Tennis Elbow Surgery and
Post-Operative Rehabilitation
.... & Golfers Elbow Too!

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Unlike some other soft tissue injuries, treatment for Tennis Elbow remains consistent between most medical professionals (doctors, orthopedic specialists, and physical therapists). "Most cases of tennis elbow are treated without surgery - less than 5 out of 100 tennis elbow cases require surgery." (Tennis Elbow Surgery: WebMD.com. 21 Jan. 2011. )

It is generally understood by doctors and surgeons, that surgery will introduce more scar tissue into the joint. This added scar tissue will be problematic, requiring physical therapist visits and conservative treatment options post-surgery. If not dealt with properly, the injured elbow could wind up in a worse condition than before surgery was completed. This is why surgery is only performed as a last resort.

Except for specific cases (ie. major tears or a rupture), Tennis Elbow surgery is not even considered until all conservative treatment options have been exhausted. Doctors, orthopedic specialists and physical therapists will advise that you must try at least 6 to 12 months of conservative treatments with no indication of improvement before surgery will even be considered.

If you are unsure about whether you need surgery on your elbow, you may want to read through our "Do I Need Surgery" Page.

Some conservative treatment methods recommended include:

• Rest - This is important for initial healing to reduce pain, swelling and inflammation in the early stage of your elbow injury. Too much rest can also be harmful to elbow injuries because joint immobility can actually cause stiffening in the elbow (and even shoulder) joint. This is why rest should be used when reducing initial pain and swelling, but should not be considered for more long-term conservative treatment.
• Avoid Activities that Caused Your Injury - While resting your elbow, it's important to avoid activities that may have caused your injury in the first place and this definitely includes pretty much any type of sport where your upper body is involved. Continuing on with regular activities will not only make your injury worse, but trying to 'work around' your injury will eventually give rise to over-compensation injuries in other areas of your body.
• Use a Cold Compress or Ice Pack - Cold is very effective at reducing pain and inflammation - use at the onset of the injury and during flareups.
• Use an Elbow TShellz Wrap^® (Circulatory Boost device) - You can use your own blood flow to maximize your rehabilitation, maintain healthy blood flow to your arm and elbow, decrease recovery time, and reduce re-injury risk.. Promoting blood flow to your elbow using a warming treatment will help to minimize the growth of scar tissue and increase flexibility. This is why we recommend TShellz Wrap before undergoing activity - an increase in flexibility should help reduce risk of further injury while also assisting in the battle against atrophy.
• PT - Surgery is usually the last resort. This means doctors or surgeons typically won't perform a surgery until they feel that their patient has put effort into treating their injury with conservative treatment methods. This includes 4 to 6 months of visits to a physical therapist (PT). If you haven't experienced any improvement in your condition during that time then surgery may be considered. Agressive PT approaches will focus on forced or manual manipulation of the elbow and wrist - this means your physical therapists will be trying to move you past the point of comfort as they strive to increase range of motion and prevent further atrophy. This can be painful and end up making your injury worse if not done correctly. (reference: 1)
• Stretching - Stretching your elbow and arm in PT and at home will help you to regain your range of motion much faster than not stretching at all. Stretching in many ways is key for maintaining good Range of Motion (ROM) in the elbow, and stretching can be made much easier with use of a TShellz Wrap before to warm up soft tissue, and a Cold Compress or Ice Pack treatment after to prevent any return of swelling and inflammation.

For acute (new or recent) Achilles tendon tears that have the ability to heal on their own - your doctor may even cast your foot in a toe pointed position (in something called a "hanging enquinus cast") or in a removable brace/splint. A removable splint can be very helpful to prepare you for PT sessions and mobility exercises.

Prolonged use of a cast, removable splint, or long-term rest (restricted movement) without proper exercise or stretching can make your Achilles tendon injury worse. If your Achilles tendon remains completely immobilized and at constant rest, the ends of the Achilles tendon (where it attaches to bone or other muscles) will begin to fill in with scar tissue as part of the healing process. You may also have on-going symptoms of pain, swelling and inflammation, and even poor blood flow circulation.

Lack of proper blood flow and growth of scar tissue will decrease the natural length of the tendon (atrophy) and tighten tissue, reducing the flexibility between your ankle and foot. Your ability to push off with your foot in certain activities such as running, jumping, or going up and down stairs all become compromised. You are also at an increased risk of re-rupture of the tendon, especially if the initial injury was large and required surgery in the first place.

