Medial epicondylitis - golfer's elbow
Medial epicondylitis is soreness or pain on the inside of the lower arm near the elbow. It is commonly called golfer’s elbow.
Baseball elbow; Suitcase elbow
The part of the muscle that attaches to a bone is called a tendon. Some of the muscles in your forearm attach to the bone on the inside of your elbow.
When you use these muscles over and over again, small tears develop in the tendons. Over time, this leads to irritation and pain where the tendon is attached to the bone.
The injury can occur from using poor form or overdoing certain sports, such as:
- Baseball and other throwing sports, such as football and javelin
- Racquet sports, such as tennis
- Weight training
Repeated twisting of the wrist (such as when using a screwdriver) can lead to golfer's elbow. People in certain jobs may be more likely to develop it, such as:
- Construction workers
- Assembly-line workers
- Computer users
Symptoms of golfer's elbow include:
- Elbow pain that runs along the inside of your forearm to your wrist, on the same side as your pinky finger
- Pain when flexing your wrist, palm down
- Pain when shaking hands
- Weak grasp
- Numbness and tingling from your elbow up and into your pinky and ring fingers
Pain may occur gradually or suddenly. It gets worse when you grasp things or flex your wrist.
Exams and Tests
Your health care provider will examine you and have you move your fingers, hand, and wrist. The exam may show:
- Pain or tenderness when the tendon is gently pressed where it attaches to the upper arm bone, over the inside of the elbow.
- Pain near the elbow when the wrist is bent downward against resistance.
- You may have x-rays to rule out other possible causes.
The first step is to rest your arm and avoid the activity that causes your symptoms for at least 2 to 3 weeks or longer, until the pain goes away. You may also want to:
- Put ice on the inside of your elbow 3 to 4 times a day for 15 to 20 minutes.
- Take an NSAID medicine. These include ibuprofen (Motrin, Advil), naproxen (Aleve), or aspirin.
- Do stretching and strengthening exercises. Your provider may suggest certain exercises, or you may have physical or occupational therapy.
- Gradually return to activity.
If your golfer's elbow is due to a sports activity, you may want to:
- Ask about any changes you can make in your technique. If you play golf, have an instructor check your form.
- Check any sports equipment you are using to see if any changes may help. For example, using lighter golf clubs may help.
- Think about how often you have been playing your sport and if you should cut back the amount of time you play.
- If you work on a computer, ask your manager about making changes to your work station. Have someone look at how your chair, desk, and computer are set up.
- You can buy a special brace for golfer's elbow at most drug stores. It wraps around the upper part of your forearm and takes some of the pressure off the muscles.
Your provider may inject cortisone and a numbing medicine around the area where the tendon attaches to the bone. This may help decrease the swelling and pain.
If the pain continues after 6 to 12 months of rest and treatment, surgery may be recommended. Talk with your surgeon about the risks, and ask if surgery might help.
Elbow pain usually gets better without surgery. However, most people who have surgery have full use of their forearm and elbow afterwards.
When to Contact a Medical Professional
Call for an appointment with your provider if:
- This is the first time you have had these symptoms.
- Home treatment does not relieve the symptoms.
Adams JE, Steinmann SP. Elbow tendinopathies and tendon ruptures. In: Wolfe SW, Hotchkiss RN, Pederson WC, Kozin SH, Cohen MS, eds. Green's Operative Hand Surgery. 7th ed. Philadelphia, PA: Elsevier; 2017:chap 25.
Miller RH, Azar FM, Throckmorton TW. Shoulder and elbow injuries. In: Azar FM, Beaty JH, Canale ST, eds. Campbell's Operative Orthopaedics. 13th ed. Philadelphia, PA: Elsevier; 2017:chap 46.
Reviewed By: C. Benjamin Ma, MD, Professor, Chief, Sports Medicine and Shoulder Service, UCSF Department of Orthopaedic Surgery, San Francisco, CA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.