What is Golfer’s Elbow?
Golfer’s elbow is an injury to the muscles that flex your wrist and fingers. The site of injury is typically the medial epicondyle, a bony bump on the inside of the elbow where these muscles attach.
Golfer’s Elbow Symptoms?
Typically the golfer’s elbow sufferer will experience pain when performing gripping tasks or resisted wrist/finger flexion. Pain can also be present when the muscles overstretch. There will be tenderness directly over the bony epicondyle, and there may be trigger points in the wrist flexor muscles.
Some sufferers will also have neck stiffness and tenderness, as well as signs of median nerve irritation. Most elbow movements will be pain-free. Gripping is painful.
What Causes Golfer’s Elbow?
Golfer’s elbow is caused by damaged muscle tissue at the point it anchors to the arm bone at the elbow. It occurs when more force is applied to an area than the average healthy tissues can handle.
In some cases, such as Chronic Golfer’s Elbow, this can occur due to the soft tissues being in poor health, which are easily injured. Inflammation follows the injury, which leads to swelling and elbow pain.
What Causes Chronic Golfer’s Elbow?
Chronic Golfer’s Elbow is associated with degenerative changes in the muscle tissues located at the medial epicondyle. While there may be inflammation early in the injury cycle, the swelling resolves, yet the pain remains. Chronic Golfer’s Elbow is NOT due to INFLAMMATION!
How is Golfer’s Elbow Diagnosed?
Your physiotherapist or doctor clinically diagnoses your golfer’s elbow. After listening to your injury history and using some confirmatory clinical tests, they’ll make a provisional diagnosis of Golfer’s Elbow.
An ultrasound scan or MRI are the best tests to identify any tendon tears or inflammation. X-rays are of little diagnostic benefit.
Referred Pain Can Mimic Golfer’s Elbow
A significant percentage of golfer’s elbow sufferers may feel pain in the medial elbow, but not be experiencing golfer’s elbow. There is a high incidence of referred medial elbow pain from a cervical spine (neck) injury. The most common neck joint that relates to your medial elbow is C67, which transmit their pain signals along the median nerve.
Your median nerve may also have reduced neural mobility, which can cause symptoms similar to golfer’s elbow.
Please have your neck and upper limb neurodynamics assessed by your experienced physiotherapist. They will confirm or exclude any neck dysfunction or neural tension. Failure to do so will result in a lack of symptom improvement and the development of chronic golfer’s elbow pain syndrome.
Who Suffers Golfer’s Elbow?
Golfer’s elbow occurs commonly in the community. It is present in golfers. Repetitive manual trades where gripping is involved also suffer. It can occur at any age. The most common age for golfers elbow is generally between the ages of 35 and 50.
Predictably, the side affected is usually associated with handedness, but it can occur in the non-dominant arm. Males and females are affected equally.
Golfer’s Elbow Treatment
Physiotherapy effective in the short and long-term management of Golfer’s Elbow. Physiotherapy aims include:
- A reduction of elbow pain.
- Facilitation of tissue repair.
- Full joint range and function.
- Adequate muscle length, strength and movement patterns.
- Normal upper limb neurodynamics.
- Normal cervical joint function.
Physiotherapy treatment may include gentle joint mobilisation of your neck and elbow joints. Protective strapping, muscle stretches, neural mobilisations, massage and strengthening are other options. In some instances, a Golfer’s Elbow Brace (which is a tennis elbow brace worn on the opposite side of the elbow) may be beneficial.
Your physiotherapist will discuss what treatment options are most suitable for you.
How Can A Tennis Elbow Brace Help Golfer’s Elbow?
A tennis elbow brace can be beneficial from the moment you put it on for both golfer’s elbow and tennis elbow. In these instances, the elbow brace will dissipate the stressful gripping forces away from your injured structures.
However, tennis elbow braces do not work in 100% of cases. In our experience, we recommend that you seek physiotherapy assistance in these cases. In stubborn cases, you have a very high likelihood of referred symptoms from your spine or joint position abnormalities within your elbow. Only a thorough examination of your neck, shoulder, elbow and upper limb nerve structures will confirm your diagnosis and direct which treatment options will assist you the quickest.
What is Your Golfer’s Elbow Prognosis?
Untreated golfer’s elbows can last anywhere from 6 months to 2 years. You are also prone to recurrence. Studies have shown physiotherapy to be an effective way of managing golfer’s elbow when compared to steroid injections or giving of advice alone.
For more advice about Golfer’s Elbow, please ask your physiotherapist.
Elbow PainPlease visit the links below for some of the more common sources of elbow pain.
Elbow-related Arm Pain
Neck-related Arm Pain
Muscle-related Arm Pain
- DOMS - Delayed Onset Muscle Soreness
- Muscle Strain (Muscle Pain)
- RSI - Repetitive Strain Injury
- Overuse Injuries
Other Sources of Arm Pain
Common Treatments For Elbow PainWith accurate assessment and early treatment, most elbow pain responds extremely quickly to physiotherapy that will allow you to quickly resume pain-free and normal activities of daily living. Some conditions may require diagnostic investigations such as X-rays, ultrasound, MRI or CT scan. Fractures, dislocations and some severe or chronic injuries may require surgical opinion and/or interventionPlease ask your physiotherapist for their professional treatment advice.
- Early Injury Treatment
- Avoid the HARM Factors
- What to do after a Muscle Strain or Ligament Sprain?
- Acupuncture and Dry Needling
- Sub-Acute Soft Tissue Injury Treatment
- Scapular Stabilisation Exercises
- Closed Kinetic Chain Exercises
- Biomechanical Analysis
- Agility & Sport-Specific Exercises
- Soft Tissue Massage
- Brace or Support
- Dry Needling
- Electrotherapy & Local Modalities
- Heat Packs
- Joint Mobilisation Techniques
- Kinesiology Tape
- Strength Exercises
- Stretching Exercises
- Supportive Taping & Strapping
- TENS Machine