Conservative treatment focuses on healing the damaged tendon without surgery. The goal is to reduce pain, restore normal tendon function, and prevent long-term degeneration without altering joint structure through operation. Typically, conservative measures are employed to treat golfer’s elbow, and if they fail to provide relief and restore function within 6-12 months surgery may be indicated. However, conservative treatment that includes activity modification, structured rehabilitation, and biologic or regenerative treatments that stimulate tissue repair can help the patient to delay or avoid surgery. Our providers emphasize early, targeted intervention so patients can return to activity with less downtime and a lower risk of chronic tendon damage.
Laser therapy
Laser therapy delivers controlled light energy into injured tissue, triggering cellular repair and reducing inflammation. It increases blood flow to the damaged tendon, accelerates collagen remodeling, and helps break the cycle of chronic irritation. For many patients, laser therapy provides meaningful pain relief without injections. It serves as a valuable early modality, especially for individuals experiencing persistent symptoms despite rest or traditional physical therapy. As tendon healing progresses, laser therapy can be combined with other regenerative treatments for a cumulative effect.
PRP injections
Platelet-rich plasma (PRP) uses a patient’s own concentrated platelets—extracted from a small blood sample—to accelerate tendon repair. Platelets contain growth factors that promote new collagen formation and leverages the body’s natural healing processes. When injected directly into the diseased portion of the tendon, PRP works to reverse chronic tendon degeneration rather than simply mask symptoms. This makes PRP particularly effective for active patients seeking a biologic solution that improves long-term tendon quality. Our joint preservation specialists frequently incorporates PRP to restore the tendon’s durability and function in individuals hoping to avoid surgery.
BMAC
Bone marrow aspirate concentrate (BMAC) is a regenerative treatment that harnesses repair cells found in the patient’s own bone marrow. These cells support tissue regeneration, reduce inflammation, and enhance tendon remodeling. BMAC is a forward-thinking option for more advanced or stubborn cases of golfer’s elbow where the tendon shows poor healing or significant degeneration. By delivering these reparative cells directly into the injured area, BMAC targets the underlying biology of chronic tendinopathy, offering the potential for stronger, more predictable recovery.
Microfragmented fat injections
Microfragmented fat injections use a small amount of the patient’s adipose tissue, processed into a therapeutic concentrate rich in reparative cells and anti-inflammatory signaling molecules. This treatment provides a cushioning matrix that supports tendon healing and reduces painful inflammation around the medial epicondyle. Microfragmented fat is particularly useful when symptoms are longstanding or when other non-operative therapies have provided incomplete relief. It delivers a durable regenerative signal that continues to support healing for months after the injection.