Exos | Formerly Core Performance

Set Your Fitness Goals. We'll Help You Achieve Them.

Join for free and you'll gain instant access to our tracking and reporting tools, expert coaching tips, and a free trial to our personalized training and nutrition programs.

Core Knowledge

Injury/Pain

All About Golfer's Elbow

Overview

While many people are familiar with tennis elbow, golfers, baseball pitchers, tennis players and javelin throwers can suffer from something similar, albeit less common, called golfer’s elbow.

The medical term for golfer’s elbow is medial epicondylitis. Also called pitcher’s elbow, golfer’s elbow is a form of tendonitis—an inflammation of the tendons in the forearm flexor muscles where they insert into the bony, knobby, inside part of the elbow. It typically affects the right arm in righthanders and the left arm and elbow among lefthanders.

How It Happens

The most common cause is overuse, but golfer’s elbow may also result from direct trauma, such as the club head coming to an abrupt stop after hitting a rock or root. As a result, the muscles and tendons that control the fingers and wrist are damaged. The injury is more frequently caused by extreme force or repetitive movements of the wrist and fingers, both of which cause the tendon to be pulled away from the point of insertion into the bone. Apart from sports, the injury could happen during painting, hammering, typing, or any other repetitive activity that involves the hands, wrists or arms.

By the Numbers

10%
Overuse elbow injuries that are caused by medial epicondylitis

12%
Cases of golfer's elbow that require surgery

20-49
The age range of people most likely to get golfer’s elbow

Who's at Risk

As the name suggests, it's often golfers who get golfer’s elbow, as do baseball pitchers, throwers, tennis players, weightlifters, and any athlete over the age of 35. Men are more likely to have the condition than women.

Symptoms

  • Gradual onset of symptoms
  • Mild discomfort when bending or straightening the elbow
  • Increasing soreness or stiffness during or after play or practice
  • Pain when shaking hands, holding a briefcase, turning a doorknob, or performing any hand movements that involve lifting or grabbing
  • Grip and wrist weakness
  • Tingling sensation in one or more fingers

Initial Treatment

Golfer’s elbow is easy to treat in some athletes, but very difficult to treat in others. The standard early treatment includes:

  • Apply ice packs for 15-20 minutes, 3-4 times a day.
  • Rest until the symptoms have disappeared.
  • Aspirin, ibuprofen, and naproxen may relieve pain and reduce inflammation.
  • Get medical help if symptoms persist for two weeks.

Comeback Strategy

Recovery time ranges from a few days to six weeks. Once the pain has diminished, begin stretching and strengthening exercises for the forearms and wrists, including:

  1. Wrist flexion
  2. Wrist extension
  3. Wrist rotation
  4. Handwalks
  5. Forearm flexion and extension stretch
  6. Wrist flexion curl
  7. Wrist extension curl
  • If pain continues, get an evaluation from a sports medicine physician.
  • Prescribed pain and anti-inflammatory medications (aspirin, ibuprofen, naproxen)
  • Possible reference to a physical therapist for further strength and flexibility training.
  • Surgery in rare cases to repair bone fragments that have separated from the inner part of the elbow.
  • After surgery, several weeks will be needed before returning to vigorous activities involving the arm and elbow.

How to Avoid This Injury

  • Maintain strong forearms and wrists with a systematic program of strength and range of motion exercises, including wrist and forearm flexion and extension stretches and curls.
  • Squeeze a tennis ball to increase grip and forearm strength.
  • Incorporate these movement prep exercises into your warm-up routine:
  1. Forearm flexion and extension stretch
  2. Wrist rotation
  3. Handwalks
  4. Wrist flexion curl
  5. Wrist extension curl
  • Increase the grip size of your golf clubs or tennis racquets
  • Use clubs or racquets with flexible shafts.
  • Don’t grip the golf club or tennis racquet too tightly.
  • Do not increase the intensity, frequency, or duration of training more than 10 percent a week.
  • At the earliest signs of pain, cut back on training or competition.
  • Ask a certified golf professional to assess your grip and swing to ensure proper technique.

Jim Brown, Ph.D. has written 14 books on health, medicine, and sports. His articles have appeared in the Washington Post, New York Post, Sports Illustrated for Women and Better Homes & Gardens. He also writes for the Duke School of Medicine, UCLA School of Medicine, Cleveland Clinic and Steadman-Hawkins Research Foundation.


Tags: Injury, Prehab, Elbow Pain, Golf, Elbow, Injury Prevention, Sports Performance

References

  1. Sue Falsone PT, MS, SCS, ATC, CSCS, Director of Performance Physical Therapy, Athletes’ Performance
  2. Allegheny Orthopaedic Associates
  3. Georgia Tech Sports Medicine & Performance Newsletter
  4. International Orthopaedics
  5. Mount Sinai Medical Center

Related

Comments