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Golfer’s Elbow

Golfer’s elbow is a condition that occurs as a result of overuse of the forearm muscles and tendons connected at the elbow, which assist in controlling the fingers and wrist. This overuse or excessive straining of the hand can cause small tears in the tendons, which can lead to pain, swelling, and inflammation around the olecranon elbow bone. Golfer’s elbow, also known medial epicondylitis is a type of tendinitis. The condition is similar to tennis elbow and is not restricted to golfers only.

Risk Factors of Golfer’s Elbow

Other than being a golfer, there are other factors that can increase the risk of developing a golfer’s elbow. These include:

  • Being overweight
  • Aging (40 years and above)
  • Smoking
  • Engaging in continuous strenuous activities

Causes of Golfer’s Elbow

Golfer’s elbow can occur as a result of damage to the tendons in the joint caused by activities such as:

  • Engaging in golf sport which requires repetitive swinging of a golf club
  • Racket sport such as racquetball, squash, or tennis where the arm is stroked
  • Throwing sports activities such as baseball, javelin, archery, or softball when the pitching is not done correctly
  • Rowing or peddling a boat
  • Weightlifting or straining occupational activities such as construction, working in a butchery, or plumbing among others

Symptoms of Golfer’s Elbow

Some of the common signs and symptoms of a golfer’s elbow include:

  • Rigidity of the elbow thus causing difficulty in its motion
  • Weak grip due to a weak wrist
  • Numbness or a prickly feeling that runs from the elbow to the fingers especially the pinky and ring fingers
  • Tenderness and pain in the wrist and inner part of the forearm when twisting it
  • Deformed or a broken elbow

Diagnosing Golfer’s Elbow

During the diagnosis of a golfer’s elbow, the doctor performs a physical assessment, and seeks information of the patient’s daily activities. The doctor tests whether there is normal flexion from the hand to the wrist by gently twisting the wrist and documenting the degree of internal pain experienced by the patient. An imaging test such as an x-ray of the arm is also done.

If the diagnosis of a golfer’s elbow is definitive, then non-invasive modes of treatment will be recommended. However, if the pain experienced is intense, then surgery may be required.

Treatment Options of a Golfer’s Elbow

Golfer’s elbow can be treated by immediately stopping any strenuous activities that may have caused the overuse of the elbow. This will aid in pain reduction. Other non-invasive treatment options include:

  • Anti-inflammatory medication
  • Injections therapies
  • Pain relief medication
  • Application of ice on the forearm and elbow (affected area)
  • Use of braces to support the arm in cases where there is weakness
  • Exercises to stretch the muscles, strengthen, and heal the arm. Some of the exercises include:
    • Finger extensions whereby the patient holds a rubber band around the fingertips then stretches it as far as the rubber can extend
    • Wrist extension whereby the injured arm is placed on a surface and the forearm hangs on the edge, then he/she lifts a weight by raising and lowering it slowly
    • Ball squeeze which involves squeezing and releasing a small and soft stress reliever ball. The goal of this exercise is to strengthen the forearm
    • Supination and pronation of the forearm. This involves holding a heavy object and slowly rotating the wrist facing upward and downward while the forearm is stably laid on a flat surface

Surgery

Surgery to treat a golfer’s elbow is considered when there is a tear, and the other non-invasive treatment options are not effective or are not relieving the pain.

During the procedure, an incision is made along the arm and the injured tissues, excess tissue formation and/or protruding bone are removed to reduce the pressure being exerted at the flexor tendon. This procedure is known as medial epicondyle release.

Post-opt Care and Recovery

After the surgical procedure, the patient will be able to resume his/her normal daily activities after approximately six weeks while the occupational activities can be resumed after approximately six months.

However, even after the golfer’s elbow has healed, one is advised to avoid overusing it and to stop the said occupational activity whenever he/she feels a strain. In cases where the arm is weak, braces are provided to to help in stabilizing it. Gradual exercise is recommended in order to speed up the healing process and to avoid a recurrence.

Preventive Measures of Golfer’s Elbow

Golfer’s elbow can be prevented by:

  • Ensuring that before starting your occupational activity, stretch and strengthen your muscles to avoid any physical stress
  • Using equipment that march your weight level and reduce exerting force to the elbow

Next Step

Our board-certified orthopedic surgeons at King’s have extensive knowledge of the full range of shoulder disorders and will help you find the ideal medical solution for your condition. You can get in touch by filling in the form below.

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