Golfer’s Elbow
Overview
Golfer’s elbow (medial epicondylitis) is inflammation of the tendons on the inner elbow, causing pain with gripping and wrist flexion.
Symptoms
Pain on the inner elbow that may radiate into the forearm, worsened by gripping, throwing, or flexing the wrist against resistance.
What Causes It?
Repetitive wrist flexion and gripping, such as in golf, throwing sports, or manual labor, leads to microtears at the flexor tendon origin.
When Should I See a Hand Surgeon?
See a hand surgeon if inner elbow pain persists beyond several weeks despite rest and activity modification.
How Dr. Safwat Evaluates It
Clinical examination for tenderness over the inner elbow and pain reproduced with resisted wrist flexion.
Investigations
Usually a clinical diagnosis; ultrasound or MRI can confirm tendon changes in persistent cases.
Non-Operative Treatment
Activity modification, bracing, physiotherapy, and injections for symptomatic relief.
When Surgery May Be Recommended
Surgery is considered when symptoms persist for six to twelve months despite conservative treatment.
Procedure
Debridement of the damaged flexor tendon origin at the medial epicondyle.
Recovery
Light activities resume within a few weeks; full return to sport typically takes three to six months.
Expected Outcomes
Most patients achieve good relief of pain with conservative treatment or surgery.
Risks
Infection, incomplete relief of pain, and rarely injury to the nearby ulnar nerve.
Frequently Asked Questions
Is this related to actually playing golf?
Not necessarily; it can occur from any repetitive gripping or wrist-flexing activity.
How is it different from tennis elbow?
Golfer's elbow affects the inner elbow tendons, while tennis elbow affects the outer elbow tendons.
