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Cotul jucătorului de golf (Epicondilita medială)

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Golfer’s Elbow (Medial Epicondylitis)
 

Despite its name, golfer’s elbow does not affect only golf players. In fact, this common condition impacts a much wider population. It causes pain, discomfort, and sometimes weakness on the inner side of the elbow. While there are various treatment methods available, early diagnosis and proper management can make a significant difference in the recovery process.

 
 
 
 
 
 

Golfer’s elbow, or medial epicondylitis, is a condition characterized by pain at the attachment site of the forearm flexor tendons—those responsible for wrist flexion—to the bony prominence on the inner side of the elbow, called the medial epicondyle. Pain often radiates from the inner elbow down into the forearm.

 
 
 

Risk Factors:

 
  • Racket sports like golf and tennis (due to repetitive wrist movements)

  • Occupations requiring intense hand and wrist use (carpentry, painting, plumbing)

  • Long hours of typing or mouse use

  • Weightlifting or repetitive gripping activities

  • Improper technique or use of unsuitable equipment

  • Engaging in strenuous activity without proper warm-up or stretching

 
 
 

Early diagnosis is crucial in preventing the progression of golfer’s elbow and accelerating recovery. Resting at the first signs of symptoms, performing appropriate exercises, and consulting a medical professional when needed can help avoid more serious complications. However, advanced cases may require surgical treatment.

 
 
 

What Causes Golfer’s Elbow?

 

The muscle group responsible for bending the wrist toward the palm is known as the wrist flexors. These muscles transition into tendons near the elbow and attach to the medial epicondyle, a bony bump on the inner side of the elbow.

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As seen in golfers, excessive use of these muscles—especially during flexion and pronation—can strain the tendons. If this strain isn’t relieved in time, small tears and degenerative changes may develop at the tendon’s attachment site, resulting in the painful condition known as golfer’s elbow.

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    In essence, golfer’s elbow is an overuse injury.

     
     
     

    Who Is Most Commonly Affected by Golfer’s Elbow?

     

    Golfer’s elbow typically occurs on the dominant arm. Compared to tennis elbow, it is about ten times less common.

     
     
     

    Risk Factors for Developing Golfer’s Elbow:

     
    • Tennis players who strike the ball with improper form or with the racket behind the elbow

    • Players with weak forehand technique

    • Not using vibration dampeners in tennis rackets

    • Using heavy or short-handled rackets

    • Weightlifters

    • Golfers

    • Individuals with weak shoulder or wrist muscles

    • Lifting heavy suitcases

    • Chopping wood with an axe

    • Workers using power saws

     

     

     

    Difference Between Tennis Elbow and Golfer’s Elbow:

     
    • Tennis elbow causes pain on the outer side of the elbow, while golfer’s elbow causes pain on the inner side

    • Tennis elbow is aggravated by wrist extension, whereas golfer’s elbow is triggered by wrist flexion

     

     

     

    What Are the Symptoms of Golfer’s Elbow?

     

    The most common symptom is pain on the bony bump on the inner side of the elbow. The pain intensifies with wrist flexion, especially against resistance. If squeezing a small rubber ball in the palm increases elbow pain, golfer’s elbow may be the cause.

     

    Do you feel swelling and pain behind the elbow? This may be a sign of olecranon bursitis. But if the pain is on the innerside of the elbow, it could be golfer’s elbow.

     
     
     

    How Is Golfer’s Elbow Diagnosed?

     

    Diagnosis is made through a detailed patient history and physical examination.

     
     
     

    How Is Golfer’s Elbow Treated?

     

    Treatment for golfer’s elbow begins by eliminating or reducing the activities and movements that cause pain.

     

    Initial treatment steps include:

     
    • Avoiding aggravating activities for about 6 to 12 weeks

    • Ice application to reduce inflammation

    • Stretching and strengthening exercises

    • Pain-relieving medications (only as prescribed by your doctor)

    • Use of a counterforce brace or a wrist splint

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    If you’d like to discuss treatment options, feel free to reach out via any of the contact methods listed on our contact page.

     
     
     

    Golfer’s Elbow Exercises

     

    Exercises play a vital role in the treatment of golfer’s elbow. Strength and flexibility training are key elements of recovery. Here are a few recommended exercises:

     
    • Finger wall climb: Stand near a wall and use your fingers to slowly climb upward.