If you are not at the surgery stage and your physician has opted to treat your injury with conservative treatment options, then you will find that many of our customers have had great success treating themselves with the powerful conservative treatment products such as the Elbow TShellz Wrap^®. When combined with a conservative treatment plan including rest, cold compression, and light stretching, it is our opinion that the TShellz Wrap^® will give you the best chances of recovering from your condition at home without the need for surgery. If surgical intervention is required, talk with your physician about using these same products for post-surgery recovery.

If all conservative treatment methods have been explored and your symptoms (pain as well as limited use for daily activities) persists, then you will be considered a candidate for surgery. You and your doctor may decide to move forward and have you undergo surgery, which will trigger the next chapter of your elbow recovery journey. Your post surgery rehabilitation efforts will have an important impact on how soon you can return to living and enjoying your normal daily life.

The surgery that is selected for your injury will depend on the level of your pain and the amount of damage your doctor suspects there may be to your tendon. Much of this damage will be determined through the use of physical exams, x-rays and MRI results.

Surgery for Tennis Elbow will require either the release of tendon tissue from the lateral epicondyle (the end of your humerus bone) which is then reattached, removal of damaged tissue from the tendon (also referred to as debridement), or repair of the torn tissue. Tendon repair can only be considered if the procedure does not over-tighten the tendon itself; this would result in a reduction of mobility/flexibility. All of these surgical techniques can be completed through Arthroscopic surgery, Open surgery or Percutaneous Tenotomy (or a combination of procedures).

For tennis elbow pain, arthroscopic surgery or percutaneous tenotomy are the preferred procedures as they are minimally invasive and patients usually recover at a much faster rate.

For most soft tissue injuries, arthroscopic surgery is the preferred procedure as it is minimally invasive and patients usually recover at a much faster rate. This type of surgery will provide the surgeon with first hand insight into the nature of the injury and possibly limit the amount of elbow damage from surgery, helping promote a more effective recovery.

Some cases however, will require open surgery as the scope of arthroscopic surgery is limited in comparison to full exposure of the elbow in open surgery. If you undergo an open surgery for your Tennis Elbow, you should anticipate a much longer time for rehabilitation efforts.

What Happens After Elbow Surgery is Done?

During the first 24 to 72 hours after the surgery you will be tender, swollen and very painful. You may be weak and unstable; maybe you have been outfitted for a cast, crutches, brace or support aid. When you are relying on a this support aid and less likely to be as active as it once was. This is usually why atrophy (loss) of your muscles and soft tissue happens.

Ask any doctor and they'll tell you that the success of your surgery depends on your level of dedication to regular, at-home care of the area during your recovery. A great number of our post-op clients have achieved a successful recovery through regular use of a Cold Compress or Ice Pack and the TShellz Wrap^® at home in combination with their PT sessions once their surgeon has given their approval.

The use of conservative home treatments such as rest, stretching, cold compression and the application of a TShellz Wrap on a daily basis will lessen the chance and/or severity of joint degeneration and muscular atrophy during your rehabilitation process. Talk to your doctor or surgeon to determine when you can begin home conservative treatments in coordination with your PT.

It is important to understand that surgery may not give you 100% functionality of your injured tendon, but you should be able to return to most if not all of your pre-injury activities. These surgical procedures are often performed with very successful results. What truly makes a difference is your commitment to a doctor recommended rehabilitation program after surgery as there is always a possibility of re-injuring your tendon even after a surgical procedure.

How Long To Recover From Tennis Elbow Surgery?

You will experience some pain after surgery and your physician will probably prescribe medicine for this. Sutures and splints/casts are typically removed after 1 to 2 weeks, though you may have to wear a smaller splint for longer. Until splints/casts are removed, you will not be able to use the arm and will require help for any tasks that require the use of both of your hands.

You will be assigned a rehab program that involves exercises and stretches - this will help retain and increase your elbow range of motion as well as help strengthen your weakened elbow. Initially you will most likely have guided training but eventually be left to continue stretches and exercises on your own.

Pain will gradually reduce and most likely be gone within 3 to 6 months after surgery. You will not likely be advised to undertake sport activities until 4 to 6 months after surgery, depending on how your recovery goes. Further to this, a brace may be strongly advised during work or sporting activities.

"Tennis Elbow Surgery: What To Expect At Home". 2019. Myhealth.Alberta.Ca Accessed April 12 2019.

