This past summer, I posted on some severe bilateral medial/lateral epicondylitis I've been dealing with. I won't get into that, but here's the thread link if you're interested:
www.mountainproject.com/v/severe-lateralmedial-elbow-tendoni>>>

I recently got a second opinion and he gave me cortisone injections in both sides of both elbows. He went in with an 18gauge needle and really dug around in there, actually trying to rupture the tendon. Doc said that given my Hx, rupturing my tendon intentionally would be my best bet to reduce pain and eventually be able to climb again.

Seems very unorthodox but given the fact that I'd tried everything else (no PRP) and saw minimal minimal improvement, surgery seemed to be my only other option. He said if he did surgery, my tendon is so frayed that he would have to cut the tendon anyhow.

Has anyone experienced anything like this?

• Doc is a team doctor for a Double A baseball team and works with an SEC athletic program as well so his treatment is athlete-focused.

I know a P.T. in Denver who claims to treat this by doing a manipulation of the elbow to break up the scar tissue formed around the common flexor (or extensor) tendon. Sounds similar to what you described.