Symptoms we hear about
- Pain on the outer (tennis) or inner (golfer's) elbow
- Weak, painful grip, opening jars, shaking hands, lifting
- Pain that flares with repetitive wrist or forearm use
- Cortisone that helped briefly then came back worse
What PRP can treat here
- Tennis elbow (lateral epicondylitis)
- Golfer's elbow (medial epicondylitis)
- Chronic elbow tendon inflammation
- Overuse tendon injuries
The honest evidence
Elbow tendinopathy is a standout for PRP. In randomized trials, PRP reached roughly 73% success versus 49% for corticosteroid on pain scores, with similar margins for function (DASH). A 2024 meta-analysis of 26 trials summarized it cleanly: cortisone wins early but PRP wins on long-term pain and function. Because cortisone can progressively weaken the tendon, PRP is often the better choice for chronic elbow pain you want to fix, not just quiet.
Dr. Hock's rule: if the research doesn't support treating your specific problem, he'll tell you, and point you to what actually works.
You may be a good candidate if…
- ·Chronic epicondylitis (weeks to months of symptoms)
- ·Failed rest, bracing, PT, or a previous cortisone shot
- ·You rely on grip strength for work or sport
PRP is probably not your answer if…
- ·Brand-new strain that hasn't had basic conservative care
- ·Pain from a nerve or joint problem rather than the tendon
Frequently asked questions
Does PRP really work for tennis elbow?
Yes, it's one of the best-supported uses of PRP. Randomized trials show about 73% long-term success versus 49% for cortisone. PRP is slower to kick in but the relief is more durable because it helps the tendon actually heal.
Why not just get a cortisone shot for my elbow?
Cortisone relieves pain fast, but the benefit fades within weeks-to-months and repeated steroid injections can weaken the tendon. PRP improves more slowly and lasts longer. For chronic elbow pain, that trade usually favors PRP.
How many PRP treatments will my elbow need?
Many cases of epicondylitis respond to a single PRP injection, though more stubborn or long-standing cases may need a second. Dr. Hock will set expectations after examining the elbow.