Golfer’s Elbow (Medial Epicondylitis)

Medial epicondylitis is a painful inflammation of the medial epicondyle, the bony bump on the inner side of the elbow. The tendons that flex the wrist attach at the medial epicondyle.

Cause of injury

Golfer’s elbow is caused by damage to the muscles and tendons that control the wrist and fingers and is typically related to forceful, excessive, or repetitive stress.  Golfer’s elbow is often a result of sudden force to the elbow or wrist.  It can also occur as a result of work-related activities, such as carpentry or typing.  In addition to golfers, athletes participating in racquet and throwing sports experience golfer’s elbow.

Signs and Symptoms

Golfer’s elbow is characterized by pain over the medial epicondyle. Pain typically worsens with wrist flexion. Patients may report discomfort even when simply shaking hands with someone. A significant number of patients experience numbness and/or tingling sensations that radiate into their fourth and fifth fingers, suggesting minor nerve damage.

Diagnosis

A physician or physical therapist will examine the elbow and evaluate pain and symptoms.  An X-ray can assist in revealing other possible origins of pain, such as fractures or arthritis.

Treatment

The most important and first step in treatment is to discontinue any activities that aggravate the elbow. Proper therapy is essential for return to normal function. A physical or occupational therapist can guide rehabilitation to ensure a safe and full return to activity.  Therapy initially focuses on decreasing pain/swelling and increasing range of motion. Later stages of therapy shift toward strengthening and return to normal function. Surgery may be necessary in more severe cases of medial epicondylitis.

For more information, e-mail info@vvmc.com.

To make an appointment, call Howard Head Sports Medicine at (888) 652-7640.