The elbow can be the site of pain generation for a number of reasons. The most common is tennis or golfer’s elbow, but other issues such as UCL injury or arthritis also occur. Common surgical interventions lead to considerable downtime. Treating elbow injuries with steroid injections reduces inflammation in the site of an injury and causes the degeneration of cells at the site of the injection and over time actually leads to significant worsening of the condition. In addition, we have little solid scientific evidence that elbow surgery helps, but we do know it’s invasive and has the potential of infection, tissue damage, pain and nerve injury.