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Golfers Elbow (Medial Epicondylitis)

Golfers elbow is also known as medial epicondylitis or medial epicondylalgia and is an injury caused by overuse to the forearm flexor muscles and presents with pain on the inside of the elbow joint. It is a similar injury to tennis elbow, whereby it is an overuse injury of gripping and moving the shoulder and elbow. Treatment also follows the same tendinopathy guidelines as tennis elbow, where pain reduction and irritation is the first phase, followed by a rigorous loading program to help stimulate tendon regeneration. Sydney Muscle & Joint Physio in Penrith uses research supported interventions for all tendinopathy injuries, tennis elbow and golfers elbow.

Frequently Asked Questions

Golfers elbow is most commonly found in athletes, though can occur in anyone engaging in repetitive activities of the forearm. Repetitive strain or overuse is the primary cause of Golfers elbow where the muscles of the forearm are repeatedly used in activities involving gripping, twisting, or swinging leading to inflammation or pain. Other causes include improper technique in sports, strength imbalance, age and degeneration, pre-existing conditions or injuries, occupational factors and inflammation and microtears.

Your physiotherapist will take a detailed patient history and conduct a physical examination to diagnose Golfers elbow. The physical examination may include palpation of the forearm, range of motion and strength testing, and special tests of the elbow and wrist. If deemed necessary, you may be sent for medical imaging such as an X-ray, ultrasound or MRI, though these are not needed to make a diagnosis.

Physiotherapists can use a combination of passive and active interventions to reduce inflammation and discomfort caused by Golfers elbow and return you to your normal activities. Ice may be used to reduce inflammation and manage pain in the early stages in conjunction with TENS or electrotherapy to stimulate nerves and block pain signals to the brain. Exercises aimed at the elbow and wrist can strengthen these joints and improve tendon function, reducing the risk of re-injury. Eccentric and isometric exercises, as well as grip strengthening, may be prescribed as part of your program. Your physiotherapist can also aid in technique correction in your chosen sport or provide ergonomic feedback for your occupation. If you have Golfers elbow, you will benefit from a period of rest and activity modification with a gradual return to activity.