Conditions We Treat
Medial Epicondylitis (Golfer’s Elbow)
What Is It?
Medial epicondylitis, or golfer’s elbow, is a condition involving degeneration and microtearing of the tendons that attach to the inner elbow. These tendons control wrist flexion and forearm pronation.
It results from repetitive gripping, lifting, or throwing activities and is commonly seen in golfers, throwing athletes, and individuals performing repetitive manual tasks.
Symptoms
- Pain and tenderness on the inner elbow
- Pain worsened with wrist flexion, gripping, or lifting
- Pain radiating down the inner forearm
- Weak grip strength and stiffness
- Discomfort with palm-up lifting motions
Diagnosis
- Physical examination with resisted wrist flexion or pronation testing
- Assessment of repetitive or aggravating activities
- Imaging (X-ray, ultrasound, or MRI) to evaluate tendon pathology or exclude other causes
Treatment
Conservative Options:
- Activity modification and rest
- NSAIDs for inflammation and pain
- Counterforce bracing or wrist support
- Physical therapy focused on tendon healing and strengthening
Interventional Options:
- Shockwave therapy
- Corticosteroid, prolotherapy, or PRP injections
Surgical Options:
- Tendon debridement or repair for chronic, unresolved cases
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