Medial Epicondylitis (Golfer’s Elbow)

What is medial epicondylitis?

Medial epicondylitis, commonly known as golfer’s elbow, is a painful condition caused by inflammation of the tendons that connect the forearm muscles to the medial epicondyle, a bony prominence on the inner side of the elbow. This condition is similar to lateral epicondylitis (tennis elbow), but it affects the inner part of the elbow. It is often the result of repetitive movements or overuse of the elbow joint, typical of sports like golf, but also of other occupational or recreational activities.

Symptoms:
The main symptoms of medial epicondylitis include pain and tenderness on the inner side of the elbow, which may radiate down the forearm. Pain can worsen with forearm use, especially during twisting motions, gripping, or wrist flexion. Other symptoms may include weakness in the forearm and difficulty performing precise movements or lifting objects.

Causes:
The causes of medial epicondylitis are often linked to repetitive movements and excessive strain on the forearm and elbow. Athletes, especially golfers, are at risk, but the condition can also affect individuals in manual professions such as carpenters, plumbers, and musicians. Aging may also contribute, as tendons become less flexible and more prone to injury over time.

Diagnosis:
Diagnosis is made through a detailed physical examination of the elbow and forearm. The physician may perform specific tests to assess pain and muscle weakness. Imaging studies such as X-rays or magnetic resonance imaging (MRI) may be requested to rule out other conditions and confirm the diagnosis.

Treatments:
Treatment for medial epicondylitis may include conservative options or, in more severe cases, surgical intervention. Conservative treatments include rest, ice application, use of elbow braces, and physical therapy to improve strength and flexibility of the forearm muscles. Nonsteroidal anti-inflammatory drugs (NSAIDs) can be used to relieve pain and reduce inflammation. In some cases, corticosteroid injections may be helpful in reducing inflammation and pain.

If symptoms persist despite conservative treatment, surgery may be required to remove damaged tissue and repair the affected tendons. Surgery for medial epicondylitis is usually minimally invasive and can be performed on an outpatient basis.

At Handclinic, under the care of Dr. Marco Guidi, we use advanced technologies and a personalized approach to diagnose and treat medial epicondylitis, helping our patients restore elbow function and return to their daily activities pain-free.