Epicondylitis, commonly known as Golfer’s Elbow (Medial Epicondylitis) and Tennis Elbow (Lateral Epicondylitis), is a condition characterised by pain and inflammation of the tendons that join the forearm muscles on the outside or inside of the elbow. The condition stems from the overuse of muscles and tendons in the forearm, leading to strain and microtears.
Golfer’s Elbow affects the tendons attached to the medial epicondyle, the inner part of the elbow, whereas Tennis Elbow impacts the lateral epicondyle, the elbow’s outer part. Despite their names, these conditions are not limited to golfers and tennis players, and can occur in anyone engaging in activities involving repetitive arm, elbow, and wrist use.
The primary symptoms of Golfer’s / Tennis Elbow revolve around pain and discomfort in the elbow region.
Pain might extend along the forearm, worsening with certain movements such as lifting, gripping, or twisting motions. In some cases, the discomfort can radiate down to the wrist.
Individuals may experience stiffness in the elbow, particularly in the morning or after periods of inactivity.
There might be a noticeable weakness in the hands and wrists, making tasks such as opening jars or gripping objects challenging.
Some individuals report a sensation of numbness or tingling, usually extending into the fingers, typically a sign of nerve involvement.
In some cases, especially with prolonged irritation or injury, there can be swelling around the elbow joint.
Advanced cases of Golfer’s / Tennis Elbow may lead to a reduction in the range of motion in the elbow joint, affecting daily activities.
The development of Golfer’s / Tennis Elbow can be attributed to the following causes and risk factors:
Diagnosing Golfer’s / Tennis Elbow involves a series of steps undertaken by a healthcare professional to accurately identify the condition and rule out other potential causes of elbow pain.
This involves the use of medications such as Non-Steroidal Anti-Inflammatory Drugs (NSAIDs), opioids, and other specialised medications designed for pain management. The type and dosage are tailored to the individual’s condition and medical history.
Minimally invasive treatments aim to effectively relieve common pain conditions by targeting pain sources.
For chronic pain conditions originating from spinal issues, Neurospan can be performed by our team of pain specialists from Singapore Paincare Center.
Preventing Golfer’s / Tennis Elbow involves strategies aimed at reducing the stress and strain on the muscles and tendons of the forearm and elbow:
Consult one of our doctors today for a detailed consultation & personalised treatment plan.
Golfer’s / Tennis Elbow is caused by overuse of the forearm muscles, leading to pain and tenderness around the elbow joint. Golfer’s Elbow affects the inner side, whereas Tennis Elbow affects the outer side of the elbow.
While it is more common for these conditions to affect one arm, they can indeed affect both arms, especially in individuals who engage in repetitive activities that strain both arms equally.
Diagnosis typically involves a medical history review, a physical examination, and specific tests designed to elicit pain in the affected tendons. Imaging tests like X-rays or MRIs may be used to rule out other conditions.
Treatment usually starts with rest, ice therapy, NSAIDs, and physical therapy. Braces or straps might be used for support. In instances of prolonged symptoms, alternatives like Coreflex or Platelet-rich Plasma (PRP) injections are considered. Surgery is considered when non-surgical treatments are ineffective.
Most patients recover with non-surgical treatment within several weeks to a few months. Surgical recovery may take longer, requiring extensive physical therapy.
Yes, exercises focusing on strengthening and stretching the forearm muscles can help prevent these conditions. Performing these exercises regularly can help, especially if engaging in high-risk activities.
Surgery is considered when pain persists for 6-12 months despite non-surgical treatment, and it affects daily activities. The decision for surgery is based on a thorough evaluation by a healthcare provider.
Yes, there is a possibility of recurrence, especially if the individual returns to the activities that caused the condition without proper preventative measures or modifications.
Continuing activities that exacerbate the condition is not recommended until pain and inflammation are adequately managed. Gradual reintroduction of activities, along with proper technique, supportive devices, and exercises, can help safely resume sports or other activities.
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