Medial Epicondylitis Of Elbow (Golfers Elbow)
Description
Similar to tennis elbow but it occurs on the inside rather than the outside of the elbow. Also known as golfer's elbow, but It is not limited to golfers. Anyone who repeatedly uses their wrists and hands can develop the disorder. The pain comes from inflammation of the medial epicondyle and the tendons attaching there. The medial epicondyle is the bony protrusion on the inside portion of the elbow that arises from the upper arm bone (humerus).
Symptoms
The symptoms are primarily at the inside of the elbow and consist of pain, tenderness, and swelling. The pain becomes worse with bending the wrist, twisting the forearm down, or grabbing objects. There can also be weakness of the wrist and hand, and numbness of ring and little finger.
Tests
A history and physical exam will be performed. Additional tests include: X-ray to rule out occult fracture, and/or a MRI may be performed to define the soft tissue injury.
- X-Ray
- MRI
Treatment
Therapy depends on the severity of the symptoms. Nonsteroidal anti-inflammatory medications/NSAIDs (ibuprofen/Motrin or Advil, naproxen/Naprosyn), acetaminophen (Tylenol), shock wave therapy, physical therapy and steroid injections are the non-surgical treatments. Surgery is required for severe or persistent symptoms.
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