Medial Epicondylitis

Medial epicondylitis, also known as golfer's elbow, is a medical condition that affects the tendons and muscles of the forearm, causing pain and discomfort on the inner aspect of the elbow.

Causes and Risk Factors

Medial epicondylitis is typically caused by repetitive strain or overuse of the flexor muscles of the forearm, which attach to the medial epicondyle of the humerus. This can occur due to various activities such as:

• Golfing
• Throwing sports
• Racquet sports
• Weightlifting
• Repetitive manual labor

Symptoms

The symptoms of medial epicondylitis may include:

• Pain and tenderness on the inner aspect of the elbow
• Pain that radiates down the forearm
• Weakness or stiffness in the wrist and hand
• Numbness or tingling sensation in the fingers
• Pain when gripping or twisting objects

Diagnosis

Medial epicondylitis is typically diagnosed based on a physical examination and medical history. The doctor may perform various tests, including:

• Palpation of the medial epicondyle to assess tenderness
• Range of motion testing to evaluate flexibility and strength
• Resisted wrist flexion test to assess pain and weakness
• Imaging studies such as X-rays or MRI may be ordered to rule out other conditions

Treatment Options

The treatment of medial epicondylitis typically involves a combination of conservative measures, including:

• Rest and ice to reduce pain and inflammation
• Physical therapy to improve flexibility and strength
• Bracing or splinting to support the elbow and wrist
• Pain relief medications such as NSAIDs or corticosteroid injections
• Surgery may be considered in severe cases where conservative treatment fails

Prevention

To prevent medial epicondylitis, it is essential to:

• Warm up and stretch before engaging in physical activities
• Use proper technique when performing sports or manual labor
• Avoid repetitive strain and overuse of the forearm muscles
• Strengthen the flexor muscles through exercises and physical therapy