
Golfers elbow, or medial epicondylitis, is a painful condition caused by damage to the tendons that bend the wrist toward the palm. It is an overuse injury, caused by repeated, strenuous arm movements, especially those involving repetitive wrist flexion, forearm pronation or gripping. Treatment options include rest, physical therapy exercises, athletic taping, braces, ice packs, heating pads, anti-inflammatory medication, corticosteroid injections, platelet-rich plasma (PRP) injections, nitroglycerin patches, tenotomy, and extracorporeal shock wave therapy. In about 10% of cases, surgery is required.
| Characteristics | Values |
|---|---|
| Definition | Pain from the elbow to the wrist on the inside of the elbow, caused by damage to the tendons that bend the wrist toward the palm. |
| Causes | Excessive force used to bend the wrist toward the palm, which can happen when swinging a golf club or pitching a baseball. Other causes include serving with great force in tennis, using a spin serve, or repeated, strenuous arm movements involving repetitive wrist flexion, forearm pronation, or gripping. |
| Symptoms | Pain along the palm side of the forearm, from the elbow to the wrist, on the same side as the little finger. Pain can be felt when bending the wrist against resistance or when squeezing a rubber ball. |
| Diagnosis | A physical examination by a healthcare professional, which may include checking the range of movement and strength. |
| Treatment | Rest, physical therapy exercises, athletic taping, a brace or wrist splint, ice pack or heating pad, anti-inflammatory medication, corticosteroid injection, platelet-rich plasma (PRP) injection, nitroglycerin patches, tenotomy, or extracorporeal shock wave therapy. |
| Prevention | Avoid the movement that caused the condition, correct weight transfer when swinging a golf club, and ensure smooth transfer of weight from the back to the front foot while keeping the shoulders level. |
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What You'll Learn

Rest and physical therapy exercises
Rest
Golfer's elbow can be a self-limiting condition, meaning it can get better on its own over time. In some cases, taking time off work can aid recovery. It is important to stop the activity that produces the symptoms and avoid the movement that caused the condition in the first place.
Physical Therapy Exercises
- Wrist extension: Rest your palm face down on a flat surface. Extend your wrist, lifting it off the surface. Hold an object to improve your strength.
- Wrist flexion: This exercise is the same as a wrist extension, but with the palm facing upward.
- Grip strengthening: To strengthen your grip, squeeze a stress ball for a few seconds at a time.
- Golfer's elbow stretch: Hold your arm out straight with your palm up. Then, pull your fingers and wrist down toward your body.
In addition to these exercises, athletic taping, a brace or wrist splint, an ice pack or heating pad, and anti-inflammatory medication can also be used to reduce strain and pain.
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Corticosteroid injections
Cortisone, a type of corticosteroid, helps reduce inflammation and provides short-term pain relief. However, it is important to note that cortisone may only offer temporary benefits and can potentially weaken muscle and tendon tissue, leading to long-term loss of function and more chronic pain. Therefore, it is recommended that patients do not exceed a certain number of injections.
When administering a corticosteroid injection, it is crucial to have a thorough understanding of the patient's medical history and previous treatments to identify any potential interactions or adverse reactions. The procedure requires collaboration and communication between the medical team, including the pharmacist, nurse, and physical therapist, to ensure optimal patient care and reduce the risk of complications.
While corticosteroid injections are a widely used treatment option for golfer's elbow, they may not be suitable for everyone. It is important to consult with a healthcare professional to determine the most appropriate treatment plan, as other alternatives, such as prolotherapy, botulinum toxin A injections, or platelet-rich plasma (PRP) injections, may be considered based on individual needs and preferences.
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Elbow support
Golfer's elbow, or medial epicondylitis, is an injury to the tendons that attach the muscles of the forearm to the inside of the elbow joint. It is caused by tendon overuse, often from repeated, strenuous arm movements involving wrist flexion, forearm pronation, or gripping actions. This can include activities such as swinging a golf club, pitching a baseball, or serving in tennis.
To treat golfer's elbow, it is important to first stop the activity that is causing the symptoms and avoid any movements that may have led to the condition. Rest and physical therapy exercises are common treatment methods for golfer's elbow. Some recommended exercises include wrist extensions and wrist flexions, which can be performed with the palm facing down or up, respectively, on a flat surface. Additionally, grip strengthening exercises, such as squeezing a stress ball, can help improve strength. Consistent strengthening exercises and rest can aid in reducing the impact of golfer's elbow.
