Lateral epicondylitis, or tennis elbow, is the formation of painful scar tissue where the tendons attach to the outside of the elbow. This causes severe elbow pain with gripping, lifting, and twisting. Initial treatment is often physical therapy, braces, cortisone injections, and sometimes platelet injections. Patients that continue to have severe pain may benefit from surgery which removes the painful scar tissue. Our surgeons use both open and arthroscopic techniques to remove the scar tissue and eliminate the pain and disability. Most patients have a full recovery and are able to return to a wide range of activities including heavy lifting.