After your surgery is done, you will probably receive a tailored rehabilitation plan directly from your surgeon or physical therapist. This rehabilitation plan will combine rest, exercise, and conservative treatment options to aid in your recovery. All rehabilitation efforts will be explored under the guidance of a doctor or physical therapist, but you will also be expected to continue your exercise, stretching and treatment at home. The success of your rehabilitation will depend on a variety of factors including (but not limited to):

• your age, overall health and activity level
• the state of your injury before surgery (severe injuries like a tendon rupture, open wound, bone damage or fracture will require more intense surgery)
• the type of surgery you have undergone
• how soon you must return to normal activity

The goal of a rehabilitation plan is to manage pain and swelling while improving function, strength, and range of motion. Ultimately, you will regain strength in your forearm and elbow tendons to be able to use your elbow normally and return to full activity. You will most likely spend a lot of time with a physical therapist after your surgery, but as your healing progresses, emphasis will be placed on your personal, at-home treatment. The success of your rehabilitation will depend on your dedication to working with your doctor and physical therapist while also managing your recovery on a daily basis at home.

Regardless of what type of surgery you've had (or even if you don't need surgery) your home treatment routine can be improved by controlling initial and on-going pain/swelling, and increasing blood flow to heal your tendon so that you can achieve long-term, positive results. This can be achieved by incorporating the use of a Cold Compress or Ice Pack and an Elbow TShellz Wrap^® into your rehabilitation routine. Regular treatment with these protocols will decrease your time spent in recovery.

The level of protection needed for your elbow will depend on the type of surgery you have had. Generally, for arthroscopic and open release surgeries, you will need to wear an arm sling, brace or cast for at least a week after surgery, or until your first follow-up appointment with the surgeon. You will be advised by your physician not to drive or operate a motorized vehicle for at least a week after your surgery. This is because restriction of elbow movement will directly affect your ability to steer your vehicle, particularly in an emergency situation which may require rapid, deliberate movements of the arm and elbow.

Rehabilitation after elbow surgery will first focus on protecting your elbow and initiating simple movement. Your doctor or physical therapist will soon get you to start doing simple movements to gain motion, preventing scar tissue formation which might limit your range of motion and cause further damage to soft tissue in the joint.

Directly after your surgery has been completed, you will undergo Step 1 of the healing process by stopping the bleeding that has started because of the incisions and work done inside of your elbow. Depending on the type of procedure you have just had, your tissue may be sutured together, reconstructed or removed to fix your underlying condition. In any case, as with any injury to your tissue, the tissue in your elbow will be bleeding again. Depending on the type of injury you have, your surgeon may even stimulate bleeding during your surgery to trigger the healing process.

Typically your body will have begun to stop the bleeding as soon as your surgeon has completed your surgery. This means that the veins carrying your blood will close off, and your blood will coagulate (condense to seal the bleeding off) in order to reduce the amount of blood loss in your body. Your body knows to do this automatically because blood is so vital to the healing process. Blood is basically the vehicle for oxygen and nutrients that travel directly to the injury in your elbow - where these things are needed most.

In order to reduce pain, swelling and inflammation your doctor will prescribe an anti-inflammatory drug to be taken during the first week after your surgery, or for however long it is needed, depending on your pain level. Your surgeon will also recommend the use of a Cold Compress or Ice Pack on a frequent basis - multiple times per day - to control your inflammation and reduce your pain.

If you have undergone an arthroscopic surgery, you may have less blood loss and your doctor or surgeon will check before you leave the hospital to make sure your bleeding at the incisions has stopped. If you have undergone open elbow surgery, your doctor and/or surgeon will check your incisions periodically over the next few days of your hospital-stay to ensure that your body has stopped the bleeding on its own and also make sure that your incisions are starting to heal.

Movements to Watch Out For After Surgery

You will probably be advised by your physician NOT to drive or operate a motorized vehicle for at least a week after your surgery. This is because you will have still have limited range of motion in your arm. If you find yourself in an emergency situation in your car; how will you respond quickly enough with your elbow? You are probably finding it difficult - if not impossible - to drive anyway... so this shouldn't surprise you.

Right after surgery avoid straining with the elbow/arm that was just operated on. Do not lift any object and try not put any strain on your elbow for four to six weeks following surgery - this includes using a keyboard / mouse and dressing. When in the shower, clean under the affected arm pit by bending forward to let the involved arm hang freely and reaching under with the opposite arm. Do not use your arm to push up/off the bed or chair for six weeks.

