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Golfer's Elbow
(Medial Epicondylitis)
Golfer's Elbow or Medial Epicondylitis
is a condition when the inner part of the elbow becomes painful and tender,
usually as a result of a specific strain, overuse, or a direct bang. Sometimes
no specific cause is found. Golfer's Elbow is similar to Tennis Elbow
which affects the other side of the elbow. Symptoms
The inner part of the elbow is painful and tender to touch. Movements
of the elbow, and also movements which involve lifting, with the hand
underneath, palm upwards, hurt. Causes
Although called golfer's elbow, medial epicondylitis is much more commonly
seen in people who are over using their arm doing something else. The
most common cause is over use of the muscles which are attached to the
bone at this part of the elbow. That is to say, the muscles which pull
the palm of the hand towards the arm (the wrist flexors). All the flexor
muscles of the hand attach to the elbow at the inner part (the medial
epicondyle). If they are strained or over used they become inflamed, which
means they are swollen, painful and tender to touch. Sometimes the inflammation
is caused by a direct injury or bang. Sometimes, especially when the cause
is direct injury or strain, the muscles are actually partially torn. Rarely
the inflammation comes on without any definite cause, and this may be
due to an arthritis, rheumatism or gout. Sometimes the problem is partly
or completely due to a neck problem, which is causing pain in the elbow
via the nerves from the neck. Diagnosis
The doctor or physiotherapist will test for tenderness over or near to
the bony bump on the inside of the elbow. He or she will also test to
see whether the pain gets worse when you bend the palm towards the arm
(flex the wrist) against resistance. In the event of both these signs
being present, it is likely that you have golfer's elbow. Your doctor
may also examine your neck, as this may be the cause, or part of the problem.
After all many of the things that might strain your elbow might also put
a strain on your neck. Treatment
Rest helps, with avoidance of the activities which over use the elbow.
Physiotherapy treatments, which may include heat / ultrasound therapy
Use of anti inflammatory drugs and ordinary pain killers (analgesics).
The doctor may suggest an injection of a small dose of steroid to the
affected area. This is not the sort of steroid banned for athletes. If
used it can last for up to three months, and although it may need to be
repeated you seldom need more than two or possibly three injections.
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