Triceps Tendonitis

What is triceps tendonitis?

Tendons connect muscle to bone. Triceps tendonitis is the inflammation of the tendon that connects the triceps muscle to the back of the elbow joint bone. It helps to control the straightening of the arm. It can occur from an injury or repetitive overuse. Some common activities that lead to triceps tendonitis include throwing a baseball, using a hammer, performing bench presses, or falling onto an extended arm.

Risk factors for developing triceps tendonitis:

Anabolic steroid use

Rheumatoid arthritis or diabetes

Improper technique while performing repetitive movement

Not warming up properly before exercise

What are the symptoms of triceps tendonitis?

Aches or pains in the triceps, elbow, or shoulder

Swelling

Weakness

Limited movement of the arm

A bulge near the elbow

When does triceps tendonitis require surgery?

Patients who first try conservative treatment and continue to experience triceps tendonitis symptoms are candidates for surgery. Conservative measures include RICE (rest, ice, compression, elevation) therapy and non-steroidal anti-inflammatory medications.

How is triceps tendonitis surgery performed?

Dr. Azouz can cut the damaged part of the tendon and reattach it to the elbow. Some cases will require a graft, in which transplanted bone tissue is used to fill the gap after removing the damaged tendon.

What is the anesthesia for triceps tendonitis surgery?

Dr. Azouz will use an axillary block, local anesthetic, and sedation for this procedure. A sedative medication is given before the procedure to help patients relax into a deep sleep. Dr. Azouz then injects an axillary block, which can provide pain relief for up to 24 hours.

How long does it take to recover from triceps tendonitis surgery?

Dr. Azouz will place a splint during the surgery which lasts about 1-2 weeks. He will see his patients for routine follow-up visits in his office to evaluate strength and flexibility. Therapy may be recommended to help regain full range of motion. Dr. Azouz will monitor patients’ progress to determine when they can return to activities.

What are the risks of triceps tendonitis surgery?

As with most surgeries, there is a risk of infection and continued weakness. There is also an increased risk for developing scar tissue if surgery is performed greater than 4 weeks following the injury. However, Dr. Azouz uses precise techniques to minimize risks for an improved outcome.

Can triceps tendonitis surgery be combined with other procedures?

Yes, triceps tendonitis surgery can be combined with any cosmetic procedures, tumor removals, or laceration repairs if there is multi-system trauma.

What is the cost of triceps tendonitis surgery?

Surgical for triceps tendonitis can vary widely. Dr. Azouz will perform a thorough medical history and physical examination to help determine the cost. If it is caused by an injury at work, many workers’ compensation carriers cover the cost of surgery after deeming the procedure medically necessary.

What are the outcomes of a successful triceps tendonitis surgery?

Triceps tendon repair surgery decreases pain along the shoulder, arm, or elbow that is usually felt during repetitive movements. It can also improve the range of motion of the arm and elbow.

What are the non-surgical treatment options for triceps tendonitis?

Conservative management for triceps tendonitis includes RICE (rest, ice, compression, elevation) therapy and non-steroidal anti-inflammatory medications. Physical therapy may also be recommended to help with strength and flexibility.