I have had tennis elbow for over a year and had multiple treatments for it including cortisone shots, tens. And ultrasonic. My doctor said surgery.? .

May be true. Tennis elbow symptoms usually resolve in a year. If treatment doesn't include stretching and strengthening programs, symptoms often recur. Steroid injections can provide relief, but do not cure. Multiple injections can result in elbow instability. If symptoms persist more than 18 months (assuming correct diagnosis) despite a comprehensive rehab program, surgery my be indicated.
Tennis elbow outcome. 90% of tennis elbow symptoms resolve by 12 months. About 30% will have a temporary and not as severe relapse within the next 3 years. If persistent symptoms limit activities at one year, surgery will deliver 85-90% cure, but it still takes time (3-4mo) after surgery to return to stressful activities. While steroid injections can help early (50% by 6 wks.) they do not improve outcomes at 1 year.
Second opinion. I would first get a second opinion. Then, i might make an appointment with a specialist in physical medicine some possible additional rehab. I guess it depends how much your condition impairs you and what you want to do. I also would want the surgeon to give me some idea about the success rate for the operation.

Related Questions

Have excruciating pain in upper left arm. Had tennis elbow with cortisone shots previously, advice?

Upper arm pain. It really depends on the precise location you are referring to. Tennis elbow causes pain just below the elbow joint and is usually injected with cortisone. If you are saying you have pain in your upper arm, this is not likely to be tennis elbow. Depending on the precise location it could be tendonitis, arthritis, impingement, or nerve injury. Read more...
Same thing? Tennis elbow pain is typically oveeouteraspect of the elbow, not the upper arm. Pain there makes me think of other causes, such a deferred pain from the rotator cuff. I recommend an evaluation with a shoulder/elbow surgeon. Read more...

How many cortisone shots are too many to treat my tennis elbow?

3 or more. The rule of thumb i follow is no more than 3 injections in a one year period into the same area and at least 1 month between injections. This may be more or less conservative when compared to other docs but it has kept my complication rate very low. Corticosteroids over time can weaken or rupture tendons/ ligaments and cause necrosis in bone. If your not responding, ask about other treatments. Read more...
2-3. Classic answer is no more than two to three in a given area before you should consider surgery. Read more...
Depends. Recent studies continue to demonstrate that patients that have cortisone injections for tennis elbow often have a recurrence of pain. Cortisone tends to work best for tennis elbow that is more acute (less than ~ 6 weeks in duration) with only mild injury to the tendon. Eccentric strengthening exercises, platelet-rich plasma injection and a percutaneous tenotomy can give more permanent relief. Read more...

Tennis elbow confirmed after examination. No scans. 4 cortisone injections in two years. Last two made pain worst. Suggested surgery. What should I do?

Surgery should be. The very last thing tried. Make sure your physical medicine doctor has put you on a full course of progressive eccentric exercise. Nitrous oxide patches applied directly over the affected common extensor and changed every 24 hours can be a very helpful adjunct to physical therapy. If this fails (and it works most of the time) consider ultrasound guided needle tenotomy of affected areas. Read more...