Sleeping may provide a challenge for quite a few people. Try putting a towel roll under your elbow to support your arm. Adding an incline wedge to your bed may be more comfortable than lying flat.

Your surgeon may instruct you to wear a sling at all times for 4 to 6 weeks. The length of time need for you to use the sling will depend on the type of surgery you have had. You may remove the sling for exercise as prescribed by the surgeon or therapist, icing, dressing and showering. Normal daily activities around the house and/or at work may be considered acceptable as long as you keep your arm in the sling.

After your incisions and repaired/removed soft tissue have stopped bleeding, your elbow will probably be tender, swollen, red and hot to the touch - these are all symptoms of inflammation. Step 2 of the healing process is inflammation reduction. At this point you will be home if you have had arthroscopic surgery, or you may still be in the hospital if you have had open surgery. In order to reduce pain, swelling and inflammation your doctor will prescribe an anti-inflammatory drug to be taken during the first week or 2 after your surgery. Your surgeon will also recommend a treatment for dealing with inflammation, like R.I.C.E. (Rest, Ice, Compression, Elevation).

Rest at this point is vital to your rehabilitation plan depending on the surgery you have undergone. If you have had arthroscopic surgery with minimal internal wounding from your surgeon, you may be encouraged to start movement early or as soon as possible. Limited movements of the elbow/arm will be required in most cases after the surgery. If you have had an invasive open surgery, then you may be encouraged to rest longer at first before starting movement.

Your doctor or surgeon will advance you to the next Phase of rehabilitation when there is no evidence of inflammation or swelling in the elbow. If you have had arthroscopic surgery, your doctor may expect that you are able to move your elbow around pain free (with the aid of a sling if needed) before moving onto the next Phase of rehabilitation.

After the initial healing of your elbow, your tissue will be in a weakened state and will not be as strong as healthy tissue for some time. This is why you need to be on "re-injury watch" and make the most of your home treatments and PT appointments during your rehabilitation. It would be devastating if overdoing it at any point during the first few weeks or months of rehabilitation, would send you right back into the operating room.

After the initial healing of your elbow surgery (when Step 1 and 2 of the healing process is done), temporary tissue will start to grow around tissue that was damaged during your injury or the surgery. Step 3 is the Growth of Temporary Tissue.

Once your new tissue has begun to grow you will be encouraged to gain back some of your range of motion (ROM) and increase the stability of your elbow and arm. Your doctor or surgeon may also introduce regular PT appointments. You may still be expected to wear a sling to reduce the amount of stress you are placing on your elbow and shoulder during movement (reducing your risk of re-injury).

You will start gradual movement of your elbow in a free (non-forced) way with very low impact exercises, normally with very few repetitions of activity. Your joint may be stiff at first, and you should expect simple and easy movement to be a bit more difficult for you to master and painful. Exercise of any kind is a method of increasing blood-flow in your elbow to increase the amount of oxygen and nutrients that travel to your injured tissue.

You might start with gentle active arm/elbow extensions and flexion exercises with a hard brace/cast on at 0 - 14 days. In weeks 2 & 3, when you're out of a hard brace and in a sling, pain is the guiding factor with tolerance of weight-bearing regarding stretches or exercise.

Strengthening exercises will slowly increase in difficulty (with more resistance) around 3 - 8 weeks after your surgery. Your elbow and arm will be stiff and painful at first, and simple, easy movements may seem challenging in the beginning. Don't be discouraged!

At about 6 to 12 weeks (depending on your type of surgery) you still need to allow for healing from the surgery. Although you may be feeling much better and your pain is reducing, your elbow at 4 weeks is only 20% healed. At 8 weeks it will be about 40% strong and after 12 weeks the tendon is 60% as strong as normal tendon. The point where the pain decreases yet the tendons are still weak is a critical point. This is the stage where you need to be very careful about re-injury.

Your surgeon will recommend regular PT appointments in the first 6 weeks after surgery. The type of surgery and the degree of damage to your elbow joint will also make a difference in how soon you start PT.

Your PT appointments will be 1-3 times per week, and your progression of movement in your elbow will be the guide. At your appointments you will be encouraged to gain back some of your range of motion and increase the stability of your injured elbow. You will start with the gradual movement of your elbow and shoulder in a free (non-forced) way with little weight or resistance, normally with very few repetitions of activity. Your elbow will be stiff and painful at first, and simple, easy movements may seem challenging in the beginning. Don't be discouraged, your hard work will payoff in the end!

