Orthopedic second opinion in Munich

Second opinion: Tennis elbow

Tennis elbow usually causes pain near the outer elbow during gripping or wrist loading. It also affects people who do not play tennis. Tendon capacity, repetitive work and recent changes in load are often more relevant than the activity’s name. A second opinion examines whether an existing recommendation fits your symptoms, function and goals. It may confirm the proposed treatment or identify an alternative; it is not a promise to avoid surgery.

Personal medical websiteMedical overview
Second opinion: Tennis elbow – medical context

Key points

The decision depends on the complete clinical picture.

  1. 01
    Decision point 1

    Review the original scans alongside symptoms and function

  2. 02
    Decision point 2

    Check previous treatment against the diagnosis and your goals

  3. 03
    Decision point 3

    Compare conservative and surgical options in context

  4. 04
    Decision point 4

    Plan rehabilitation and the next decision together

Decision guide

Four points to discuss before deciding.

Use these points to prepare the question you want a second opinion to clarify.

  1. 01

    Starting point

    Review the original scans alongside symptoms and function

  2. 02

    Available information

    Check previous treatment against the diagnosis and your goals

  3. 03

    Options

    Compare conservative and surgical options in context

  4. 04

    Next step

    Plan rehabilitation and the next decision together

Assessment

What should be reviewed?

The assessment checks the common extensor tendon and distinguishes tendon pain from radial nerve problems, instability or joint disease. Grip strength and response to specific loading help track function. Imaging is selected for atypical symptoms, suspected tearing or an unexpected course.

Bring the proposed treatment and the reasons given for it. The review considers whether the diagnosis explains the symptoms, whether nonoperative care has been appropriate and whether further examination would change the decision. Benefits, recovery, risks and the consequences of waiting need to be weighed together.

Next steps

Treatment and next steps

Progressive strengthening and practical changes to work or sport are usually central. Shockwave treatment or injections may be discussed in selected cases with attention to benefits and limitations. Persistent pain should trigger a diagnostic review before surgery is proposed.

Your consultation

Prepare for the consultation

Bring original images and reports, previous operation notes, a medication list and a short timeline of symptoms and treatment. Write down the activities you want to regain and your most important question. Initial inquiries should not include confidential medical attachments; agree a suitable transfer route with the practice first.

Travel and continuity of care

Coming from abroad?

Confirm the consultation language, any interpreting needs, fees and the appropriate appointment before booking travel. This website’s language does not guarantee a consultation in that language. Follow-up and communication with your local clinicians should be planned in advance.

Common questions

Answers to common questions.

Do I need to repeat my scans?

Not automatically. Bring the original images and reports first. Further imaging is considered if the existing study does not answer the clinical question or if your condition has changed.

Can this be assessed without travelling?

Some questions can be reviewed from records, but physical examination may be essential. Ask the practice to confirm suitability, scope and a secure document-transfer route before sending records or booking travel.

How are treatment costs and follow-up agreed?

Request an individual estimate and clarify reimbursement with your insurer. Ask which examinations, written reports and follow-up visits are included. International patients should also plan rehabilitation and medical contact after returning home.

About the physicianAs a former competitive athlete, I connect clinical orthopedics, sports medicine and research.
PD Dr Daniel BertholdPD Dr med Daniel P. BertholdOrthopedic surgeon · University lecturer · Sports orthopedics
100+ publications · 90 PubMed-indexed
Research and training
Profile and background

Author and medically responsiblePD Dr. med. Daniel P. BertholdSpecialist in Orthopaedics and Trauma SurgeryUpdated

Next step

Which contact route fits your request?

Choose between a clinical appointment, second opinion, athlete care or a professional inquiry.

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