Triceps Tendonitis

Symptoms of triceps tendonitis may include:

• Pain and tenderness at the back of the elbow, especially with movement or pressure on the tendon.
• Swelling and inflammation around the elbow joint.
• Stiffness or decreased range of motion in the elbow.
• Weakness or difficulty performing activities that involve elbow extension, such as lifting objects or straightening the arm.

Treatment for triceps tendonitis typically involves conservative measures to reduce pain and inflammation, promote healing, and prevent further injury. Some common treatment options may include:

Rest: Avoid activities that exacerbate symptoms and give the tendon time to heal.

Ice Therapy: Apply ice packs to the affected area for 15-20 minutes several times daily to reduce pain and swelling.

Anti-inflammatory Medications: Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen may help alleviate pain and inflammation.

Physical Therapy involves rehabilitation exercises and stretches to improve the strength, flexibility, and stability of the triceps muscle and surrounding tissues.

Activity Modification: Modifying activities or using proper techniques to avoid excessive stress on the triceps tendon.

Bracing or Taping: Using supportive braces or taping techniques to reduce strain on the tendon during physical activities.

Steroid Injections: Corticosteroid injections may be considered in cases of severe pain or inflammation that does not respond to conservative treatments.

Extracorporeal Shockwave Therapy (ESWT): In some cases, ESWT may be used to stimulate healing and reduce pain in chronic tendonitis.

Surgery: Is rarely necessary for triceps tendonitis but may be considered in severe cases that do not respond to conservative treatments. Surgical options may include tendon debridement, tendon repair, or tenotomy (tendon release).

Surgical options may include tendon debridement, tendon repair, or tenotomy (tendon release).

Here’s a brief overview of each surgical option:

Tendon Debridement: Removing damaged or degenerated tissue from the triceps tendon alleviates pain and improves function. During the procedure,  arthroscopic techniques (minimally invasive surgery with small incisions and a camera) are used to visualize the inside of the elbow joint and remove any scar tissue, calcium deposits, or other abnormalities contributing to tendonitis. Debridement helps promote healing and may be combined with other surgical techniques as needed.

Tendon Repair: In cases where the triceps tendon is partially torn or significantly damaged, tendon repair may be necessary to restore its integrity and strength. Dr. Pournaras may reattach the torn ends of the tendon using sutures or anchors and reinforce the repair with biological or synthetic grafts to enhance stability and promote healing. Tendon repair is typically performed using open surgical techniques, although arthroscopic methods may be used for select cases.

Tenotomy (Tendon Release): Involves cutting or releasing a portion of the triceps tendon to relieve tension and reduce pain associated with tendonitis. This procedure may be considered in cases of severe or chronic tendonitis that do not respond to conservative treatments. Tenotomy allows for decompression of the tendon and may be performed using open or arthroscopic techniques, depending on Dr. Pournaras’ preference and the specific characteristics of the injury.

The choice of surgical technique depends on factors such as the severity of the tendonitis, the presence of associated injuries or conditions, and the patient’s age and activity level. 

Following surgery, rehabilitation, and physical therapy are essential to optimize healing, restore range of motion and strength, and facilitate a safe return to activity. Patients should follow their postoperative instructions closely and attend all scheduled follow-up appointments to monitor their progress and address concerns. With proper care and rehabilitation, most patients can achieve successful outcomes following surgical treatment for triceps tendonitis.