At Home Stretching/Exercise - Your therapist will encourage you, telling you just how important it is to commit to regular exercise at home as well as in the clinic. You should be doing homes exercises up to 3 times per day. They will give you the exercises and guidance based on your overall elbow soreness level and your morning discomfort.

We advise that you apply a TShellz Wrap^® treatment to help increase your blood flow before stretching (or exercise). Apply a TShellz Wrap treatment for approximately 15 minutes (finishing 15 minutes before exercise) to help increase elasticity and flexibility of your tendons, ligaments and muscles. The increased elasticity will help minimize tissue tears and scar tissue growth (increase ROM and decrease reinjury risk.

Controlling post-exercise swelling and inflammation is crucial during this Phase. Any sign of swelling or inflammation after exercise may be an indication of minor re-injury to your elbow or surrounding tissue and muscle. Control your inflammation immediately after exercise with a 15 to 20 minute cold treatment. If you are not careful to treat your swelling or inflammation immediately after exercise you may experience a set-back in your recovery.

Your doctor, surgeon or physical therapist will advance you to the next Phase of rehabilitation when you show measured improvement of range of motion (ROM), strength, stability and flexibility of your elbow. The level of improvement will depend on the severity of your injury and the type of surgery you have had. For example, if you have had a relatively simple arthroscopic repair of tissue, you may be expected to move the elbow around before moving to Phase 3 of your rehabilitation.

If you have questions, call our office at 1-866-237-9608 (toll free continental US).

After temporary tissue has grown (Step 3 of the healing process), this temporary tissue will go through different stages of conversion into healthy, normal, flexible tissue. This is Step 4 of the healing process (Complete Tissue Re-Growth). Before converting into healthy tissue, temporary tissue will often become tough, dense, fibrous scar tissue. Scar tissue has an unorganized, inflexible tissue structure, which makes it brittle. Scar tissue will provide your injury with more long term fusing power, but will also stick to surrounding healthy tissue in your elbow. The growth of this scar tissue is what stiffens your elbow, restricting movement and flexibility.

This phase of your rehabilitation will focus on an increase in activity level in order to regain full range of motion (ROM) and muscle strength in your arm. Your doctor or physical therapist will increase your activity by introducing the regular use of a rowing machine, weight press or pull-down machines.

Use an Elbow TShellz Wrap^® (Circulatory Boost) BEFORE workouts and a Cold Compress or Ice Pack after work-outs. This protocol will go a long way to maintaining overall tissue stretchability, reduce re-injury risk, and treat any pain, swelling or inflammation due to overexertion of your elbow.

Your doctor or physical therapist will advance you to the next Phase of rehabilitation when you have regained full ROM (range of motion) without pain in your elbow. You may also have to pass clinical exams or tests of your muscle strength, balance, stability and flexibility in order to be cleared for Phase 4.

Depending on your job (and whether your occupation has contributed to causing your condition), you may be able to return back to work from within 6 to 12 weeks after the surgery. Overall healing of your elbow after surgery may take upwards of 6 to 12 months, which means you may not be able to return to sports or using your arm to do heavy activities, until a year has passed after your surgery.

In many cases, your doctor or surgeon may recommend that you continue muscle strengthening and stretching instructed during your rehabilitation in order to maintain healthy ROM of your elbow. Additional cardiovascular exercise will also be encouraged. If you are an athlete or have a job that requires extensive physical capability, your doctor or physical therapist will likely advise a very gradual return to previous activity. They also may encourage continued rehabilitation and/or maintenance of your elbow through PT or conservative treatment methods, to prevent re-injury of your elbow.

Scar tissue may plague you for weeks, months and maybe even years after your surgery depending on your level of activity and the amount of conservative treatments you have undergone during your rehabilitation. Scar tissue will be a major problem as scar tissue can easily build up quickly and its hard to get rid of.

Even if you have been cleared to get back to activity, you still must be careful with the activity you take on. You need to keep in mind that your elbow won't be back to 100% for some time (if at all) and so continued stretching with the exercises and stretches outlined by your PT or doctor - or in our ebooks (in some cases) and treatment with T•Shellz and cold will maintain good health of the elbow and significantly reduce your risk of re-injury.

