Medial Epicondylitis, also known as Golfer’s Elbow, is a condition caused by repetitive strain on the forearm muscles, particularly those involved in gripping and wrist flexion. While it is commonly associated with golf, it also affects individuals who engage in repetitive hand tasks — including mechanics, cleaners, manual workers, and athletes in sports such as tennis, badminton, or bowling.
Stages of Golfer’s Elbow
Early Stage (Inflammatory Phase)
- Pain appears after activity but improves with short periods of rest
- Discomfort tends to return with repeated use
- Can often be managed effectively with early intervention
Later Stage (Degenerative Phase)
- Pain persists during and after activity
- Daily tasks such as turning a doorknob or brushing teeth may become painful
- Without treatment, symptoms may worsen and impact quality of life
Causes of Golfer’s Elbow Pain
The condition arises from overuse of the wrist flexor-pronator group, a set of muscles that attach to a common tendon on the inner elbow. Repetitive stress or improper technique can overload this area, leading to inflammation or degeneration of the tendon. Without adequate rest or treatment, the tendon’s capacity to withstand everyday loads diminishes, resulting in persistent pain.
Common Signs and Symptoms of Golfer’s Elbow
- Pain or discomfort during gripping, twisting, or lifting activities
- Tenderness over the inner aspect of the elbow
- Weakness in the forearm or hand
- Stiffness or a dull ache extending into the forearm
How can a Physiotherapist help for Golfer’s Elbow?
Physiotherapy plays a central role in both relieving symptoms and addressing the root cause of Golfer’s Elbow. Based on the stage and severity of the condition, our team of physiotherapists will design an individualised treatment plan which may include:
- Activity modification to reduce strain on the elbow
- Manual therapy to improve mobility and reduce muscle tension
- Therapeutic modalities such as ultrasound or electrotherapy for pain relief
- Targeted strengthening exercises, with an emphasis on eccentric training of the forearm muscles — considered the gold standard for tendon rehabilitation
In addition, your physiotherapist may provide guidance on ergonomic adjustments and techniques to prevent recurrence. Consistent follow-through with the prescribed programme is essential for a full and sustainable recovery.
Frequently Asked Questions on Golfer’s Elbow
In most cases, no referral is needed to consult a physiotherapist. Early physiotherapy intervention can prevent the condition from worsening and reduce the likelihood of requiring further medical intervention.
Recovery time varies depending on the severity and duration of the condition. With consistent physiotherapy, most patients experience significant improvements within 6–8 weeks. Chronic cases may require a longer rehabilitation period.
It depends on the severity. Your physiotherapist will likely modify or restrict certain activities that aggravate your elbow, while recommending safe exercises to maintain fitness and promote healing.
It can, especially if the underlying causes like poor technique or muscle imbalances aren't addressed. Physiotherapy not only treats the pain but focuses on long-term prevention through strengthening, education, and activity modification.
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