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Golfer's Elbow (Medial Epicondylitis) Physiotherapy



Medial epicondylitis (commonly called golfer's elbow or thrower's elbow) is a condition that develops when the tendons on the inside of the forearm, closer to the inside part of the elbow where the flexor origins of the forearm flexor muscles become irritated, inflamed, and painful due to repetitive use of the hand, wrist, forearm and elbow.

It is often diagnosed in patients who perform repetitive motions, such as swinging a golf club or tennis racket, or activities requiring gripping, twisting, or throwing. Even using a computer work, garden/yard work or housework like cleaning and cooking can cause it too.

It is common in men and women over the age of 35.

Our senior hand therapists and senior physiotherapists can help

  • decrease the pain caused by medial epicondylitis and
  • improve the affected elbow's motion, strength, and function

What is Medial Epicondylitis (Golfer's Elbow)?

Medial epicondylitis is a painful elbow/forearm flexor condition that occurs when the tendons on the inside of the forearm become irritated, inflamed, and painful due to repetitive use of the hand, wrist, and forearm.

A tendon is a soft tissue that attaches a muscle to a bone.

The group of muscles that is primarily affected by medial epicondylitis are the muscles and tendons which function is to flex (bend) the wrist, fingers, and thumb and pronate (rotate palm-down) the wrist and forearm.

This specific muscle group is located together in a common sheath and attaches to the humerus bone of the upper arm. This bony prominence, called the medial epicondyle, is located along the inside of the elbow.

So when these structures are over-used, pain occurs on or near the medial epicondyle, at the area where the tendon connects to the bone. Repetitive forces will cause the tendon to become inflamed, tender and irritated, and without treatment, can unfortunately even cause it to even tear and rupture away from the bone.

To add to that, as these specific tendons and muscles cross both the elbow and the wrist (2 joints), they function to stabilize at the elbow allowing for wrist movement. As this is a 2-joint tendon, it is more vulnerable to injury (due to being longer and crossing more joints)

How Does it Feel?

Persons with medial epicondylitis may experience:

  • Pain along the inside of the forearm with wrist, hand, or elbow movements.
  • Pain or numbness and tingling that radiates from the inside of the elbow down into the hand and fingers, with gripping or squeezing movements.
  • Tenderness to touch and swelling along the inside of the forearm.
  • Weakness in the hand and forearm when attempting to grip objects.
  • Elbow stiffness (form of joint stiffness).

How Is Golfer's Elbow (Medial Epicondylitis) Diagnosed?

Our senior hand therapists or senior physiotherapists will perform an evaluation and ask you questions about pain or other symptoms you are feeling.

We may

  • perform strength and motion tests on your wrist, forearm, and elbow
  •  ask about your job duties and hobbies
  • evaluate your posture
  • check for any muscle imbalances and weakness that can occur anywhere along the path from your shoulder blade to your hand

We will gently touch your elbow in specific areas to determine which tendon or tendons may be inflamed. Special muscle tests, such as bending the wrist or rotating the forearm with resistance, also may be performed to ensure a proper diagnosis.

how our senior hand therapists and senior physiotherapists can help

Please consider that it is important to get proper treatment for medial epicondylitis as soon as it happens, because tendon injuries tend to recur and are slow to heal because tendons do not have a good blood supply.

An inflamed tendon that is not treated can begin to tear, causing a more serious condition.

When a diagnosis of medial epicondylitis is made, you can immediately work with our senior hand therapists and senior physiotherapist to devise a treatment plan that is specific to your condition and goals.

Your hand therapy and physiotherapy treatment program may include:

Pain Management

We will help you identify and avoid painful movements to allow the inflamed tendon to heal. Cold therapy or heat therapy may be used for pain management.

Therapeutic modalities, such as iontophoresis (medication delivered through an electrically charged patch), and ultrasound therapy to accelerate soft tissue healing may be applied. Bracing or splinting may also be prescribed.

In severe cases, it may be necessary to rest the elbow and not perform work or sport activities that continue causing pain, which may slow the recovery process.

Manual Therapy

We may use manual techniques, such as gentle joint movements, soft-tissue massage, and elbow, forearm, and wrist stretches to help the muscles regain full movement. We may also do manual stretching and manual techniques to your shoulder and thoracic spine, as your tendons along the medial elbow can be affected by muscle imbalances all the way up the chain.  

Range-of-Motion Exercises

You will learn mobility exercises and self-stretches to help your elbow and wrist maintain proper movement.

Strengthening Exercises

We will determine which strengthening exercises are right for you, depending on your specific condition, as your pain subsides. You may use weights, medicine balls, resistance bands, and other types of resistance training to challenge your weaker muscles. 



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book your physio appointment or enquire now

Email questions and your preferred physiotherapy timings to nigel@phoenixrehabgroup.com or

WhatsApp / SMS your name, preferred date, time and enquiries to +6588001830

Clinic Locations: See how to get to us here

Phoenix Rehab physio Services

Phoenix Rehab Group works with specialist physiotherapists and rehab therapists who are highly trained, qualified, experienced and passionate to provide high level of expert care to our patients.



HAND THERAPY &  SPLINTING

Patients who sustained injuries to their elbows, forearms, hands, wrists (sprains and fractures) and fingers, and requires Hand Therapy to increase the function of their hand following injuries or post-operations as well as custom made hand splints.

Commonly treated hand pain injuries includes



CLINICAL PILATES & WELLNESS PILATES

Clinical Pilates is a form of physical exercise that focuses on

  • posture
  •  core stability
  • balance
  • control
  • strength
  • flexibility and
  • breathing

It is a system of safe and effective exercises, which meet specific individual needs, to treat a wide range of injuries and conditions.

You may do Pilates as matwork or with the reformer or both, and every session will be customized 100% to your fitness, injury and tolerance.



TRADITIONAL CHINESE MEDICINE (TCM)



DEEP TISSUE RELEASE & SPORTS MASSAGE THERAPY

Sports and deep tissue release massage helps to increase nutrient-rich blood flow to tired, tight and tense muscles to

  • accelerate recovery and
  • shorten downtime / recovery period required

It also prevents muscles from scar tissue micro-tears (and potential ruptures), and increases muscle performance.

Done regularly, it will keeps your muscles healthy and fit with body/movement-confidence. Read the benefits of regular deep tissue release therapy here.



ALTERNATIVE THERAPIES

All our allied health therapists and TCM physicians are fully insured and registered with Allied Health Professions Council (AHPC) and Traditional Chinese Medicine Board (TCMB).

See our entire team here with introductions and their specializations.

At the first session, our specialist physiotherapists will carry out a thorough assessment, helping them to select the most appropriate treatment to help you recover as well as provide treatment in the same session.

Follow up sessions are inline to provide expert treatment for your pain as well as prescribing specific exercises to reduce your risk of re-injury and giving you a long term solution.

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We do not rely on advertising - instead, we prefer and appreciate the goodwill and positive reinforcement from patients. When you have the chance, please tell your family, friends and physicians about the positive results and experience you have had in our physio clinics.

book your physio appointment or enquire now

Email questions and your preferred physiotherapy timings to nigel@phoenixrehabgroup.com or

WhatsApp / SMS your name, preferred date, time and enquiries to +6588001830

Clinic Locations: See how to get to us here