Golfer’s Elbow (Medial Epicondylitis)
Golfer’s Elbow is similar to Tennis Elbow in that it is an overuse injury to the tendons of the elbow and forearm. Golfer’s Elbow affects the wrist flexors, which attach to the inside of the elbow and travel down the forearm over the wrist to control wrist and finger movements. With this type of soft tissue injury the body will deposit scar tissue adhesions in and around the injured area in an attempt to heal and stabilize the area. Over time this scar tissue can build-up and interfere with the normal function of the muscles. These adhesions must be addressed to fully resolve the condition. Symptoms of Golfer’s Elbow are most commonly felt over the inside of the elbow, particularly when grasping objects and moving the wrist, such as when using tools.
Treatment will focus on Myofascial Release Technique (MRT) soft tissue treatment to address the underlying adhesion formation not only in the tendons, but also in the surrounding musculature of the elbow and forearm. Sometimes low intensity laser therapy may be used to help settle inflammation and help stimulate tissue repair. Any biomechanical dysfunction at the wrist or elbow must also be addressed to ensure complete resolution of the tendonitis and to prevent future recurrences. Specific home stretching is needed to reduce tension in the muscles and tendons to speed recovery. As the pain and inflammation subside functional rehabilitation exercises must be undertaken to make certain adequate strength and endurance of the tendon and surrounding musculature is returned to pre-injury status.