Medical information for patients

Golfer's Elbow (Medial Epicondylitis)

Golfer's Elbow or Medial Epicondylitis is a condition in which the inner part of the elbow becomes painful and tender, usually as a result of a specific strain, overuse, or a direct bang. Sometimes no specific cause is found.

Golfer's Elbow is similar to Tennis Elbow which affects the other side of the elbow.


The inner part of the elbow is painful and tender to touch. Movements of the elbow hurt, as do movements which involve lifting with the hand underneath, palm upwards.


Although called golfer's elbow, medial epicondylitis is much more commonly seen in people who are over using their arm doing something else.

The most common cause is overuse of the muscles that are attached to the bone at this part of the elbow. That is to say, the muscles which pull the palm of the hand towards the arm (the wrist flexors). All the flexor muscles of the hand attach to the elbow at the inner part (the medial epicondyle). If they are strained or overused they become inflamed, which means they are swollen, painful, and tender to touch.

Sometimes the inflammation is caused by a direct injury or bang. Sometimes, especially when the cause is direct injury or strain, the muscles are actually partially torn.

Rarely the inflammation comes on without any definite cause, and this may be due to an arthritis, rheumatism or gout. Sometimes the problem is partly or completely due to a neck problem, which is causing pain in the elbow via the nerves from the neck.


Your doctor or physiotherapist will test for tenderness over or near to the bony bump on the inside of the elbow. He or she will also test to see whether the pain gets worse when you bend the palm towards the arm (flex the wrist) against resistance. In the event of both these signs being present, it is likely that you have golfer's elbow.

Your doctor may also examine your neck, as this may be the cause or part of the problem. After all, many of the things that might strain your elbow might also put a strain on your neck.


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