ELBOW PAIN & PATHOLOGY
Golfer’s Elbow (Medial epicondyle tendinopathy) is a tendon overloading injury, where micro-tearing of the tendon and subsequent degeneration occurs. The condition affects the wrist flexors, which all originate at the medial epicondyle of the humerus. Golder’s elbow is less common than tennis elbow (lateral epicondyle tendinopathy), account for 10-20% of epicondyle related pain. Individuals who participate in throwing sports are more likely to develop the condition due to the forces created during overhead throwing. A history of repetitive wrist and elbow movements is a common report in symptomatic individuals. Symptoms may develop after an acute overload or trauma, or over time with chronic dysfunctional response to repetitive loading.
You can expect to feel pain on the inner side of the elbow, with possible referral down the arm along the ulna side, with occasional referral to the fingers. You may also feel localised pain over the medial epicondyle (inner elbow) and the wrist flexor muscles. Elbow stiffness, weakness in the wrist and hand, and altered sensation may also be reported. Grip strength is commonly reduced compared to the unaffected side.
We initially manage the condition by reducing any aggravating activities. Ice and compression, in addition to tape/ brace can be worn for symptomatic relief, with hands on manual therapy commenced during this time. Once improvement is noted, the introduction of strengthening exercises is introduced to gradually load the affected tendon.
Longer term we look to gradually return you to activity begins as symptoms dictate. Finally, a review of activities or techniques are assessed to ensure optimal movement and reduction in re-injury is achieved.
If you are experiencing these symptoms, feel free to email Sean at email@example.com
i. Olecranon bursitis
ii. Triceps tendinopathy
d. Acute injuries
ii. Radial tunnel syndrome
iii. Compartment pressure syndrome
i. Stress reaction