Your success to recovering from elbow surgery is up to you:

• listen well to your physician and if conservative treatments are recommended. Stick to all the treatments daily to ensure you maximize the opportunity to heal
• Frequent use of a Cold Compress or Ice Pack after your surgery will get the swelling down. Much of the pain you feel will be from the swelling, and you will be surprised how quick the pain drops off once the swelling is down.
• The Elbow TShellz Wrap is a safe device that will help reduce scar tissue, increase blood flow to the area (and thereby accelerate the body's own healing process).
• when applied before stretching, the Elbow TShellz Wrap will help the connective tissue in your elbow joint elongate, and stay elongated for some time after treatment. This means that it helps improve your range of motion which is exactly what you want when trying to recover from tendon and muscle damage.

Dealing with Scar Tissue After Tennis Elbow Surgery

How Scar Tissue Affects Your Rehabilitation

Scar tissue is something that will be present in your elbow before and after your surgery. The growth of scar tissue is ultimately what causes stiffening in your elbow, restricting movement and flexibility. Scar Tissue is something that cannot be avoided during surgery. Your surgeon will determine if the anticipated outcome from surgery will be successful, despite the buildup of scar tissue that you will develop as a result of the surgery. Overall, the surgeon may be able to remove a lot of the initial buildup of scar tissue around the injury and in doing so, view a positive outcome from the surgery.

Unfortunately, scar tissue may plague you for weeks, months and maybe even years after your surgery, depending on your level of activity and the amount of conservative treatments you have done during your rehabilitation. Scar tissue is a major problem, especially when it comes to re-injury of your elbow. When dealing with scar tissue it is always important to:

• listen well to your physician, and remember to stick to your conservative treatment plan. Using these treatments every single day will help minimize the amount of scar tissue that will grow in the wound.
• know that frequent use of a Cold Compress or Ice Pack after surgery will help reduce the swelling very quickly. Most of the pain you usually feel will be from the swelling, and you'll be surprised how fast pain drops once the swelling is down. Scar tissue growth is further inhibited by a reduction in inflammation (swelling restricts blood flow - tissues die without blood and scar tissue grows in its place)
• know that the TShellz Wrap will help reduce scar tissue and increase blood flow to the area (thereby accelerating the body's own healing process). Treating your elbow with this device after surgery is probably the easiest and most effective way to accelerate your recovery. Do not use if there is a lot of swelling, use a Cold Compress or Ice Pack instead.
• use the TShellz Wrap before physical activity. Circulatory Boost treatments increase flexibility and elasticity of soft tissue, improve range of motion (ROM), reduce stiffness and tightness and reduce the chance of tissue strain during activity.

Overall, continued treatment with the Elbow TShellz Wraps^® and Ice Packs will maintain good health in your arm and significantly reduce your risk of reinjury.

Expectations for Long-term Recovery

Rehabilitation after your elbow surgery is just the beginning of your recovery process. Even after you've had surgery to fix your elbow and deal with the build-up of scar tissue, it is improbable that your soft tissue will heal 100%. From this point forward, it is more important than ever to be careful with your elbow. The elbow is probably weaker now, and your risk of re-injury is much higher.

It's simple to manage long-term healing of your elbow with conservative treatment methods that can be used in the comfort of your own home. If you're looking for an all-natural form of pain management and long-term healing solution for long-lasting relief, seriously consider the benefits of incorporating the Elbow TShellz Wrap into your treatment plan.

A Cold Compress or Ice Pack can help you to decrease post-operative pain and swelling while also managing any pain from occasional inflammatory flare-ups (re-injury). Consistent treatment with a Cold Compress or Ice Pack will help reduce inflammation, draw the pain out of your elbow and gently numb the nerve endings in your tissue for rapid, long-lasting pain relief.

During your last few stages of rehabilitation, while you're undergoing PT and focusing on improvements to your range of motion, it's important to maintain healthy blood flow in your elbow. Strong and healthy tissues need a solid local circulatory sytem, and this is exactly what our TShellz Wraps are made for.

Reduced blood flow slows down your recovery process. If your tissue remains in this condition, you'll always be at risk of re-injury that will severely set back your healing progress.

Use TShellz Wraps regularly to prevent re-injury and keep your muscles, tendons and ligaments elastic and flexible. Healthy blood flow is vital to the healing process after elbow surgery. Your blood flow is what brings oxygen, nutrients and energy (things needed to heal) into your damaged tissue. Blood Flow promotes tissue re-growth, strengthening the delicate work your surgeon has done.

