Serving all of the USA (and World)

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Fast | Painless | Affordable Relief


Relieve Your Tennis Elbow Pain In ONE 
30-Minute Office Visit

Board Certified, Fellowship trained, upper extremity sports medicine specialist.

The Chance To Finally Live Without Pain Again.

Same day high-resolution ultrasound to confirm diagnosis.

Minimally Invasive no stitch targeted treatment.

Return to work and normal activity in as little as 3 days

Save up to $5,000 by avoiding hospital and anesthesia fees.

Your information will only be used for scheduling purposes.

Request A Consultation Today To Learn More!

If you have any of these symptoms, Dr. Jurbala can help:

Pain on the outside of your elbow with lifting

Pain that radiates from your elbow up your arm or down your arm

Pain in your elbow that wakes you up at night

Weakness with gripping or pinching

A unique approach to minimally invasive tennis elbow treatment.

Dr. Jurbala’s revolutionary solution to tennis elbow treatment — called the USA Tennis Elbow Procedure® — offers a superior surgical experience over traditional open and arthroscopic procedures for tennis elbow.  Although it’s still technically “surgery,” the USA Tennis Elbow Procedure® can be performed on a Friday and you could be back to work as early as Monday.

No Stitches or Noticeable Scars

No General Anesthesia

Light activities, such as driving and eating, are possible the same day as your procedure. Return to a physically demanding job in 3 to 7 days and heavy activity in 1 to 2 weeks.

Your one incision will be less than ¼” in size. Most people only need skin tape and heal quickly. And because you won’t have stitches to remove, we can follow up with you over the phone.

We only need local anesthesia to completely eliminate your procedural pain. And because we use a special vibration instrument to mask the anesthetic injection, you’ll barely even feel it.

Return to Work in 3 to 7 Days

Save Up to $5,000

Targeted Minimally Invasive Treatment

We will evaluate your tennis elbow symptoms, examine you, and perform a high-resolution ultrasound exam to confirm the diagnosis prior to performing the USA Tennis Elbow Procedure in the comfort of our office. The procedure itself takes 15 minutes, with an hour of total office time. Procedure times may vary. Because we only use local anesthetic you can usually drive yourself home afterward, and we can even do both elbows at the same time!

The USA Tennis Elbow Procedure® is covered by most insurance plans. Plus, you’ll avoid paying thousands of dollars in hospital and anesthesia fees. Generally, you’ll pay between 50 and 80% less for the USA Tennis Elbow Procedure® than an arthroscopic or open surgery performed in a hospital or ambulatory surgery center.

High-resolution ultrasound guidance gives Dr. Jurbala an unprecedented multilevel view of your elbow and the tendon that causes tennis elbow. This translates to improved precision and a single, tiny, ¼” incision site, minimizing surgical impact and recovery time.

15-Minute In-Office Procedure

Here are just two of the thousands of patients from all over the USA (and abroad) we have helped with our office-based, minimally invasive procedures.

“I work in healthcare and I do accounting and it was really nice that the price I was quoted for the surgery was the exact price I paid, there were no hidden fees. [...] I literally was able to work and go out to theme parks [in Orlando] the very next day […] I pretty much could do whatever I want [within two weeks of the procedure] [...] travel, lift my laptop, lift my luggage and I have actually gone bowling [with that arm].”

- Noel A., USA Tennis Elbow ProcedureTM patient

“I love coming to this office because the staff go above and beyond to make sure everything is in place and that you are comfortable with whatever procedure you are having done. [...] I have had four procedures [tennis elbow, carpal tunnel, trigger finger and DeQuervain’s tendonitis] and I would highly recommend Dr. J to do your tennis elbow, carpal tunnel or trigger finger surgery […] as a matter of fact I just recommended him to someone yesterday”

- Durinda W., USA Tennis Elbow ProcedureTM patient

Dr. Brian Jurbala, MD, FAAOS

“We’re here to provide the best tennis elbow surgical experience a patient can have. Period. That’s what we’re all about.” 

– Dr. Jurbala

Dr. Brian Jurbala

Triple Board-Certified
Orthopedic Surgeon

Triple Board-Certified: Orthopaedic Surgery, Surgery of the Hand and Orthopaedic Sports Medicine

Fellow: American Academy of Orthopaedic Surgery

Fellowship: Hand and Upper Extremity Surgery, Western Pennsylvania Hand and Trauma Center, and University of Pittsburgh, Department of Orthopaedics and Sports Medicine

Residency: Orthopaedic Surgery, Orlando Regional Medical Center, Department of Orthopaedic Surgery

Internship: General Surgery, East Carolina University, Brody School of Medicine

MD: Temple University School of Medicine

BS: Chemistry, Biomedical Engineering, Pennsylvania State University

Member: American Society for Surgery of the Hand, American Association of Hand Surgery

Registered Musculoskeletal Sonographer: American Institute of Ultrasound Medicine

Diagnosis and Treatment — All in One Day!

We can perform your procedure on the same day as your initial assessment and diagnosis, saving you time and money. All it takes is a review of your symptoms and a pain-free ultrasound exam of your elbow. If Dr. Jurbala determines you will benefit from surgery, we can perform The USA Tennis Elbow procedureTM on the spot, and because there are no stitches and no expensive rehab we only, normally need to follow up with you by phone in two weeks.

No back and forth, no hospital hassle or expense – just a rapid return to work and your favorite activities. Click the button below to schedule an appointment or find out more!

