Causative & risk factors
Golfer’s elbow occurs due to repetitive use of the muscles which causes inflammation of its tendons. It commonly occurs in those who play golf often. It is also seen in other sports involving the use of racquets, softball, football, archery or improper weight training.
Clinical presentation
The inner aspect of the elbow becomes painful and tender. The pain may worsen on doing certain activities such as swinging, squeezing, picking up, turning something or even shaking hands. The affected hand may feel weak and stiff. One may also experience numbness in the ring and little fingers of the affected side.
Investigations
The diagnosis is done on the basis of the symptoms narrated by the patient and physical examination. An X-ray or MRI may be advised.
Treatment
Conservative treatment is usually sufficient for Golfer’s elbow. The affected upper extremity must be rested with application of intermittent ice packs. Supportive braces or straps may be used. Physical therapy is suggested in order to aid recovery.
Application of anti inflammatory gels is advised. Oral painkillers may be taken if necessary. In cases with severe pain, cortisone injections can be administered.
By use of conservative treatment mode if recovery does not occur in 6-12 months, then surgery is suggested. It can be performed as an open or arthroscopic procedure. The surgery entails removal of the damaged muscle and reattachment of the tendon.
Recent updates
A recent study suggests that performing a simple home exercise known as ‘Reverse Tyler twist’ is beneficial in patients with Golfer’s elbow.
