If you’ve recently been diagnosed with Chronic lateral epicondylitis, sometimes called “tennis elbow”, you’re not alone. This condition affects many active adults under 65 — not only athletes, but also people who use their hands and arms repetitively at work or home.
Understanding your diagnosis is the first step toward recovery. Let’s explore what this condition means, how it’s diagnosed, and how modern treatments — including the Open Modified Bosworth Technique — can help you get back to a pain-free, active lifestyle.
General Points
What Is Chronic Lateral Epicondylitis?
Chronic lateral epicondylitis with or without partial tear of the common extensor tendon is a condition that affects the tendons on the outer part of your elbow. These tendons attach to the muscles that help you extend or straighten your wrist and fingers.
Over time, repetitive use or strain can cause small tears and degeneration in these tendons — especially the extensor carpi radialis brevis (ECRB) — leading to persistent pain and weakness. When the condition becomes chronic, it means that the tendon tissue is no longer just inflamed; it’s actually damaged and struggling to heal on its own.
Early diagnosis and appropriate treatment are key to preventing long-term pain or disability.
Common Symptoms
People with chronic lateral epicondylitis often notice:
- Pain on the outer side of the elbow, which can radiate down the forearm
- Tenderness when pressing on the bony prominence of the elbow (lateral epicondyle)
- Pain when gripping or lifting objects, such as a coffee cup or phone
- Weak grip strength
- Stiffness, especially in the morning or after activity
If there’s a partial tear of the common extensor tendon, the pain may be sharper or more constant, and daily activities can become increasingly difficult.
How Is the Diagnosis Made?
Your orthopedic specialist will begin with a detailed physical examination, checking for tenderness, grip strength, and pain with specific wrist and finger movements.
In many cases, imaging tests are recommended to confirm the diagnosis and rule out other causes:
- Ultrasound – to visualize the tendon structure and detect partial tears
- MRI (Magnetic Resonance Imaging) – to assess the severity of tendon damage and identify any degenerative changes
- X-rays – to rule out joint problems such as arthritis or bone spurs
Once confirmed, your doctor will discuss the best treatment approach based on the extent of your tendon damage and your activity level.
Treatment Options
Treatment for Chronic lateral epicondylitis with/without partial tear of the common extensor tendon typically starts with non-surgical methods. However, when pain persists despite months of conservative therapy, surgical intervention may be recommended to restore function and relieve pain.
Non-Surgical Treatments
- Activity modification – avoiding repetitive wrist movements that worsen symptoms
- Physiotherapy – including stretching, eccentric strengthening, and soft tissue techniques
- Bracing or orthotics – to reduce tendon strain
- Medications – anti-inflammatory drugs to manage pain
- Injections – corticosteroid or platelet-rich plasma (PRP) injections may help in some cases
If these methods don’t bring lasting relief, your orthopedic specialist may discuss surgical options such as the Open Modified Bosworth Technique.
The Open Modified Bosworth Technique: A Trusted Surgical Solution
When conservative treatments fail, the Open Modified Bosworth Technique is one of the most reliable surgical procedures for treating chronic lateral epicondylitis, especially when there’s a partial tear of the common extensor tendon.
🔍 What Is the Open Modified Bosworth Technique?
This technique involves carefully removing the damaged tendon tissue and releasing tension on the affected area. The surgeon then reattaches the healthy portion of the common extensor tendon to the bone in a way that restores its strength and function.
In some cases, a small portion of the ECRB tendon is released and repaired to improve healing. The procedure is performed under regional or general anesthesia and usually takes less than an hour.
💪 Benefits of the Open Modified Bosworth Technique
- High success rate: Studies show that over 85–90% of patients experience significant pain relief and improved elbow function after surgery.
- Long-term durability: Once healed, most patients regain full strength and can return to work, sports, and daily activities without restriction.
- Direct visualization: The open approach allows the surgeon to precisely identify and treat the damaged area, ensuring a thorough repair.
- Low recurrence: Proper surgical technique and rehabilitation minimize the risk of symptoms returning.
🕓 Recovery After the Open Modified Bosworth Technique
Recovery is a gradual process but very predictable when guided by your orthopedic specialist.
1. Early phase (Weeks 1–2):
Your arm will be placed in a light dressing or splint for comfort. Gentle finger and shoulder movements are encouraged to maintain circulation.
2. Intermediate phase (Weeks 3–6):
Physical therapy begins, focusing on gentle stretching and progressive strengthening of the forearm muscles. Pain and swelling typically decrease rapidly during this stage.
3. Strengthening phase (Weeks 6–12):
More active exercises are introduced to rebuild endurance and coordination. Most patients can resume light work or non-strenuous activities by this time.
4. Full recovery (3–6 months):
You can expect to return to full activity, including sports or manual work, once strength and motion are fully restored.
Following your surgeon’s post-operative instructions and rehabilitation plan is the key to achieving an excellent outcome.
Why Choose an Orthopedic Specialist?
Chronic lateral epicondylitis can be frustrating, especially when it limits your daily life. Choosing an orthopedic specialist experienced in elbow conditions ensures you receive an accurate diagnosis and a treatment plan tailored to your needs.
Whether through advanced rehabilitation or surgical expertise in the Open Modified Bosworth Technique, your surgeon’s goal is to help you recover fully and confidently.
Take the First Step Toward Pain-Free Movement
If elbow pain is keeping you from doing what you love, it’s time to take action. Schedule a consultation with an experienced orthopedic specialist to discuss your Chronic lateral epicondylitis with/without partial tear of the common extensor tendon treatment options.
With modern procedures like the Open Modified Bosworth Technique, long-term relief and a strong recovery are absolutely within reach.
Don’t let pain control your life — expert care can help you get back to doing what matters most.
