Medial Epicondylitis (Golfer's Elbow)
Less common than Lateral Epicondylitis, Medial Epicondylitis tends to be associated with sports such as golf, weightlifting, archery, and javelin. In tennis it tends to be associated with players who apply heavy forehand top spin in their style. Patients may complain of weakness during gripping and pain in the medial side of the elbow, particularly during the throwing movement.
The most common site for this injury is where the origins of the carpi radialis and pronator teres interface at the medial epicondylyte, and it is generally considered as a degenerative rather than an inflammatory condition.
As in Lateral Epicondylitis, poor equipment, conditioning and training techniques may lead to this overuse injury.
Generally there will be tenderness at the medial epicondylyte, and pain with resisted wrist flexion. Resisted forearm pronation may also be painful. There may also be pain during resisted elbow flexion in chronic cases.
Care should be taken to exclude Ulnar Collateral Ligament injury which may also present with medial elbow pain.
Rest, ice, compression and elevation in the acute phase augmented with Non Steroidal anti-inflammatory drugs where indicated.
Elbow braces and taping are also useful adjuncts to physiotherapy treatment with the recent introduction of Kinesiology Taping proving effective anecdotally.
Cortico-steroid injections are used in some cases.
Published: February 24, 2012
Medial Epicondylitis Treatments