Golfer's Elbow

Golfer's elbow (medial epicondylitis) is a painful condition affecting the tendons that attach to the bony prominence on the inside of the elbow. Despite its name, this condition is not limited to golfers—it commonly affects anyone who performs repetitive wrist flexion, gripping, or throwing motions. It is closely related to tennis elbow, which affects the outside of the elbow.

The condition develops when repetitive stress causes micro-tears and degeneration in the flexor-pronator tendon group. At Mountain Spine & Orthopedics, our specialists use targeted evaluation and advanced treatment options including platelet-rich plasma (PRP) injections to promote tendon healing and restore function.

Common symptoms of golfer's elbow include:

• Pain and tenderness on the inner side of the elbow that may radiate down the forearm
• Pain that worsens with wrist flexion, gripping, or shaking hands
• Stiffness in the elbow, especially in the morning
• Weakness in the hands and wrists
• Numbness or tingling radiating into the ring and small fingers (if the ulnar nerve is involved)

Risk factors for developing golfer's elbow include:

• Repetitive wrist and forearm motions from sports (golf, tennis, throwing sports) or occupations
• Using improper technique or equipment during sports activities
• Jobs involving repetitive arm movements—plumbing, carpentry, construction
• Age between 40 and 60 years
• Obesity and smoking, which impair tissue healing

Diagnosis is primarily clinical, based on the location of pain and provocative testing. Our specialists perform the resisted wrist flexion test and assess for tenderness over the medial epicondyle. We differentiate golfer's elbow from ulnar nerve problems and other conditions.

High-resolution ultrasound provides dynamic evaluation of tendon integrity, while MRI may be used for complex cases or when surgery is being considered. We offer complimentary imaging reviews to assess your condition thoroughly.

Non-Surgical Treatment

Most patients with golfer's elbow improve with conservative care:

• Rest and activity modification to avoid aggravating movements
• Ice application and anti-inflammatory medications
• Counterforce bracing to reduce tendon strain
• Physical therapy with eccentric strengthening exercises
• PRP injections or corticosteroid injections for persistent symptoms

Surgical Options

When conservative treatment fails after 6-12 months, golfer's elbow surgery may be recommended. The procedure involves releasing the damaged tendon tissue and promoting healthy tendon regeneration. Our surgeons use minimally invasive techniques for optimal outcomes.

The pain from golfer's elbow stems from tendon degeneration and micro-tearing at the medial epicondyle. Unlike acute inflammation, this is often a chronic degenerative process (tendinosis). Pain typically worsens with activity and improves with rest, though morning stiffness is common.

Prevention Tips

• Use proper technique in sports—consider lessons from a professional
• Warm up thoroughly before activities and stretch afterward
• Strengthen forearm muscles with regular conditioning exercises
• Use appropriate equipment with proper grip size
• Take breaks during repetitive tasks and vary your activities

Don't let inner elbow pain limit your activities. Schedule a consultation with Mountain Spine & Orthopedics today. We offer same-day and next-day appointments and free second opinions to help you get the right diagnosis and treatment plan.