Golfers Elbow (Medial Epicondylitis)
What is it?
Golfer’s elbow (medial epicondylitis or pitcher's elbow) is tendinopathy caused by overuse or overload and affects the medial common flexor tendon of the elbow. This may present insidiously with patients reporting an aching pain that radiates from the epicondyle down to the wrist. Golfer’s elbow is similar to tennis elbow– which occurs on the outside of the elbow. Like it’s name suggests, golfer’s elbow is common in golfers however it is not limited to those who play golf. It can occur in tennis players or people who repeatedly use their wrists or clench their fingers, putting excess stress on the muscles.
What is the cause?
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Improper lifting, throwing or repetitive movements like using gardening shears can contribute to the condition.
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Poor technique with weight training, such as bending the wrist when doing a biceps curl, can overload the elbow muscles and tendons.
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Racquet sports. Having improper technique with your strokes or having a racquet that is too small or too heavy can lead to injury.
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Throwing sports. Having improper pitching technique in baseball, softball or cricket can predispose you to this injury.
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Repetitive movements of the wrist during work. This is common in physical jobs such as construction, plumbing, carpentry or even gardening
Signs & Symptoms
The symptoms usually develop gradually - starting off mild, and worsening over weeks and months:
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pain or a burning sensation on the inside of the elbow
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Weaker in your hands and wrists
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Gripping may be painful
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Pain with everyday activities such as carrying the groceries, cleaning, writing or typing
What can we do about it?
Physiotherapy treatment will involve joint mobilisations and soft tissue massage to loosen up the muscles and promote blood flow to the area. You will be prescribed a comprehensive exercise program that will consist of specific stretches and strength work so that your muscles are better able to cope with the demands placed on them. We will give you valuable advice on how you can modify your aggravating activities to prevent the condition from recurring. We will also advise you on your gradual return to sport, and will provide you with an alternative program until you are fit to return to your normal exercise or sporting activity.