Regular treatments with Circulation Boost via the TShellz Wrap will help you increase blood flow for up to 4 hours with just one application! This is a safe, easy way to temporarily increase localized blood flow, helpin maximize the body's natural healing process to provide long-term health benefits.

Scar Tissue - We Need It For Kick-Starting Tissue Tear Repair, But After That It's Nasty Stuff

Tendons, ligaments, muscle and other soft tissue in the elbow are all meant to be soft and flexible, ready to work and move extreme forces in everyday activities. When I say extreme force, I mean try to imagine the amount of force that your arm puts on your elbow, even when you are just trying to lift an apple, let alone something heavy.

Scar tissue grows in damaged tissue when it tries to heal; little tiny band-aids that overlap each other to bind tiny tissue tears together. With this added scar tissue, muscles & tendons & ligaments become rigid, less flexible and unable to handle the forces that it once could. If you're suffering with scar tissue now you may feel the effects with stiffness, tightness, weakness and tiredness in your elbow.

Scar tissue can form fast to bring together the edges of a tear, but working fast doesn't mean that the job's done right. When scar tissue forms it doesn't come together as neatly as regular (healthy) tissue would. Scar tissue fibers will lay down over top of your tear in a cluttered, messy and jumbled up way.

On-going issues with scar tissue can result in soft tissue tears and increase chances of strain to nearby tendons or ligaments (as they are now handling higher forces due to overcompensation).

Scar tissue is one of the MAIN reasons why a chronic elbow injury has not healed and your Range of Motion (ROM) is reduced from what it once was.

Scar tissue will form fast to deal with a soft tissue elbow injury, and this scar tissue will attach to EVERYTHING in the area, including the surrounding healthy tissue as well. This can result in a fusing together of the soft tissue in your elbow that shouldn't be fused together, and this will cause extreme pain when you move your elbow - it is literally ripping scar tissue. This is why PT is often painful - the therapist stretches the joint, forcing the scar tissue bonds to break so you can regain your range of motion.

Scar tissue is a major problem especially when it comes to an elbow injury - causing your injury to become chronic, and taking months or even YEARS to completely heal!

You can quickly minimize scar tissue growth and reduce risk of re-injury to your elbow muscles/tendons/ligaments by increasing blood flow to that area and increasing the elasticity of soft tissue in the area.

When applied before activity or work, the TShellz Wrap will also relax and lengthen your soft tissue to help improve your range of motion and prevent atrophy (tissue wasting & shortening) of your injured elbow.

Overall, continued treatment with a TShellz Wrap will maintain good health in your soft tissue and significantly reduce your risk of re-injury.

If you want to heal quickly, you need to keep your blood moving and that's where Circulatory Boost, comes in.

What is Circulatory Boost? It's a substantial increase in the flow of blood to soft tissue in the elbow without the need to exercise your already damaged tissue.

Have you seen what happens when you add water to a flower wilted from drought? In essence, your injured elbow is much like a "wilted" flower; your body wants to heal its injury, but needs lots of nutrients to do it. Blood supports and facilitates new life by delivering healing nutrients and oxygen that are vital to your tissue. In addition, the blood carries away toxins and waste cleaning the area and healing it faster. Without a good supply of blood, your injury simply won't heal properly.

With Circulatory Boost your injured elbow is constantly being fed with healing, nutritious, oxygen and energy filled blood. This is exactly what your body needs to heal.

In order to get maximum blood flow to your elbow, you need to help your body stimulate blood flow. Circulatory Boost is the fast, easy and pain-free way to increase blood flow and speed healing. It's the key to dealing with tears, tendonitis and strains in the elbow properly.

• When treating any soft tissue injury, an effective treatment will increase blood flow to the injury while the joint is immobile.
• This increase in blood flow will help maximize the body's own capability to heal itself.
• The TShellz Wrap is an FDA registered medical device available for use at home or in clinics.

• Once the swelling is gone (usually after applying cold compression to the injury over 24 to 72 hr period).
• BEFORE getting out of bed in the morning. BEFORE going to bed at night.
• BEFORE exercise, workouts or activity of any kind to increase elasticity of elbow tendons, ligaments and muscles and decrease the chance of re-injury.
• AFTER surgery (once the skin wound has healed over and swelling has reduced - basically at least 6 weeks after the surgery) to boost blood circulation, helping surgically repaired tissues rebuild for long-term health and minimize scar tissue growth at the surgery location.
• Anytime BEFORE you feel you might undertake activity that will put significant strain on the injury area.

