Golfer’s Elbow (Medial Epicondylitis) – Understanding Inner Elbow Tendon Pain

Overview

 

Golfer’s Elbow, medically referred to as Medial Epicondylitis, is an overuse injury that causes pain on the inner side of the elbow. It occurs when the tendons that connect the forearm muscles to the bony bump (medial epicondyle) become irritated or inflamed from repetitive wrist flexion and gripping.

Although named after golfers, this condition affects people in many professions and sports — including baseball players, weightlifters, carpenters, mechanics, and office workers who perform repetitive wrist or hand movements.

At Dr. Burke Orthopedics, we understand how elbow pain can limit your ability to work or enjoy the activities you love. Dr. Robert L. Burke and his orthopedic team provide expert care for patients across Pearland, Houston, Friendswood, and Southeast Texas, helping them regain mobility and long-term strength.

What Causes Golfer’s Elbow

 

Golfer’s Elbow results from repetitive strain or microtears in the flexor-pronator tendon group, responsible for wrist and finger flexion.

This repeated stress leads to inflammation, pain, and in severe cases, tendon degeneration.

Common causes include:

  • Repetitive gripping, throwing, or lifting motions
  • Improper technique in sports such as golf, baseball, or tennis
  • Overuse of hand tools or repetitive typing
  • Poor posture or wrist mechanics
  • Inadequate forearm strength or flexibility
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Left untreated, the tendon may weaken further, leading to chronic pain or decreased grip strength.

Symptoms

 

Golfer’s Elbow can present differently depending on severity, but common symptoms include:

  • Pain and tenderness on the inner side of the elbow
  • Pain radiating down the forearm
  • Weakness when gripping objects or making a fist
  • Stiffness or soreness after repetitive activity
  • Tingling or numbness extending into the ring and pinky fingers (if ulnar nerve involvement)
  • Discomfort after exercise or long walks.
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Diagnosis

 

Dr. Robert L. Burke performs a detailed examination to confirm the diagnosis and rule out other causes of inner elbow pain such as cubital tunnel syndrome or ulnar nerve compression.

Diagnostic methods include:

  • Physical examination: Palpation over the inner elbow and testing wrist flexion strength.
  • Functional testing: Assessing grip and forearm rotation.
  • Ultrasound imaging for dynamic evaluation of ligament integrity
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Imaging:

  • X-rays to rule out arthritis or bone spurs.
  • Ultrasound or MRI to evaluate tendon health and inflammation.
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A precise diagnosis ensures proper treatment tailored to your activity level and goals.

Treatment Options at Dr. Burke Orthopedics

 

Non-Surgical Treatments

Most cases improve significantly with conservative care. Dr. Burke’s team develops individualized plans focusing on healing, pain relief, and prevention.

Common therapies include:

  • Rest and activity modification
  • Ice and anti-inflammatory medication
  • Bracing or compression supports
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  • Stretching, strengthening, and eccentric loading exercises
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  • Regenerative injections that stimulate tendon healing
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Surgical Treatments

For chronic or severe cases unresponsive to non-surgical care, tendon release or repair surgery may be recommended.
This minimally invasive procedure removes scar tissue and restores smooth tendon movement for long-term relief.

Recovery and Prevention

Recovery timeline:

  • Non-surgical recovery: 4–6 weeks
  • Post-surgical recovery: 3–6 months, with progressive therapy
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Preventive strategies:

  • Warm up and stretch before physical activity
  • Use proper grip technique and ergonomics
  • Avoid sudden increases in repetitive workloads
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Following these guidelines can significantly reduce the risk of recurrence.

When to Seek Medical Care

  • Pain persists for more than a few weeks
  • Weakness or numbness develops in the hand
  • Elbow stiffness interferes with daily activities
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Prompt care prevents tendon degeneration and helps maintain arm strength and flexibility.

Serving Our Community

At Dr. Burke Orthopedics, our goal is to provide comprehensive orthopedic care that helps patients reclaim comfort and function. From advanced diagnostics to rehabilitation, every step of care is handled with precision and compassion.

We proudly serve Pearland, Houston, Friendswood, and Southeast Texas, helping individuals return to a pain-free, active lifestyle.

Serving Our Community

At Dr. Burke Orthopedics, our mission is to restore mobility and eliminate pain through compassionate, personalized orthopedic care.

We are proud to serve Pearland, Houston, Friendswood, and Southeast Texas — helping every patient return to a pain-free, active lifestyle.

Medical Disclaimer:

The content provided on this page is for educational purposes only and not a substitute for professional medical advice, diagnosis, or treatment. Always consult a licensed orthopedic provider for persistent pain or weakness in the elbow or forearm. Seek medical attention immediately if pain follows an injury or if numbness develops suddenly.

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