Golfer's Elbow (Medial Epicondylitis)

What is Golfer's Elbow (Medial Epicondylitis)?

Golfer's elbow is a condition that causes pain where the tendons of your forearm muscles attach to the bony bump on the inside of your elbow. The pain might spread into your forearm and wrist. Golfer's elbow is similar to tennis elbow, which occurs on the outside of the elbow. Golfer's elbow is not limited to golfers. Tennis players and others who repeatedly use their wrists or clench their fingers also can develop golfer's elbow. The pain of golfer's elbow doesn't have to keep you off the course or away from your favorite activities.

Symptoms

Diagnosis

Diagnosis involves: • Physical examination to locate pain and check for muscle weakness • Resistance test for wrist flexion and forearm pronation • Discussion of activities that cause or worsen pain • X-rays to check for bone spurs or arthritis • MRI if diagnosis is unclear or to assess extent of damage • Nerve conduction studies if numbness is present • Ultrasound to visualize tendon pathology

Treatment

Treatment approaches include: • Rest from aggravating activities • Ice application for 15-20 minutes several times daily • NSAIDs for pain and inflammation • Stretching and strengthening exercises • Physical therapy focusing on eccentric exercises • Counterforce bracing to reduce strain on tendons • Corticosteroid or PRP injections for persistent pain • Activity modification and technique correction • Surgery (removal of damaged tendon tissue) for severe cases that don't improve • Gradual return to sport or work activities