care
Age 40–49Sex: Not statedSports Medicine
Sports Medicine · Ultrasound-guided procedures
Interesting PRP case from this week. Patient with chronic lateral epicondylitis after failed PT and two steroid injections. Went with a single ultrasound-guided LP-PRP injection plus a progressive eccentric loading program — first time I've seen grip strength move this early. Curious how others time a second injection, or whether you hold.
- Presenting issue
- Lateral elbow pain for 14 months, dominant arm. Failed 12 weeks of PT and two corticosteroid injections; symptoms returned within 6 weeks of each.
- Approach
- Single ultrasound-guided leukocyte-poor PRP injection with needle fenestration, then a progressive eccentric loading program.
- Outcome Improving
- Pain 7/10 → 3/10 at week 8. Grip strength improving; back to full work duties.
The author asks
Second injection at week 12, or keep loading and reassess?
2 images
De-identified · attested by the author on October 26, 2026
The author confirmed this case contains no patient identifiers: no names, initials, record numbers, exact dates or locations smaller than a state. Ages are shown as ranges. If you spot something that could identify a patient, report it — those reports go to the top of the moderation queue.