Golfer's elbow affects the inner side of the elbow, where the tendons of the forearm flexor muscles attach. Though less common than tennis elbow, it can be equally painful and persistent.
Medial epicondylitis involves degeneration and micro-tearing of the common flexor tendon at its attachment to the medial epicondyle, the bony prominence on the inner side of the elbow. Despite the name, it commonly affects those involved in manual trades, racket sports, throwing sports, or any activity requiring repetitive wrist flexion and forearm rotation.
Diagnosis
Examination findings are characteristic and allow confident diagnosis in most cases. Ultrasound or MRI may be requested to assess the degree of tendon involvement or to exclude other causes of elbow pain.
Symptoms
Pain and tenderness on the inner side of the elbow
Pain that may radiate into the forearm
Pain with wrist flexion against resistance and weakness of grip.
Physiotherapy: Eccentric exercise programme and load management
Golfers elbow clasp: to reduce lead through the tendon
Platelet-rich plasma (PRP) injection: A treatment that uses your body's own blood to help promote healing. Platelets are tiny cells in your blood that play an important role in healing and tissue repair. They contain natural growth factors and proteins that can help reduce inflammation and encourage damaged tissues to heal.
Surgical Treatment: Golfers Elbow Release
For persistent cases that have not responded to non-surgical measures, surgical release and debridement can be performed.