Golfer’s Elbow
GOLFER’S ELBOW
Golfer’s elbow is a tendinopathy of the medial epicondyle of the elbow and is in some ways similar to tennis elbow.
Pathology
Previously called medial epicondylitis, the pathology is no longer thought to be inflammatory. The accurate description is “partially reversible but degenerative overuse-underuse tendinopathy”. Because of the complexity of this description, the term ” Golfer’s elbow ” is usually used.
GOLFER’S ELBOW DIAGNOSIS
The anterior forearm contains several muscles that are involved with flexing the digits of the hand and flexing and pronating the wrist. The tendons of these muscles come together in a common tendinous sheath, which originates from the medial epicondyle of the humerus at the elbow joint. In response to a minor injury, or sometimes for no obvious reason at all, this point of insertion becomes inflamed.
Eccentric (lengthening only) exercises have become the mainstay of rehabilitation programs for Golfer’s elbow.
Cortisone injection leads to very good results in the short term (six weeks) but has been demonstrated to be harmful in the longer term (more than three months).
Shock wave therapy for Golfer’s elbow may be considered in chronic cases.
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