Specialized Elbow Care in Colorado Springs

Golfer's Elbow

Colorado Springs Orthopaedic Group

Your elbow connects the upper and lower arm and plays an important role in lifting, reaching, gripping, and other everyday movements. Elbow injuries and conditions can result from sports, repetitive use, trauma, arthritis, or problems affecting the tendons, nerves, and surrounding tissues.

At CSOG, our specialists provide comprehensive care for a wide range of elbow conditions, including tendon injuries, nerve compression, instability, arthritis, fractures, and sports-related injuries. Treatment is based on your diagnosis and may range from conservative care and physical therapy to injections, minimally invasive procedures, and surgery.

Our goal is to identify the source of your elbow problem and provide an individualized treatment approach that helps relieve pain, restore movement and strength, and return you to your normal activities.

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What is Elbow Anatomy?

The elbow is a joint made up of three bones: the upper arm bone, the humerus, and the two forearm bones, the radius and ulna. The lower end of the humerus has bony bumps called epicondyles that serve as sites of attachment for major tendons and muscles that help in arm movement. The bump on the inside of the elbow is called the medial epicondyle. It helps in the attachment of the tendons and muscles that help extend your fingers and wrist.

What is Golfer’s Elbow?

Golfer’s elbow, also called medial epicondylitis, is a painful condition occurring from repeated muscle contractions in the forearm that leads to inflammation and microtears in the tendons that attach to the medial epicondyle.

Golfer’s elbow and tennis elbow are similar, except that golfer’s elbow occurs on the inside of the elbow and tennis elbow occurs on the outside of the elbow. Both conditions are a type of tendonitis - inflammation of the tendons.

What Causes Golfer’s Elbow?

Golfer’s elbow is usually caused by the overuse of the forearm muscles and tendons that control wrist and finger movement, but may also be caused by direct trauma such as a fall, car accident or work injury.

Golfer’s elbow is commonly seen in golfers; hence the name. It occurs especially when poor technique or unsuitable equipment is used when hitting the ball. Other common causes include any activity that requires repetitive motion of the forearm such as painting, hammering, typing, raking, pitching sports, gardening, shoveling, fencing and playing golf.

What are the Signs and Symptoms of Golfer’s Elbow?

The signs and symptoms of golfer’s elbow can include the following:

• Elbow pain that appears suddenly or gradually
• Achy pain to the inner side of the elbow during activity
• Elbow stiffness with decreased range of motion
• Pain that radiates to the inner forearm, hand or wrist
• Weakened grip
• Increased pain while gripping objects
• Increased pain in the elbow when the wrist is flexed or bent forward toward the forearm

How is Golfer’s Elbow Diagnosed?

Your doctor will review your medical history and perform a thorough physical examination of your elbow joint. Your physician may order an X-ray to rule out a fracture or arthritis as the cause of your pain. Occasionally, if the diagnosis is unclear, further tests such as MRI, ultrasonography and injection test may be ordered to confirm golfer’s elbow.

What are the Treatment Options for Golfer’s Elbow?

Conservative Treatment Options for Golfer’s Elbow

Your physician will recommend conservative treatment options to treat the symptoms associated with golfer’s elbow. These may include the following:

• Activity restrictions: Limit the use and rest your arm from activities that worsen symptoms.
• Orthotics: Splints or braces may be ordered to decrease stress on the injured tissues.
• Ice: Ice packs applied to the injury will help reduce swelling and pain. Ice should be applied over a towel to the affected area for 20 minutes, four times a day for a couple of days. Never place ice directly over the skin.
• Medications: Anti-inflammatory medications and/or steroid injections may be ordered to treat the pain and swelling.
• Occupational therapy: OT may be ordered for strengthening and stretching exercises once your symptoms have reduced.
• Pulsed ultrasound: This is a treatment used by therapists to break up scar tissue and increase blood flow to the injured tendons and promote healing.
• Professional instruction: Consulting a sports professional to assess and instruct in proper swing technique and appropriate equipment may be recommended to prevent recurrence.

Surgery for Golfer’s Elbow

If conservative treatment options fail to resolve the condition and symptoms persist for 6 - 12 months, your surgeon may recommend surgery to treat golfer’s elbow. The goal of surgery is to remove the diseased tissue around the inner elbow, improve blood supply to the area to promote healing and alleviate the symptoms.