Lateral Epicondylitis Atlanta | Tennis Elbow Specialists

Understanding the Condition

What is lateral epicondylitis?

Despite the name, tennis elbow affects far more office workers, tradespeople, and weekend athletes than tennis players. Understanding the injury helps you understand why specialist care matters.

Causes & Risk Factors

Repetitive gripping, lifting, or forearm rotation gradually breaks down the tendon fibers at the lateral epicondyle. Onset is typically gradual, peaking between ages 30 and 50.

Symptoms to Watch

Burning pain on the outer elbow, weakened grip, discomfort lifting even light objects, and pain that worsens with wrist extension. Symptoms may radiate down the forearm.

Treatment Pathway

Conservative care resolves most cases: rest, physical therapy, and bracing. Persistent cases respond well to PRP therapy or the TenJet procedure. Surgery is rarely needed.

Advanced Treatment

The TenJet procedure for chronic tennis elbow

For lateral epicondylitis that hasn't responded to conservative care, TenJet offers a minimally invasive option that physically removes degenerated tendon tissue rather than masking the pain with injections.

TenJet® Percutaneous Tenotomy

How it works

Under continuous ultrasound guidance, the treating physician makes a small incision and advances the TenJet device's small-gauge probe directly to the degenerative portion of the common extensor tendon. A precise, high-pressure saline jet simultaneously breaks down and removes the damaged collagen, while an integrated aspiration channel clears the debris and leaves healthy fibers intact. The entire procedure typically takes 15–30 minutes in an office or clinic setting under local anesthesia.

Why it works for tennis elbow specifically

Chronic lateral epicondylitis is a tendinopathy — a degenerative condition — not a simple inflammation. Cortisone injections reduce inflammation temporarily but don't address the underlying degenerated collagen, which is why pain returns. TenJet mechanically removes that degenerative tissue at the common extensor origin, targeting the actual source of chronicity, with results confirmed under real-time imaging.

How it compares

Cortisone injection

Reduces inflammation temporarily. Does not remove degenerative tissue. Pain typically returns within weeks to months.

TenJet debridement

Physically removes degenerative collagen under ultrasound guidance. Small incision, local anesthesia, office procedure. Addresses the source.

PRP therapy

Stimulates a healing response but does not remove existing diseased tissue. Complementary, not equivalent.

Surgical release

Open or arthroscopic tendon release. Effective but requires a surgical center, general anesthesia, and longer recovery.

Small incision, performed in-office under local anesthesia

No general anesthesia or surgical center required

Real-time ultrasound guidance throughout

Most patients return to normal activity within days to weeks

Treats the degenerative tissue — not just the pain

TenJet® in Action

Official demonstration video from HydroCision, the maker of TenJet, plus a look at how tendinitis differs from the deeper tissue degeneration TenJet is designed to treat.