Tennis elbow:

Tennis elbow is an inflammation,
soreness, or pain on the outside
(lateral) side of the upper arm near the
elbow. There may be a partial tear of
the tendon fibers, which connect
muscle to bone, at or near their point
of origin on the outside of the elbow.

A new  procedure, called FAST
(focused aspiration of scar tissue), is
performed in the Ambulatory Surgical
Center at the Medical Arts and
Research Center, a University of
Texas Medicine location in San

FAST uses an ultrasound-guided
probe the size of a toothpick to reach
the exact area of the elbow where
dead tissue is causing pain. The probe
liquefies the bad tissue, runs fluid
through it and sucks it out.

FAST requires no surgical incision and
is inserted through the skin after only
local anesthetic with the patient fully
awake. A console emits a patented
and optimized form of energy to a
handpiece with a needlelike tip that
specifically breaks up and removes
damaged tissue. The aspirated
damaged tissue is collected in a bag
and the entire device is then discarded.

Bernard Morrey, M.D., clinical
professor with UT Medicine  performed
the procedures on  more than 20 other
patients worldwide. Because of his
stature in orthopaedic medicine, Dr.
Morrey was asked to lead a clinical trial
that demonstrated FAST's safety and
effectiveness. He is the personal
physician to President George H.W.
and Barbara Bush.

"Tennis elbow, like all forms of tendon
pain, is an overuse syndrome," Dr.
Morrey said. "It is a very common
problem that had no good solution. We
needed a way to intervene earlier in
patients' care, to change the nature of
the disease and get the people back to
work. It has great potential to be a truly
cost-effective intervention."

He added: "There is great interest in
the orthopaedic and sports community
in this new intervention, in large
measure because it appears, to date,
to be extremely safe and well tolerated,
as well as effective. Without wanting to
sound too enthusiastic this early in the
process, the results to date are almost

The therapy, developed by Tenex
Health Inc.  is also being employed with
good results to relieve plantar fasciitis
of the heel, and pain from the Achilles

PRP or Platelet-rich plasma therapy:
doctors take a small vial of a patient's
blood, about 30 milliliters, and spin it in
a centrifuge to separate the
platelet-rich plasma from the other
components. Then they inject the
concentrated platelets at the site of the
patient's injury.
In theory, the growth factors that
platelets secrete (not including human
growth hormone) spur tissue recovery
and eliminate pain.

skin stem cells;

wrist extensor strengthening exercises
using the rubber bar (Flexbar, Akron
Anti-Inflammatory treatment for tennis
elbow, golf elbow, carpal tunnel
syndrome, bursitis, tendonitis, arthritis,
sciatica, RLS, plantar fasciitis, shin
splints, neuropathy, sore back, sore neck,
golfers elbow, repetitive strain, trigger
finger, heel spurs