Golfer’s Elbow: Causes, Symptoms, Treatment, and Prevention

Introduction

Golfer’s elbow, medically known as medial epicondylitis, is a common overuse injury that affects the tendons on the inner side of the elbow. Despite its name, this condition can afflict not only golfers but anyone who repeatedly performs gripping or wrist-flexing motions. In this article, we will explore the causes, symptoms, treatment options, and preventive measures for golfer’s elbow.

Causes of Golfer’s Elbow

Golfer’s elbow typically develops due to repetitive stress on the forearm muscles and tendons. The primary causes include:

  1. Repetitive Motion: Activities that involve repetitive wrist flexion and gripping, such as golf swings, tennis strokes, weightlifting, and even activities like typing or using a computer mouse, can lead to golfer’s elbow over time.
  2. Overuse: Engaging in these activities excessively or without proper technique can strain the tendons, leading to microtears and inflammation at the medial epicondyle (the bony bump on the inner side of the elbow).
  3. Age: As individuals age, their tendons become less flexible and more susceptible to injury, making older adults more prone to golfer’s elbow.

Symptoms of Golfer’s Elbow

The most common symptoms of golfer’s elbow include:

  1. Pain: Persistent pain on the inner side of the elbow, which may radiate down the forearm.
  2. Weakness: Weakness in the affected arm, particularly when gripping or lifting objects.
  3. Stiffness: Stiffness and limited range of motion in the elbow joint.
  4. Tenderness: Tenderness or swelling at the site of the injury, often exacerbated by pressing on the inner elbow.

Treatment Options

  1. Rest and Activity Modification: The first step in treating golfer’s elbow is to rest the affected arm and avoid activities that worsen the pain. This may involve modifying or temporarily discontinuing sports or repetitive tasks.
  2. Ice and Compression: Applying ice and using compression can help reduce inflammation and alleviate pain. Use a cold pack for 15-20 minutes several times a day.
  3. Anti-Inflammatory Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) can help manage pain and reduce inflammation when used under a doctor’s guidance.
  4. Physical Therapy: A physical therapist can design exercises to strengthen the forearm muscles and improve flexibility. They may also employ techniques such as ultrasound or massage to promote healing.
  5. Bracing: Wearing a brace or splint can provide support and limit stress on the injured tendons, aiding in the healing process.
  6. Corticosteroid Injections: In severe cases, a doctor may recommend corticosteroid injections to reduce inflammation and pain.
  7. Shockwave Therapy: This non-invasive treatment uses high-energy sound waves to stimulate healing in the affected area.
  8. Platelet-Rich Plasma (PRP) Therapy: PRP therapy involves injecting a concentration of a patient’s own platelets into the injured area to promote tissue repair.

Preventive Measures

Preventing golfer’s elbow primarily involves taking steps to reduce the risk of overuse and strain:

  1. Proper Technique: Whether it’s a sport or a work-related task, ensure you use proper form and technique to avoid placing excessive stress on the elbow.
  2. Warm-Up: Always warm up before engaging in activities that involve repetitive arm movements.
  3. Strength and Flexibility Exercises: Incorporate exercises that target forearm strength and flexibility into your fitness routine.
  4. Ergonomics: If your job involves repetitive tasks, consider ergonomic adjustments to reduce strain, such as using an ergonomic keyboard and chair.
  5. Rest and Recovery: Allow your body sufficient time to recover between strenuous activities.

Conclusion

Golfer’s elbow is a common condition that can cause discomfort and limit your ability to perform daily tasks and recreational activities. By understanding its causes, recognizing the symptoms, and implementing preventive measures, you can reduce your risk of developing golfer’s elbow. If you do experience symptoms, seeking prompt treatment and following a rehabilitation plan can help you recover and regain full functionality in your elbow. Always consult a healthcare professional for a proper diagnosis and personalized treatment recommendations.

Curing Pain with Platelet Rich Plasma

In the 21st century it’s all about growth factors, stem cells, and methods to repair and regenerate injured body parts. For these biologic therapies we use Platelet Rich Plasma – PRP which contain the body’s growth factors and stem cells. Platelet Rich Plasma (PRP) Therapy is a minimally invasive non-surgical treatment that relieves pain by promoting long lasting healing of musculoskeletal conditions.

The body’s natural reaction to an injury is to send platelets from the blood to damaged tissues to initiate healing. PRP treatment uses your own concentrated platelets and growth factors to stimulate and enhance the body’s own healing response to treat acute injury, inflammation or chronic degenerative disease.

How PRP Therapy Injections Are Done

The entire treatment, from blood draw, to solution preparation, to injection, takes 40-50 minutes. Before injections are given the skin and underlying tissue is first anesthetized to minimize the discomfort.

Step One: Blood Draw

First step in a PRP Therapy injection is to draw the patient’s blood to prepare the platelets.

Step Two: Spin To Separate PRP

The blood sample is then loaded into a centrifuge and is spun for a certain amount of time to separate the components, namely Red Blood Cells, Poor Platelet Plasma and Platelet Rich Plasma.

Step Three: Load the PRP and Inject

Once we have successfully separated the PRP (buffy coat), it can directly be loaded into a syringe for application onto the patient

Uses Of PRP Therapy

There are many applications where PRP Therapy can be very effective ranging from Pain Management to Healing Soft-tissue Injuries.  Ligament sprains and tears (Menisci, ACL, PCL, MCL, LCL), Patellar tendonitis and tendinosis, to Epicondylitis (Tennis and Golfer’s elbow), Achilles tendonitis and tendinosis, Acromioclavicular joint dysfunction and pain, Plantar fasciitis, OA of knee joint.

Since PRP is prepared from your own blood, there is no risk of rejection or disease transmission and virtually no risk of infection. This technique is Cost effective , Convenient as you don’t have to stay back at the hospital or clinic for recovery, Natural and 100% safe.

PRP injections are done in clinic and usually take about 40-50 minutes. Blood is drawn from the arm, and placed into a centrifuge, which separates the platelets and other beneficial growth factors. The platelet-rich plasma is then injected into the injured site. Patient has to wait in the clinic for another 10 – 15 minutes following which he/she can go home.