Golfer's elbow (medial epicondylitis) causes pain on the inner side of the elbow where the wrist flexor tendons attach to the bone. It develops from repetitive gripping and wrist flexion and can significantly affect hand strength and daily function.
Reviewed byProfessor Paul Lee MBBch, FRCS (Tr & Orth), PhDCartilage and joint preservation expertise
The flexor-pronator tendon group attaches to the medial epicondyle. Overload causes tendon degeneration similar to tennis elbow but on the opposite side.
We treat golfer's elbow as a tendon problem that needs biological support, not just pain management. The aim is to restore the tendon's capacity to tolerate load.
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At London Cartilage Clinic we follow a structured clinical framework across four areas of treatment. Before recommending a single procedure, we assess which combination of approaches gives you the best outcome.
Protect what you have. Slow degeneration and manage symptoms.
Fix specific damage. Torn tissue, unstable joints, structural problems.
Rebuild lost tissue. Biological treatments that stimulate new growth.
When other options are exhausted. Joint replacement as a last resort.
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Tennis elbow affects the outer elbow (lateral epicondyle) and the wrist extensor tendons. Golfer's elbow affects the inner elbow (medial epicondyle) and the wrist flexor and pronator tendons. The conditions are mirror images of each other but require different rehabilitation approaches.
Repetitive gripping, wrist flexion, and forearm rotation are the primary causes. It is common in golfers, climbers, weight lifters, and manual workers. Desk-based tasks involving repetitive mouse use can also contribute.
Yes. The ulnar nerve runs through the medial elbow close to the affected area. In some patients, medial epicondylitis is accompanied by ulnar nerve irritation, causing tingling or numbness in the ring and little fingers. This should be assessed as part of the diagnosis.
Treatment includes activity modification, eccentric strengthening exercises, PRP or mFat injection for tendon healing support, and bracing. Surgery is rarely needed but may be considered for chronic cases unresponsive to six to twelve months of structured treatment.
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