In my last blog, I wrote about the common condition, tennis
elbow, or lateral epicondylitis. In this article, I will discuss a similar, but
not as common condition, golfer’s elbow, or medial epicondylitis.
What is Golfer’s Elbow?
Golfer’s elbow, or medial epicondylitis, is the inflammation
of the tendons that run over the medial epicondyle of the elbow joint, more
specifically, the tendons of the flexor carpi radialis and pronator teres
muscles. This is the inside of the elbow, as opposed to lateral epicondylitis,
which affects the outside of the elbow.
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Cause
Golfer’s elbow is similar to tennis elbow in that it is also
an overuse injury; however, in this case, excessive strain is placed on the medial
muscles of the forearm during the acceleration phase of the throwing action.
Symptoms
Swelling, pain and tenderness are usually felt over the
inside of the elbow and may continue down the inner forearm muscles. Pain is
exacerbated by resisted flexion of the wrist. As with tennis elbow, pain
increases with increased activity.
Management and Rehabilitation
The initial pain and swelling can be managed with rest, ice
and anti-inflammatory drugs. Physiotherapy is also recommended to help decrease
the acute pain and inflammation. Any activities that cause pain, especially
overhead and throwing actions should be avoided. Gentle range of motion
exercises should be done initially, together with light strengthening
exercises, all within a pain-free range. Range of motion and strength of the
wrist and shoulder should be maintained as far as possible. A Biokineticist
should be consulted, so that progression is appropriate and the technique
correct.
(Foundations of Athletic Training)
