QT Pathologies (EN)
The "flexor/pronator" muscles originate off of a bony prominence of the humerus (arm bone) called the medial epicondyle, and so this condition is also called "medial epicondylitis". With medial epicondylitis, there is degeneration of the tendon's attachment, weakening the anchor site and placing greater stress on the area.
- Anatomy images courtesy and copyright of Primal Pictures Ltd – www.primalpictures.com
It can be caused by repeated swinging stress to the elbow, and may result from many other non-golfing activities, such as heavy lifting and hammering.
Lateral epicondylitis, on the outer side of the elbow, is also commonly seen in golfers from repeated strain to the lead arm, similar to hitting backhands in tennis (see Epicondylitis section).
The epitrochleitis (golfer's elbow) is a painful tendonitis on the inner aspect of the elbow at the origin of the "flexor/pronator" muscles.
Golfer's elbow or medial epicondylitis is easily diagnosed by the history and clinical examination which revealed a local pain at the medial epicondyle.
Radiography is used to rule out any fracture or larger problem such as osteoarthritis.
Both these conditions are usually first treated with rest, a physical therapy program of muscle stretching and strengthening, and non-steroidal anti-inflammatory medicines. If these initial treatments fail, cortisone injections may be used at the discretion of your doctor.
In a small percentage of patients, non-operative treatment is unsuccessful, and a surgical procedure that entails removal of the degenerated part of the tendon and possible tendon repair may be recommanded.
During your consultation, Dr. D'Agostino will discuss the current treatment options and can help you choose the best treatment based on your particular case.