What is Medial Epicondylitis?

Medial epicondylitis, commonly known as golfer’s elbow, is a condition caused by overuse or strain of the tendons that attach to the inner part of the elbow. It results in pain and inflammation where the forearm muscles connect to the bony prominence (medial epicondyle) of the upper arm bone (humerus).

What Causes Medial Epicondylitis?

• Repetitive wrist and forearm motions, such as gripping, swinging, or lifting
• Sports activities like golf, baseball, tennis, and weightlifting
• Occupational tasks involving repetitive hand and forearm use (e.g., carpentry, plumbing, painting)
• Aging, as tendons become less flexible and more prone to injury over time

Common Symptoms:

• Pain and tenderness on the inner elbow, which may radiate down the forearm
• Weak grip strength, making it difficult to hold objects, shake hands, or perform fine motor tasks
• Increased pain with wrist flexion (bending the wrist downward) or gripping
• Stiffness and soreness, especially in the morning or after activity

How is it Diagnosed?

Your surgeon will perform a physical exam, checking for tenderness over the medial epicondyle and testing wrist and forearm strength. Pain may be reproduced with specific resistance tests, such as flexing the wrist against pressure. Imaging studies like X-rays or an MRI may be used to rule out other conditions.

Treatment Options:

• Non-Surgical:
  • Rest and activity modification to reduce strain
  • Ice therapy and anti-inflammatory medications (NSAIDs) for pain relief
  • Bracing or use of a forearm strap to reduce tendon stress
  • Physical therapy with stretching and strengthening exercises
  • Corticosteroid or platelet-rich plasma (PRP) injections to reduce inflammation and promote healing
• Surgical:
  • Tendon Debridement or Repair: If conservative treatments fail, surgery may be performed to remove damaged tendon tissue and promote healing.

Recovery and Rehabilitation:

• Most cases improve with non-surgical treatment within weeks to months.
• Gradual return to activity with a focus on proper technique and strengthening.
• Post-surgical recovery may take several months, with physical therapy playing a key role in regaining strength and function.

If you are experiencing persistent elbow pain, sch