elbow MEDIAL EPICONDYLITIS
DEFINITION:
- Also known as “golfers elbow”.
- An inflammatory process involving the medial (inner) aspect of the elbow where the flexor muscles of the forearm attach.
MECHANISM OF INJURY / HOW IT OCCURS:
- Can result from stress on the flexor compartment of the forearm. Forceful gripping and grasping can lead to this entity. Usually an issue of overuse.
- Overuse leads to stress, micro tears, inflammation and subsequently pain.
- Can see in activities such as golf, pitching, weightlifting, and bowling.
SYMTOMS:
- Individuals will present with a complaint of pain along the medial aspect of the elbow.
- Weakness of the forearm muscles.
- Discomfort most pronounced when lifting with palm up.
DIAGNOSIS:
- Physical examination will reveal tenderness directly over the medial epicondyle.
- Forced flexion of the forearm muscles will exacerbate the symptoms.
- Weakness of the flexor function.
- Radiographs to evaluate for arthritis. Magnetic resonance imaging (MRI) may be used to confirm diagnosis.
TREATMENT/REHABILITATION:
- Rest, ice, and anti-inflammatory (NSAISs) are initial treatment options.
- Therapy for stretching and strengthening. (See exercises for medial epicondylitis).
- May benefit from a cortisone injection is symptoms persist.
- Surgery is rarely indicated.