Location and Office Hours

If you don’t live nearby, you’ll still likely save money by traveling to us.

Many people only need to visit our office once. They found that traveling to our location still saved them money compared to having a local, hospital-based procedure. Contact us today! We’ll be happy to discuss this with you.

Highland Center for Orthopaedics
3317 Bartow Rd, Suite 9
Lakeland, FL 33803

Office Hours: 
Monday – Friday, 8 am to 5 pm

Frequently Asked Questions

Q: How does this procedure work?

This minimally invasive treatment for tennis elbow reproduces a time tested traditional open tennis elbow procedure that was performed for decades called, a “lateral release”. Using high resolution ultrasound guidance and the six-time patented TenoTomeTM instrument (which Dr. Jurbala designed) we are able to perform the lateral release procedure through a tiny, less than ¼” skin incision in your forearm helping you recover much faster and there are no stitches to take out.

Q: Why do patients recover from this so fast?

Because it's less invasive, patients recover in days instead of weeks.

Q: Do you take insurance?

This procedure is covered by most insurance plans. We also have cash pay and financing options available.

Q: What if I have not been diagnosed yet? 

If you've not yet been diagnosed or treated conservatively for tennis elbow we will perform a thorough history, physical exam and a high-resolution ultrasound study at the time of your visit to confirm the diagnosis of tennis elbow. If you do indeed have tennis elbow we discuss all your options and, if you are a candidate for the USA Tennis Elbow Procedure®, we can perform the procedure the same day/same visit. There is no back and forth or run around for additional expensive tests or need to go to another facility.

Request Appointment or More InformationFAQ

How Our Tennis Elbow Treatment Works

Dr. Brian Jurbala, our triple board certified, fellowship trained upper extremity and sports medicine specialist has developed a breakthrough procedure for eliminating the pain of tennis elbow that is simple, easy and affordable. This minimally invasive, office-based procedure for tennis elbow called, “The USA Tennis Elbow Procedure” relieves the pain and symptoms and, in most cases allows a patient to return to normal activity in as little as 3 days. We have flexible, immediate availability, so complete the form above or call our toll-free number for a consultation today!

Our procedure utilizes high resolution ultrasound guidance and the TenoTomeTM disposable surgical knife, a patented tool designed and developed by Dr. Jurbala to precisely lengthen the tight tendon and muscle responsible for causing disabling tennis elbow pain. The procedure is performed through a ¼” incision and requires no stitches. Releasing the tendon allows the muscle to lengthen thereby taking force off the painful anchor site at the side of the elbow relieving your symptoms almost immediately.

© 2018 Tennis Elbow Express. All rights reserved.

Surgeon Inventor of the TenoTomeTM and USA Tennis Elbow Procedure ®

Q: Do you treat Golfer's Elbow?


Traditional Open Tennis Elbow Procedure Incision

USA Tennis Elbow Procedure TM Incision

See what other patients are saying about us and our minimally invasive office based procedures.

Q: How successful is the procedure?

Although results may vary from patient to patient, most patients obtain near complete relief of their pain within the first two weeks. In a small percentage of patients (estimate less than 5 %) there can be other causes of your elbow pain that mimic tennis elbow. This is very rare but patients need to be aware that there is a possibility the procedure doesn’t work and you require an additional procedure to get better.

Q: When can I return to work?

Most patients return in 3 to 7 days.

Q: Are there risks of complications?

As with any procedure there is a small less than 1 % risk of infection, and although we have never had any there is the theoretical potential for unforeseen complications such as; damage to nerves and vessels.

Q: How does the USA Tennis Elbow procedure differ from the FAST Procedure?

Both procedures are done through a single, small, no-stitch skin incision, using high resolution ultrasound guidance to diagnose and guide your procedure safely.

Both accomplish the same overall goal of lengthening the tendon. However, the FAST procedure does this less efficiently by poking multiple small holes in the tendon, allowing it to lengthen less completely, and causing more overall trauma to the tendon (which we believe is unnecessary) than the USA Tennis Elbow Procedure.

Conversely, our USA Tennis Elbow procedure uses one painless controlled cut, releasing the tight tendon overlying the more compliant muscle at the musculotendinous junction (where the muscle and tendon meet). This allows the muscle to effectively lengthen and decreasing and dampening the strain at the painful bone attachment site on the side of your elbow relieving the majority of your pain in just a few days.

Also, unlike with the FAST procedure, in most cases we do not recommend or need to add additional expensive, unproven, Stem Cell/PRP injections and/or physical therapy with the USA Tennis Elbow procedure. We would only recommend additional treatments like Stem Cells or Physical Therapy in the rare circumstance that you did not recover completely from the USA procedure.

Lastly, the USA Tennis Elbow procedure is an office based painless, local anesthetic procedure, meaning we can perform it in a single, convenient, cost effective office visit thereby eliminating thousands of dollars in facility fees and anesthesia fees, multiple extra days off work and hundreds of dollars in medical clearance fees and unnecessary testing. We also eliminate the risks associated with general anesthesia and sedation  that are commonly associated with open tennis elbow Tennis Elbow release or similar procedures like the FAST or Tenjet procedures performed in a hospital or surgery center setting. Being Office based is a particularly important advantage of the USA Tennis Procedure for patients with high deductibles and those paying cash out of pocket for the procedure. The disposable TenoTomeTM device is more than 5 times less expensive than the FAST and Tenjet devices.

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