Medial Epicondylitis (Golfer's elbow)
This is very similar to lateral epicondylitis, or tennis elbow, except the affected tendon attachment is the one on the inner side of the elbow.  It is characterised by pain centred over the bony prominence on the inside of the elbow and is generally brought on by repetitive activities. Using the hand tends to aggravate the pain on the inner aspect of the elbow.  The tendon attachment to the bone on the inner aspect of the elbow is from the muscle groups that cause bending of the wrist and fingers. For most patients their symptoms will settle with a combination of rest, ice and anti-inflammatory medication within three to four months although the GP may well recommend a steroid injection in the first few weeks.

Those patients that fail to respond to these simple treatments are often again referred to an orthopaedic surgeon where further injections may be considered together with physiotherapy and surgical aids, in the form of a removable clasp.  Failure to respond to non-operative treatments may lead to potential surgical intervention. 

A new technique called Shockwave Therapy is also available now. This technique uses pulsed vibrations to create shockwaves and stimulate healing in the damaged painful tendon. This technique does not involve an anaesthetic and is perfoemd as an outpatient procedure lasting less than 10 minutes each week for 3 weeks. There minimal potential side effects and if successful then this may help the patient to avoid undergoing sugery for a golfers elbow release'

Surgery for medial epicondylitis, or Golfer's elbow, involves a cut over the bony prominence on the inner aspect of the elbow. The tendon attachment to the bone is elevated and the tear or damage on the back of the tendon is removed. The back of the tendon is freshened up along with the bony prominence to allow fresh healing.  Overall surgery helps about 2 in 3 patients.