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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.
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
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
- 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.
- perform strength and motion tests on your wrist, forearm, and elbow
- ask about your job duties and hobbies
- evaluate your posture
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.
inflamed tendon that is not treated can begin to tear, causing a more
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:
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.
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
You will learn mobility exercises and self-stretches to help your elbow and wrist maintain proper movement.
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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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.
PHYSIOTHERAPY & PHYSICAL THERAPY
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
- core stability
- flexibility and
It is a system of safe and effective exercises, which
meet specific individual needs, to treat a wide range of injuries
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
Done regularly, it will keeps your muscles healthy and fit with body/movement-confidence. Read the benefits of regular deep tissue release therapy here.
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
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