In addition to physical therapy, there are other treatment options available. One option is athletic taping, which can help reduce the strain on the tendons. A brace or wrist splint may also be recommended by a doctor to provide more support and reduce strain on the affected area. These options are especially important if you plan to continue activities that involve similar movements.
For managing pain, an ice pack or heating pad can be applied to reduce inflammation and discomfort. Over-the-counter anti-inflammatory medication can also help alleviate pain associated with golfer's elbow. In more severe cases that do not respond to conservative treatments, injections of cortisone or platelet-rich plasma (PRP) may be considered. Cortisone is a corticosteroid that reduces inflammation, while PRP involves injecting growth factors from the patient's blood into the tendon, promoting healing. However, it is important to note that cortisone injections may have limited benefit and could potentially weaken muscle and tendon tissue.
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Surgery
Golfer's elbow, or medial epicondylitis, is a form of tendonitis that causes pain and inflammation in the tendons connecting your forearm and elbow. It happens when you repeatedly use your wrist and arm to bend, grasp, or twist things. Over time, the tendons that connect your forearm and elbow develop strains that lead to tiny tears, which can cause elbow, forearm, and wrist pain.
If you are among the 10% of patients who require surgery, your doctor will likely recommend an ultrasound-guided percutaneous tenotomy to repair the damage to your tendons. They may also recommend extracorporeal shock wave therapy, which involves using a device to generate shock or pressure waves that are transferred to the tissue through the skin. This therapy is supposed to improve blood circulation in the tissue and speed up the healing process.
Before considering surgery, there are several other treatment options for golfer's elbow that your doctor may recommend. These include:
- Resting your arm for at least four to six weeks before playing sports or resuming daily activities that put strain on your arm.
- Wearing braces or bandages around the elbow or forearm to take the strain off the muscles.
- Injection-based treatments, such as steroids, platelet-rich plasma (PRP), Botox, hyaluronic acid, or autologous blood.
- Physical therapy, including stretching and strengthening exercises for the affected area.
- Transcutaneous electrical nerve stimulation (TENS), which involves transferring electrical impulses to the nervous system through the skin.
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Ice packs or heating pads
Golfers usually suffer from medial epicondylitis, commonly known as golfer's elbow, due to the repeated use of the tendons around the elbow joint. The pain caused by golfer's elbow can be managed by using ice packs or heating pads.
When using ice packs, it is important to wrap the ice in a thin towel or cloth before applying it to the skin to avoid ice burns. Ice should be applied for 15-20 minutes at a time, with breaks in between applications to prevent excessive cooling of the skin.
Heating pads, on the other hand, can be applied for longer periods, and the heat can help relax the muscles and improve flexibility. It is important to ensure that the heating pad is not too hot to avoid skin burns.
For those with golfer's elbow, alternating between ice and heat therapy can provide the benefits of both treatments. This involves applying ice for 15-20 minutes to reduce inflammation, followed by heat for 15-20 minutes to increase blood flow and flexibility. This combination of therapies can be particularly effective in managing pain and improving mobility.
In addition to ice and heat therapy, other conservative treatment options for golfer's elbow include rest, physical therapy exercises, athletic taping, braces, and anti-inflammatory medication. Most cases of golfer's elbow respond well to these conservative treatments, and surgery is rarely required.
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Frequently asked questions
Golfer's elbow, or medial epicondylitis, is an injury to the tendons that attach the muscles of the forearm to the bone on the inside of the elbow joint. It is caused by tendon overuse, involving repeated, strenuous arm movements, especially those involving repetitive wrist flexion, forearm pronation, or gripping.
The most common symptom of golfer's elbow is pain along the palm side of the forearm, from the elbow to the wrist, on the same side as the little finger. The pain can be felt when bending the wrist toward the palm against resistance or when squeezing a rubber ball.
Treatment for golfer's elbow includes stopping the activity that produces the symptoms and avoiding the movement that caused the condition in the first place. Rest and physical therapy exercises are common treatments, and athletic taping or a brace can also be used to reduce strain on the tendons. In more severe cases, injections of cortisone or platelet-rich plasma (PRP) may be beneficial.
If you are experiencing symptoms of golfer's elbow, it is recommended to consult a healthcare professional for a diagnosis. They will ask questions about your elbow issue and perform a physical examination to assess your range of movement and strength.










































