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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

Fortunately, golfer’s elbow is rarely surgical and does not cause any long-term disability. In most cases, this condition is treated with the proper rest and rehabilitation.

*Lifestyle modification.  If golfer’s elbow does not respond to rest and rehabilitation, then lifestyle modifications may be considered as an option for treatment. Generally with athletes, this problem can be resolved with a change in technique or swing mechanics.

*Altering swing mechanics. The athlete must be sure that the golf clubs are sized properly and the grip is appropriate. Proper swing mechanics must be assessed and modified if necessary. A golf professional or instructor will be able to provide an expert analysis.

*Anti-inflammatory medications. Inflammation and pain can be easily controlled through the use of oral medications.

*Stretching and exercises. Golfer’s elbow symptoms may also be controlled through simple stretches and exercises. It is important to note that these exercises should not be painful to perform, and if they are they should be avoided until the pain has subsided. But by strengthening the tendons and muscles involved with golfer’s elbow, the patient can help keep the problem from returning.

*Cortisone injections. If other conservative treatments for golfer’s elbow fail, a cortisone (steroid) injection may be considered. However, if the individual has undergone two or more cortisone injections without adequate relief, it is unlikely that additional injections will benefit the patient.


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