Golfer's Elbow (Medial Elbow Tendinopathy)
Understanding Golfer's Elbow
Medial elbow tendinopathy, or Golfer’s Elbow, is a degenerative condition affecting the flexor-pronator tendons at their origin on the medial epicondyle — the inner bony prominence of the elbow. Like tennis elbow, it is more common in manual workers, tradespeople, and keyboard users than in golfers. The ulnar nerve runs adjacent to the medial epicondyle and may also be involved.
Causes
- Repetitive wrist flexion and forearm pronation.
- Occupational overuse – golf, climbing, plumbing, carpentry, and data entry.
- Sudden forceful gripping or throwing.
- Weak forearm flexor muscles.
- Poor grip technique in sport or manual work.
Symptoms
- Pain and tenderness on the inner elbow.
- Pain radiating down the inner forearm.
- Weakness of grip and wrist flexion.
- Pain with gripping, turning, or forearm rotation.
- Morning stiffness in the elbow.
- Occasional tingling in the ring and little fingers if the ulnar nerve is involved.
Treatment
- Progressive eccentric forearm flexor strengthening.
- Manual therapy and soft tissue treatment.
- Activity modification and load management.
- Bracing for temporary symptom relief.
- Ergonomic assessment and technique correction.
Rehabilitation & Exercise
- Eccentric wrist flexor curls – the primary tendon rehabilitation exercise.
- Eccentric wrist extensor curls – for forearm balance.
- Wrist flexor and extensor stretching – to improve flexibility and reduce tendon stress.
- Grip strengthening – as symptoms allow.
- Activity and load modification guidance – to support recovery and prevent recurrence.
Specialist & Regenerative Medicine Options
- Platelet Rich Plasma (PRP) Therapy – ultrasound-guided PRP injection into the medial epicondyle tendon supports collagen repair.
- Dry Needling under Ultrasound (Tenotomy) – image-guided needling of degenerate tendon fibres stimulates healing.
- High-Volume Injection (HVI) – to address abnormal tissue changes.
- Prolotherapy – to support the medial epicondyle enthesis.
- Corticosteroid Injections – used selectively for acute pain management.
- Peptide Therapy – where clinically appropriate following individual assessment. A valid prescription is required.
Important: All specialist consultations, prescription treatments, and injectable procedures are subject to individual clinical assessment by a registered medical practitioner. Suitability, benefits, and risks will be discussed at your consultation. No outcomes are guaranteed. Prescription medicines are only available following appropriate medical review in accordance with TGA and AHPRA requirements. Exercise programs should be performed only as directed by your Healthweave clinician. Exercise images © CPDO / Educom Pty. Ltd. — used under licence.