Much more general information about tennis elbow can be found via the links below the site.

Why a standard method?

  1. The treatment is safe (read more )
  2. You choose yourself which liquid is to be used (e.g. autologous blood / PRP / dextrose)
  3. The treatment can be delegated to a nursing practitioner
  4. Standardized injection, only 0.5 ml of liquid required

How does the ITEC Medical device work?

The ITEC Medical device consists of a foldable treatment table (ITEC-it) and a disposable (ITEC -id). The ITEC disposable contains 12 needles.

Before starting the treatment, an ultrasound measurement is to be made, whereby the depth of skin to the center of the ECRB tendon is measured in mm. You can perform these measurements yourself or delegate to a radiologist or specialised physiotherapist.

The measured depth is registered at the treatment table.

A sterile disposable needle is clicked into position on the treatment table. Then simply injected at the correct depth, directly in the path of the ECRB tendon. The injection is completed in a few seconds.

Quick Reference Card

Here You can find in pictures all the details of the treatment method.

  • tennis elbow epicondylitis = lateralis = degeneration of the tendon of the ECRB (extensor carpi radialis brevis, the muscle that provides for the stretching of the hand).
  • approximately 12% of patients are referred to the physiotherapist and only 2% is operated (note 1).
  • The most common in the group between 40 and 50 years, rarely below 20 years (note 2).
  • The ITEC method aims to promote the blood circulation in the tendon so that endogenous substances can do their work more quickly to reduce pain symptoms.
  • Lateral epicondylitis is a very frequent diagnosis, prevalence is around 2% in the general population (read more: reference 1 and reference 3)
  • There is increasing evidence for the effectiveness of injections of autologous blood, PRP and dextrose (read more: reference 2) It appears that of the manual inject, 70% of cases DO NOT reach the ECRB tendon (read more: reference 4)
  • Injections that are given using the ITEC Medical device appear in 100% of cases, to infiltrate the ECRB tendon.

Note 1: Referral Figures
The Nijmegen Continuous Morbidity Registration (CMR) reports 12.8% referrals to the physiotherapist and 1.6% to the orthopedic surgeon (period 2002 to 2006; n = 13,500 on average) and the Second National Study (n = 375 899) 12 , 3% and 2.1% [Van de Lisdonk 2008, Van der Linden 2004]. In the Netherlands, approximately 1,425 people annually are operated on for lateral epicondylitis (source: Prismant; period 2002 to 2006 inclusive). Assuming an average incidence of 6.5 per 1,000 patients per year and an average of 1.85% referrals to the surgeon, it can be calculated that approximately three quarters of the referred patients are operated.

Note 2: Incidence and prevalence
General Practice. In the Second National Survey is the incidence of lateral epicondylitis 5.4 episodes per 1,000 patient years, and the prevalence 7.2 per 1,000 patients [Van der Linden 2004]. Bot et al. report, based on the data of the Second National Survey of , 19 consultations per 1,000 patients per year [Bot 2005a]. Under the age of 20, this condition is rarely determined in general practice, but then the incidence rises to 12.6 in the age group of 40 to 50 years and then gradually diminishes [Bot 2005a]. According to the CMR, both the incidence and prevalence stand at 7.6 [Van de Lisdonk 2003]. The figures quoted are almost the same for men and women. Neither of both sources of golfer's elbow, use a separate code and therefore give no incidence and prevalence data for the condition. They are not found elsewhere. They are estimated to be ten times smaller than that for lateral epicondylitis. This estimate is based on data from the project ROME (Rheumatism Research Multi-Echelon). With this project, a part of the incident patients from the First National Study of NIVEL were monitored over a period of almost four years. Thereafter, a final diagnosis was made. In patients the doctor consulted was a lateral epicondylitis diagnosed at 65% with new elbow complaints (epicondylitis lateralis) and 5% a golfer's elbow (epicondylitis medialis). By 9%, an olecranon bursitis was found [Miedema 1994].

General population. In an English and a Finnish population study among a random group of people from 25 to 65 or 30 to 65 years (n = 6038 or 4993), the prevalence of lateral epicondylitis was 1.2% and 1.3% respectively from 0.8 golfer's elbow % and 0.4% [Walker-Bone 2004 Shiri 2006]. Such research among the Dutch population was not found.