Platelet Rich Plasma (PRP) for Tennis Elbow with Partial Tears

Video loop injecting tennis elbow tendon with PRP. As I inject, the tendon is pushed up and to the right away from the bright bone leaving a black void indicating partial tear.
Posted by Steve Meyers, MD – Sports & Regenerative Orthopedics on Tuesday, February 17, 2026
Regenerative Orthopedic Case of the Week:
CG is a 54 year female avid pickleball player who plays 6 days a week. Four months ago, she developed gradually progressive right lateral elbow pain with play. Despite the pain, she has continued to play and the pain is increasing. Sharp and aching pain with grasping, twisting, lifting and especially pickleball. She has tried some physical therapy and dry needling without notable improvement. On exam, she has significant tenderness about the lateral elbow, pain with resisted extension of the wrist and twisting the forearm (supination). Xrays are negative. Ultrasound shows significant area of tendonitis with suspected tear. After discussing treatment options, she decided to have Platelet Rich Plasma (PRP) treatment today. During procedure, as I injected numbing medicine into the tendon, the suspected tear became obviously visible. You can actually see the tendon separation from the bone! These tears are often not visible until placed under injection pressure.
PRP is a very successful treatment for tennis elbow even with partial tears. Improvement does not happen over night. Tendon healing can take 10-12 weeks or longer. Given the significance of CG’s injury, she may require a second PRP treatment. I do expect that she will be able to return to her previous level of pickleball without surgery.
Come see what Regenerative Orthopedics can do for you! I’ve been performing PRP since 2007!
SteveMeyersMD.com
Texas Health Care Bone & Joint Clinic
1651 W Rosedale #200
Ft Worth, TX. 76104
(817) 661-8498
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