    • Wrist flexion and stretching: Gently bend one hand using the other to stretch the wrist flexor muscles.

     
     
     

    Golfer’s Elbow Brace

     

    A golfer’s elbow brace is highly effective in reducing pain. These braces work by relieving pressure on the tendon.

     
    • Proper placement: Just below the elbow

    • Tension adjustment: Should be snug, but not too tight or too loose

     

    Golfer’s Elbow Injection – Ultrasound-Guided Injection Therapy

     

    Treatments such as PRP (Platelet-Rich Plasma) or PRGF can be administered under ultrasound guidance to precisely target the medial epicondyle area. These injection therapies are considered very effective for managing golfer’s elbow.

     
     
     

    Who Needs Surgery for Golfer’s Elbow?

     

    If non-surgical treatment does not relieve pain after about 6 months, surgical intervention may be considered. That said, most cases of golfer’s elbow resolve without surgery.

     
     
     

    If the pain causes numbness or tingling below the elbow and into the inner arm, it could be related to cubital tunnel syndrome. Before deciding on surgery, an MRI should be reviewed to confirm the diagnosis.

     
     
     

    How Can I Prevent Golfer’s Elbow?

     
    • Use proper technique and equipment: Always use appropriate gear and techniques during golf or similar activities

    • Don’t skip warm-up: Stretch and warm up the wrist and elbow muscles before physical activity

    • Exercise regularly: Strengthen the muscles around your wrist and elbow

    • Avoid overuse: Limit repetitive and strenuous movements that overload the tendons

    • Take frequent breaks: When doing repetitive tasks, pause regularly to allow your muscles to rest

     

    These simple precautions significantly reduce the risk of developing golfer’s elbow.

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    Definitive Solution for Golfer’s Elbow – Surgery

     

    If all the above methods fail, surgery becomes the definitive treatment for golfer’s elbow. During the operation, the damaged tendon tissue is repaired.

     
     
     

    How Is Golfer’s Elbow Surgery Performed?

     

    Golfer’s elbow surgery involves the removal and reattachment of damaged, non-healing tendon tissues.

     

    In some patients, blood supply to the medial epicondyle is impaired. In such cases, the tendons attached to the bone are lifted, procedures are performed to stimulate blood flow in the area, and then the tendons are sutured back to the bone.

     
     
     

    How Long Does It Take to Recover from Golfer’s Elbow?

     
    • 10–14 days: Surgical wound typically heals

    • 4–5 days: Mild pain may occur, managed with painkillers and ice application

    • After wound healing, a structured exercise program is essential for regaining strength

     

    If tendons were detached and reattached to the bone, the elbow joint may be immobilized with a splint for 3 weeks, followed by physiotherapy.

     
     
     

    Frequently Asked Questions About Golfer’s Elbow

     

    How does golfer’s elbow heal?

     

    With rest, physical therapy, and cold compress applications.

     
     
     

    Who gets golfer’s elbow?

     

    It commonly affects golfers, tennis players, and people performing repetitive wrist movements like carpenters.

     
     
     

    What helps relieve golfer’s elbow?

     

    Wearing an elbow brace, resting, gentle stretching exercises, and anti-inflammatory treatments.

     
     
     

    How do you wear a golfer’s elbow brace?

     

    Place it just below the elbow, directly over the painful tendon. Ensure it is not too tight.

     
     
     

    What if golfer’s elbow doesn’t improve?

     

    If symptoms persist despite treatment, you can contact us to explore further options.

     
     
     

    Conclusion

     

    Golfer’s elbow is a muscle-tendon condition commonly seen in individuals exposed to repetitive wrist movements. It is a manageable condition, and early intervention, proper exercise, use of support braces, and—if needed—surgical repair can all lead to successful outcomes.

     

    Thank you for reading. To explore more information, feel free to return to the homepage of utkuerdemozer.com.

     

     

     
     

    Yazar Op. Dr. Utku Erdem Ozer
    Op. Dr. Utku Erdem Özer
    Chirurg ortoped

    Dr. Utku Erdem Özer, care profesează la propria clinică din Fulya, Beşiktaş, Istanbul, este specialist în ortopedie și traumatologie. Utilizează tehnici chirurgicale moderne într-o gamă largă de domenii, inclusiv intervenții la umăr, genunchi, șold, gleznă, încheietura mâinii și cot.

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