Compare the options

This table compares the different treatment options. 

  Non operative Operative
  eECRB does not accumulate with age (like arthritis), so it is safe to assume that it goes away on its own. The evidence is compelling that eECRB is a benign self-limiting disease. Surgery is never necessary to recover.
What is usually involved?

Patience

Adapting to the discomfort

The pain does not indicate damage

+/- Simple stretching and strengthening exercises

+/- Splinting

+/- Acetaminophen or aspirin-type medication

+/- Ice or heat

Removing a small piece of the attachment site. Your arm will be sore while the cut heals, but it is safe to use the arm.

What are the risks?

1 person out of every 100 using an aspirin-like gel gets a skin rash due to the gel.

20 out of every 100 people (20%) get an upset stomach if they take the aspirin-like medication in tablet form.

Less than 1 out of every 1000 people will not be able to fully extent their arm after surgery

Bleeding and infection happen to less than 1 in 500 people.

You will have a scar

Disappointment: the surgery does not always fix the problem

What are the results?

No matter the treatment, 93 out of every 100 people recover within 6 to 12 months of seeing a doctor.

Wearing a brace, strechting, adjusting your activity level, or taking medication will not make you recover faster. They are for comfort only. It is safe to keep active.

75 out of a 100 people feel better after surgery, but most are not completely pain free.

The results are worse in patients on worker’s insurance.

What are the benefits? You will avoid surgery

It is hoped that you might get better faster, but there is no evidence that this is the case.