October 2022

Medial Epicondylitis (aka Golfer’s Elbow)

     Medial Epicondylitis is a common condition that effects many people.  Cases present as pain located at the inner elbow.  This location is the attachment site for many of the tendons giving rise to muscles in the forearm.  When these tendons become inflamed it is referred to as medial epicondylitis.  Complications can arise when the inflamed tendon tissue puts pressure directly on the ulnar nerve, entrapping the nerve and causing irritation and nerve symptoms along the length of the nerve.  

The following symptoms can occur:
  • Pain and tenderness at the medial elbow
  • Stiffness and trouble fully extending the elbow
  • Weakness when gripping 
  • Numbness or tingling in the elbow, wrist, or fingers (commonly involving the ring and/or pinkie finger)
     The injury is due to overuse of wrist and forearm muscles or repetitive overuse with improper form.  Many sports involving a club or racket can elicit symptoms of the condition (ie. golf and tennis).  Certain occupations requiring use of handheld tools that require gripping and twisting movements may also cause symptoms.  The condition can present in carpenters, plumbers and electrician who work with tools in small, narrow spaces.  

     Medial epicondylitis can be diagnosed through orthopedic and peripheral nerve testing and can be treated conservatively in the office.  There are ART protocols specific to releasing entrapments of the ulnar nerve and others to improve tissue quality and biomechanics of the forearm musculature and the tendon involved.  Other techniques, such as instrument assisted tissue scraping and home exercises and load management techniques may also be utilized to compliment the ART protocols.  Treatment will focus on helping lessen the symptoms, heal and sometimes regenerate degenerated tissue of the involved medial elbow anatomy and ultimately strengthening to prevent reoccurrence.  

Active Performance Chiropractic focuses on the diagnosis, treatment, and rehabilitation of athletic-related injuries.  Treatment is a unique blend of Active Release Techniques®, traditional chiropractic therapy, and physical rehabilitation designed to match each patient’s goals and lifestyle.