PRP for Tennis Elbow and Tendinopathy

Reviewed by Greg Jaroszynski MD, FRCSC | Last updated May 2026

PRP may be considered for selected chronic tendon problems, including tennis elbow, when symptoms persist despite appropriate non-surgical treatment.

Tennis elbow

Tennis elbow, or lateral epicondylitis, is usually a tendon overload condition at the outside of the elbow. Corticosteroid injections may help short-term pain in some patients, but recurrence can occur. PRP has been studied as an option that may provide more durable improvement in selected chronic cases.

Other tendinopathy indications

PRP may also be discussed for selected cases of patellar tendinopathy, Achilles tendinopathy, plantar fasciitis, medial epicondylitis, and partial rotator cuff-related tendon disease. The evidence differs by tendon and by study protocol.

Rehabilitation remains central

For tendinopathy, injection alone is rarely enough. Load management, progressive strengthening, ergonomic adjustment, and time are usually central to recovery.

Safety and expectations

A temporary pain flare can occur after PRP. Direct intratendinous injections and post-injection activity should be planned carefully based on the diagnosis and location.

Important: Injection treatment should be matched to the diagnosis, physical examination, imaging, health history, and goals. It is usually used to reduce symptoms and improve function, not to guarantee tissue regrowth or cure a structural problem.

More injection information

For a broader explanation of injection choices, evidence limits, safety issues, and references, review the main Injection Therapy section.

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