Golfer's Elbow

Golfer’s Elbow is also called Medial Epicondylitis. Medial refers to the inside of your elbow and Epicondyle refers to the bumpy part at the end of a bone on your inner and outer elbow.

Golfer’s Elbow is a term used to describe this condition, when a patient experiences extreme pain  inside of their elbow.

This pain feels worse with any movement, usually motions that involve some strength to straighten or bending their wrist.

It is not caused by a golf injury. The name is often misleading. Many patients who have Golfer’s Elbow do not play golf.

Golfer’s Elbow is more of a chronic condition than an injury. Most patients feel pain on the inside of their elbow, especially when they do different motions with their wrist. Most patients notice that their elbow is feeling sore and will not move like it did before. use it like they could before. Pain can start gradually, then becomes more frequent and increases over time.

Golfer’s elbow can often be treated by non- surgical methods such as:

• Resting, refrain from movement that puts stress on your elbow
• Appy moist heat where it hurts
• Elbow wraps
• Mild massage to the painful area
• Stretching exercises

Golfer’s elbow, also known as medial epicondylitis, is a condition characterized by pain and inflammation on the elbow’s inner side, where the forearm muscles’ tendons attach to the bony bump on the inside of the elbow. While most cases can be treated with non-surgical methods, surgery may be necessary for severe or persistent cases. Here’s an overview of golfer’s elbow surgery, including indications, procedures, and recovery.

Indications for Surgery

Surgery for a golfer’s elbow is typically considered when:

• Symptoms persist for 6 to 12 months despite conservative treatment.
• Pain significantly affects daily activities and quality of life.
• There is a tear in the tendon or severe degeneration that hasn’t improved with other treatments.

TYPES OF SURGERY

Open Surgery

Procedure: Dr. Pournaras will make an incision over the medial epicondyle to access the affected tendon. The damaged tendon tissue will be removed, and the tendon will be repaired or reattached to the bone.

Advantages: Direct access to the affected area allows for thorough repair.

Disadvantages: Longer recovery time, larger scar.

Arthroscopic Surgery

Procedure: Small incisions are made, and a camera (arthroscope) and tiny surgical instruments are used to remove damaged tissue and repair the tendon.

Advantages: Minimally invasive, smaller scars, potentially quicker recovery.

Disadvantages: Limited area view requires specialized equipment and skills.

Recovery

Immediately After Surgery:

• The arm is usually immobilized with a splint or brace.
• Pain and swelling are managed with medications and ice.

First Few Weeks:

• Gradual increase in range of motion exercises.
• Physical therapy to improve strength and flexibility.

Long-Term Recovery:

• Full recovery can take several months.
• Avoidance of activities that stress the elbow during the early recovery period.
• Gradual return to sports and strenuous activities.

Risks and Complications

As with any surgery, there are risks and potential complications, including:

• Infection
• Nerve damage
• Stiffness or loss of motion
• Persistent pain or recurrence of symptoms
• Complications from anesthesia

Success Rate

The success rate for golfer’s elbow surgery is generally high, with most patients experiencing significant pain relief and improved function. However, the outcome can vary based on the severity of the condition, the specific surgical technique used, and the patient’s adherence to post-operative rehabilitation.

Post-Operative Care

• Follow-up Appointments: Regular visits to our practice to monitor healing and progress.
• Physical Therapy: Restoring strength and flexibility is a crucial part of recovery.
• Lifestyle Modifications: Ergonomic adjustments and activity modifications to prevent recurrence.

Golfer’s elbow surgery can effectively treat those who are not responding to conservative measures. Proper diagnosis and a comprehensive rehabilitation program are key to achieving the best possible outcome. If you are considering surgery, call our practice and schedule your appointment with Board-Certified Orthopedic Surgeon Dr. Stephen W. Pournaras Today.