Medial Epicondylalgia (Golfer's Elbow)

Question 1

What is medial epicondylalgia

Answer 1

> tendinopathy of the flexors/pronators

usually involves Pronator Teres and FCR so possible irritation of ulnar nerve = 20% of cases

Question 2

Risk Factors

Answer 2

> Age: 40’s - 60’s
Female
golf or manual work

Question 3

Clinical Presentation

Answer 3

> Pain on medial aspect of elbow (tender to palpate)
Aggs:
- resisted/repeated wrist flexion/ forearm pronation
- valgus stress
- stretching of tendons
- throwing/gripping
Reduced grip strength

Question 4

Management

Answer 4

> Physiotherapy
 - Load management
 - Exercise
 - Taping/bracing
 - Education
> NSAIDS
> Corticosteroid injection
> Shockwave therapy
> Surgery