Medial Epicondylitis – Prevention and Treatment

Medial epicondylitis or golfer’s elbow is essentially the same with tennis elbow. The location of pain and the activities which cause the pain are the only main difference. The pain, swelling and inflammation on the medial elbow are results of overuse of the long finger flexors, wrist and forearm muscles originating from the medial portion of the elbow.

What is Golfer’s elbow?
Golfer’s elbow is a kind of tendinitis. Tendons are connective tissues which serve as a connection between a muscle and a bone. The point of attachment of the tendons in the bone is usually pointed. This is due to the forces of muscles. Golfer’s elbow or medial epicondylitis is named after the bony prominence and medial epicondyle, which is the site of insertion of the tendons and where the pain in this condition is usually felt. The pain is usually present in the medial portion of the elbow and radiates downward to the forearm during gripping activities.

What causes Golfer’s elbow?
Golfer’s elbow can be caused by a single trauma or accumulated trauma due to repetitive or overuse of the tendon which leads to pain. This kind of injury is very common especially when the intensity and duration of the causative activity is increased. There is no immunity to this disorder. Aside from golf which is the usual cause of medial epicondylitis, other sports and work related activity can lead to this, like a carpenter’s work wherein hand tools are usually used for prolonged periods.

Long term disability is uncommon in Golfer’s elbow since it is a self-limiting disease. Rest and physical therapy can improve the condition. Surgery is rarely done in this kind of disorder.

* Lifestyle Modification

Modifying the causative activities is very important in treating this disorder. In the case of athletes, modifying the technique is needed.

* Changing Swing Mechanics

Using the proper golf club size and correct form of swing will help correct the injury. Advice from a professional athlete can be very helpful.

* Anti-inflammatory Medications

Oral anti-inflammatory drugs are given to relieve pain and to decrease inflammation.

* Cortisone Injections

Cortisone injections may be given ones conservative treatment is not successful. Up to two shots of cortisone may be given but if pain is not relieved, a third injection is not beneficial anymore.

* Stretching & Exercises

Stretching can alleviate the symptoms of medial epicondylitis. Stretching should be pain-free, and should be avoided if there is still pain and inflammation. Strengthening the forearm muscles can help in preventing medial epicondylitis recurrence.