Rothman Institute Orthopaedics


News


Search

Golfer’s Elbow

Golfer's elbow, or medial epicondylitis, is similar to its counterpart, tennis elbow. The primary differences between these conditions are the location of the pain and the activity that leads to injury. However, both conditions are caused by overuse of the muscles and tendons of the forearm, leading to inflammation and pain around the elbow joint.

What is golfer’s elbow?

Tennis elbow and golfer's elbow, are both forms of tendonitis. Tendons are the ends of muscles that attach to bone. Because of the force of the muscle, the points of insertion of the tendon on the bone are often pointed prominences. The medical names of tennis elbow (lateral epicondylitis) and golfer's elbow (medial epicondylitis) come from the names of these bony prominences where the tendons insert, and where the inflammation causes the pain.

The pain of golfer’s elbow is usually at the elbow joint on the inside of the arm; a shooting sensation down the forearm is also common while gripping objects.

Treatment

Golfer's elbow is usually a self-limited problem, and does not cause any long-term disability. Treatment is rarely surgical, as this condition is well-managed with a little rest and proper rehabilitation.

· Lifestyle Modification. Lifestyle modification is important if golfer's elbow does not resolve or if it recurs. With athletes, often a change in technique (see below) can resolve the problem.

· Changing Swing Mechanics. Golf clubs should be sized properly, including grip size. Swing mechanics should be evaluated to ensure patients are swinging properly. See a golf pro/instructor for a swing and club evaluation.

· Anti-inflammatory Medications. The oral forms of these medications are easy to take, and often help control the inflammation, as well as manage the pain associated with golfer’s elbow.

· Cortisone Injections. If these conservative measures fail, a steroid (cortisone) injection is a reasonable option. If a person has tried more than 2 cortisone injections without relief, it is unlikely that additional injections will benefit the patient.

· Stretching and Exercises. Some simple stretches and exercises can also be helpful in controlling the symptoms of golfer's elbow. These exercises should not cause pain, and if they do, the exercises should not be done until the pain resolves. By strengthening the muscles and tendons involved with golfers' elbow, you can help prevent the problem from returning.


Rothman Institute Home