Medial Epicondylitis (Golfers Elbow)

Medial Epicondylitis causes pain in the medial aspect of the elbow due to a fibrillary degeneration of collagen, angiofibroblastic hyperplasia , vascular granulation tissue, tendinous necrosis and secondary inflammation of the flexor-pronator muscle mass.  It is a common problem in golf, rowing, baseball pitching, javelin, tennis, bricklaying, hammering, typing, and textile production.  It is commonly referred to as "Golfer's elbow."

Medial epicondylitis typically occurs in the 4th to 5thdecade of life and occurs in males and females equally.  Medial epicondylitis is  7 to 20 times less common than lateral epicondylitis (tennis elbow).

People with medial epicondylitis have pain along the inside of the elbow.  The pain is worse with resisted forearm pronation and wrist flexion.  There is tenderness over the origin of the flexor-pronator muscle mass on the inside of the elbow.

Medial epicondylitis is typically treated by an orthopaedic surgeon who will confirm the diagnosis by taking a history, xrays and examining the elbow.  Initial treatment is centered around avoiding the offending activity, NSAIDs, physical therapy, and wearing a counterforce brace.  Physical therapy is often prescribed.  People who fail to improve with initial treatment may require surgery. 

Other problems that can be confused with medial epicondylitis include: Medial Elbow instability, Medial collateral ligament sprain, Ulnar neuropathy, Elbow arthritis, Posterior Elbow Impingement, Flexor/pronator muscle strain, Snapping Triceps and a Synovial Plica.  It is important to see an orthopaedic surgeon to ensure you have the correct diagnosis and treatment plan.

Further information about Medial Epicondylitis (Golfers Elbow) can be found at the following sites:

Please read this information carefully. Write down any questions that you have about your diagnosis and its treatment and discuss them with your orthopaedic surgeon. Working together you and your surgeon will determine the best treatment for you.

synonyms: Golfers elbow, medial epicondylitis, common flexor tendon tear, common flexor tenosynovitis, handball player's elbow

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