Medial Epicondylitis
What is Medial Epicondylitis?
Medial epicondylitis, also known as golfer’s elbow, is characterized by pain and tenderness on the inside of the elbow, where the forearm flexor tendons attach.
- Related to overuse of wrist and forearm muscles
- Often seen in golfers, throwers, and racquet sport athletes
Overview of the Condition
Inflammation or microtears in the tendons connecting forearm flexor muscles to the medial epicondyle can result in pain, reduced grip strength, and difficulty with wrist flexion.
Symptoms
- Pain or burning sensation on the inner elbow
- Wrist flexion or gripping can exacerbate symptoms
- Stiffness or weakness in the wrist or hand
Causes
Repetitive forceful wrist or finger motions (e.g., golf swings, throwing) can strain the tendons. Poor technique or insufficient conditioning increases the likelihood of injury.
Diagnosis
Diagnosis is typically made with a clinical exam focusing on tenderness at the medial epicondyle and pain with resisted wrist flexion.
Treatment Options
- Rest and activity modification
- Anti-inflammatory medications
- Physical therapy
- Bracing or taping to offload stressed tendons
Conservative Management
Initial treatment includes rest from aggravating activities, ice, and non-steroidal anti-inflammatory drugs (NSAIDs) to control pain.
Rehabilitation Exercises
- Gentle stretching of the forearm flexor muscles
- Eccentric strengthening exercises
- Progression to sport-specific training to prevent recurrence
When is Surgery Needed?
Surgical intervention is considered for persistent cases that do not improve after months of conservative therapy, or when significant tendon degeneration is identified.
Surgical Procedures
- Debridement of damaged tendon tissue
- Repair or reattachment of the flexor tendon origin
- Procedures to stimulate tendon healing
Anatomy Overview
The medial epicondyle is the bony prominence on the inside of the elbow where wrist flexor muscles originate. Repetitive stress can cause tendon irritation and microtears.
Affected Areas
- Inner (medial) elbow
- Forearm flexor tendons
- Wrist flexor muscle group
Frequently Asked Questions
| Question | Answer |
|---|---|
| Can I still play sports with medial epicondylitis? | You may need to temporarily reduce or modify activity. Proper technique and gradual progression help prevent further injury. |
| How long does recovery take? | Recovery times vary but can range from several weeks to months, depending on the severity and adherence to rehab. |
Prevention Strategies
- Warm up properly before activities
- Strengthen forearm muscles to handle repetitive stress
- Use correct technique and equipment in sports