Medial Epicondylitis - Golfer’s Elbow

Medial epicondylitis, also known as golfer’s elbow, is a condition that effects the inside portion of the elbow.

Modern Orthopaedics of New Jersey is a team of nationally recognized orthopedic experts specializing in the treatment of upper extremity conditions.

Call us at 973-898-5999

Our NJ Locations

Our Locations

Wayne, NJ

Orthopedic Office

Parsippany. NJ

Orthopedic Office

Learn More

Read About Medial Epicondylitis - Golfer’s Elbow

The humerus of the upper arm and the radius and ulna of the forearm meet to form the elbow joint. The elbow is surrounded by many different ligaments, vessels, nerves, muscles, and tendons. Several tendons can contribute to the pain experienced by a patient with golfer’s elbow. These tendons originate on the inside of the elbow on the medial epicondyle and are in charge of flexing the fingers and turning the palm up. When these tendons experience a significant amount of force and repetitive strain they can develop microtears that lead to golfer’s elbow. Golfer’s may be predisposed to developing this condition, but it is very common in many climbing athletes and baseball players as well.

Athletes that have developed golfer’s elbow will generally present with pain over the inside of the elbow. You will likely notice that the pain is worse while using the wrist and fingers in a flexed or bent position. Your pain on the inside of the elbow may be worse with lifting and gripping activities. The pain usually originates at the elbow, but may radiate down the forearm. Some patients may have associated numbness in the ring and little finger from irritation of the nearby ulnar nerve. You may have point tenderness directly on the inside of the elbow over the medial epicondyle. This tenderness is directly over the area where the affected tendons originate. Our doctors can usually diagnose golfer’s elbow with physical examination alone. On occasion, they may order an MRI to take a closer look at the tendons and surrounding structures, but usually this is not necessary. They may take an x-ray during your appointment to have a look at the elbow joint itself and rule out any abnormalities.

Initial treatment for golfer’s elbow will usually involve physical therapy and rest. Physical therapy can help stretch and strengthen the muscle attached to the affected tendon. Usually if physical therapy is prescribed, our doctors will recommend that you stick with it for at least 6 weeks to see if it actually makes an improvement. Oftentimes, patients are surprised by the improvement they have with physical therapy and they can return to their sport stronger than before. Our doctors may also recommend counterforce elbow brace to redirect and reduce the tension forces on the affected tendons. Cortisone injections are generally not recommended for golfer’s elbow. Many times the cortisone can weaken the area of the tendon that is already damaged. The patient may notice immediate relief, but will likely have the same or worse pain once the cortisone wears off. If conservative measures do not seem to alleviate your pain or you have a more severe case our doctors will discuss other treatment options.

Platelet rich plasma injections can often be helpful for athletes that suffer from golfer’s elbow. Platelet rich plasma or PRP injections involve injecting the patient’s own platelets at a high concentration into the site of the tendon injury to promote further healing. This may be done as a step prior to pursuing surgical intervention. The procedure is less invasive and can be done in the office. It may take several rounds of injections for patient’s to notice an improvement in their symptoms.

When other treatment options are unsuccessful, surgical intervention is indicated. This usually involves debridement of the contributing tendons. The tendon debridement may be done open with a small incision directly over the area or arthroscopically with a camera introduced into the elbow joint. In either case, the affected tendons are identified and devitalized or frayed tissue is removed. This will promote healing and decrease pain. You will be placed in a soft dressing postoperatively and begin elbow range of motion right away. Physical therapy may be a part of your recovery process to help ensure you return to your sport safely. Generally, athletes can return to most activities within 4-6 weeks. Our doctors will follow you closely after surgery to ensure you are healing well and making improvements. They will let you know when they think it is safe to return to full play without restrictions.

Golfer’s elbow can cause serious setbacks for any athlete. Our goal at Modern Orthopaedics is for you to return to your sport better than before. This may take time and patience, but we want you to experience a full recovery. We understand that each athlete and sport is unique and we will develop your treatment plans accordingly. We want to understand your goals and help you reach them. Please contact our office to have an initial evaluation for elbow pain and receive superior care from our doctors and staff.

 

 

Recognized & Awarded Care
Year After Year!

De. Peter DeNoble - Orthopedic Surgeon New Jersey

The first step to solving any issue is to truly understand the root cause of the problem. At Modern Ortho, we believe in going the extra mile to diagnose the exact problem the first time. 
Get started today by requesting an appointment. A dedicated care coordinator will contact you as soon as possible to learn about your condition or injury.