Minimize Your Chance of Elbow Surgery with these Effective Conservative Treatment Options

If your doctor thinks you might be able to avoid surgery by using conservative treatments, you can join our many customers who have had great success treating themselves with the powerful treatment products we offer through AidMyTennisElbow.

Lateral Epicondylitis, Medial Epicondylitis, Tendinitis or Tenosynovitis of the elbow, strains, tears and other soft tissue elbow injuries are not uncommon - it can happen to anyone. Right now, there are thousands of doctors and physical therapists dealing with patients that require a solution to heal their injury as fast as possible. Maybe they are just patients that are unwilling to just take pain pills, lay in bed and wait or perhaps they are patients with extensive access to medical care with a great insurance plan. Even fortunate patients such as this have greatly benefited from boosting their PT and medical treatments with home treatments using the products we have recommended.

Regardless of who you are or your reasons, if you want to be proactive about properly addressing your elbow condition and minimizing the negative impact it will have on your lifestyle, talk with your physician about incorporating the use of an Elbow TShellz Wrap^® in your conservative home recovery plan. We have many happy customers that have recovered from their injuries faster than even they had hoped for, and significantly reduced their pain during treatment and through the healing process.

Living with pain is never easy as it affects your entire lifestyle. Nothing is more important than making the proper decision when it comes to treating your muscle injury. Most methods only mask the problems or provide temporary relief; they do not treat the pain at its source.

AidMyTennisElbow stands out in this regard as our goal is to help you heal for the longer-term.

The bottom line is, you are welcome to try our products for a full 2 months. If you do not receive the benefits that others have experienced, call us to let us know you will return your purchase back to us and we will issue a prompt & full refund. There will be no hard feelings.

The fastest option you have to get our product into your hands as soon as possible is by placing your order online - at this very moment..

Or, Call Our Office. We are open Monday to Friday to allow you place an order over the phone. Simply call toll free 1-866-237-9608 to place an order with one of our knowledgeable Product Advisors. They have the ability to answer all your questions...ensuring you only receive the products you need.

If you choose to order through our online shop, know that we keep no credit card data on file. Once the transaction is completed, the credit information disappears from our internal systems.

As you can see, ordering from us is a very easy and safe process, no matter if choosing to order on-line or over the phone.

Are you still unsure about placing an order? let me address some questions that may causing some hesitation...

What is the success rate of the Elbow TShellz Wraps^®? Do they really work?

We try and keep in touch with a large percentage of our customers, and we encourage them to do the same. In doing so, we have received a lot of feedback as we have been in the business since 2008.

We can say that the return rate on our products is only around 5 to 10% any given month. That is exceptional by anyone's standards. Therefore, we can safely indicate that the overwhelming majority of people who purchase from us do achieve benefits with our products.

How much time do I need to dedicate for treatments? Are the products easy to use?

The TShellz Wraps^® are very easy devices to use. After one or two uses, you will engage in the treatments with ease. Very detailed instructions are included and you are always welcome to contact us by phone or email if the need for help arises.

In regards to the TShellz Wrap^®, it is ideal to use the device two or three times a day on average. Each treatment session is a maximum of 20 minutes in duration and the device will turn off automatically at that time. Typically, people use the TShellz Wrap^® before bed, upon awakening (or not long after) and one other time during the day when the opportunity presents itself. For people in an office setting, many will use the device at work (as it can be worn over clothing). For others, they will use the device an our or two after work.

A Cold Compress or Ice Pack is primarily used following activity that stresses the injured tissues (following work, after a sports activity, or just suffering a general re-injury). This is done to reduce inflammation and to minimize tissue damage. Treatments are 15 to 20 minutes in duration.

How long has MendMeShop been in business

We established our firm in December of 2005. Our track record in this field continues to grow and we plan on being around for many decades to come.

What is your return policy? Is it the standard 30 days?

We go above and beyond what other companies offer - we offer a full 60 day money back guarantee with no restocking fees.

AidMyTennisElbow advisors do not work on commission, so be assured you will only receive fair and objective information.

Product Advisors are available 9:00 am to 5:00 pm Eastern Standard Time Monday to Friday.

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During your recovery, you will probably have to modify and/or eliminate any activities that cause pain or discomfort at the location of your soft tissue injury until the pain and inflammation settle. Always consult your doctor and/or Physical Therapist before using any of our outstanding products, to make sure they are right for you and your condition. The more diligent you are with your treatment and rehabilitation, the faster you will see successful results!