My chronic lateral epicondylitis has progressed to a partial tear at the origin of the common extensor tendons. PT and forearm strap have not helped very much. I am willing to needle myself if there would be benefit. I want to avoid surgery as I had an operation for the other elbow. Terrible recovery. If dry needling has been effective for this condition, how often should I perform the procedure? I assume at the point of maximum tenderness and distally into the extensor muscles?