HIPAA Secure

Appointment Request

You will receive an automated email and text message confirmation that we received your request.

Meet Our Top Docs

New Jersey Monthly’s Top Doctors list is out for 2020 and our physicians made the list!

Awarded Care in NJ

De. Peter DeNoble - Orthopedic Surgeon New Jersey

Never Let An Injury Stop You.

The benefits of an active lifestyle and living your passions are endless. Get back to your life, painfree. It all starts with an accurate diagnosis.

Testimonial for Dr. DeNoble

“Went to Dr. DeNoble after 10 years of elbow pain, he knew what was wrong and suggested surgery to fix it and since surgery, I haven’t had any pain at all!”

Testimonial for Dr. DeNoble

“Went to Dr. DeNoble after 10 years of elbow pain, he knew what was wrong and suggested surgery to fix it and since surgery, I haven’t had any pain at all!”

Testimonial for Dr. DeNoble

“Went to Dr. DeNoble after 10 years of elbow pain, he knew what was wrong and suggested surgery to fix it and since surgery, I haven’t had any pain at all!”

Testimonial for Dr. DeNoble

“Went to Dr. DeNoble after 10 years of elbow pain, he knew what was wrong and suggested surgery to fix it and since surgery, I haven’t had any pain at all!”

Testimonial for Dr. DeNoble

“Went to Dr. DeNoble after 10 years of elbow pain, he knew what was wrong and suggested surgery to fix it and since surgery, I haven’t had any pain at all!”

Testimonial for Dr. DeNoble

“Went to Dr. DeNoble after 10 years of elbow pain, he knew what was wrong and suggested surgery to fix it and since surgery, I haven’t had any pain at all!”

Testimonial for Dr. DeNoble

“Went to Dr. DeNoble after 10 years of elbow pain, he knew what was wrong and suggested surgery to fix it and since surgery, I haven’t had any pain at all!”

Testimonial for Dr. DeNoble

“Went to Dr. DeNoble after 10 years of elbow pain, he knew what was wrong and suggested surgery to fix it and since surgery, I haven’t had any pain at all!”

Testimonial for Dr. DeNoble

“Went to Dr. DeNoble after 10 years of elbow pain, he knew what was wrong and suggested surgery to fix it and since surgery, I haven’t had any pain at all!”

Testimonial for Dr. DeNoble

“Went to Dr. DeNoble after 10 years of elbow pain, he knew what was wrong and suggested surgery to fix it and since surgery, I haven’t had any pain at all!”

Testimonial for Dr. DeNoble

“Went to Dr. DeNoble after 10 years of elbow pain, he knew what was wrong and suggested surgery to fix it and since surgery, I haven’t had any pain at all!”

Testimonial for Dr. DeNoble

“Went to Dr. DeNoble after 10 years of elbow pain, he knew what was wrong and suggested surgery to fix it and since surgery, I haven’t had any pain at all!”

#MeetOurStaff Get to know Surgical Coordinator, Andrea! ...

#MeetOurStaff Get to know Naomi, a Surgical Coordinator here at Modern Orthopaedics! ...

Introducing your ortho team…THE TEAM to trust! We are so grateful to have such a dedicated and hard-working staff. Get to know us…stay tuned for our NEW staff profiles coming soon! ...

Congratulations to @choiseppi and Matt Kraeutler for graduating from @st.joesortho orthopedic surgery residency program tonight! From all of us at @modernorthonj , it was a pleasure participating in your surgical education over the years. Best of luck as you embark on your sports fellowships and on what we know will be great careers!!

#teaching #orthoresidency
#orthopedics #upperextremity #shouldersurgeon #elbowsurgeon #handsurgeon #orthopedicsurgeon #handtherapy #orthopedicsurgery #occupationaltherapy #physicianassistant #athletictrainer #handsurgery #rotatorcuffrepair #carpaltunnelrelease
...

Cast Removal - 5 Fun Facts!

1. The cast saw blade doesn’t spin, it vibrates.👍

2. The saw blade is generally safe, and there is a layer of cotton underneath the fiberglass, but the blade can still cut skin if the operator is not skilled! 😳

3. The blade will generate heat - just like when rubbing 2 sticks together, the friction can heat things up quickly! 🔥

4. My heat management technique keeps things cool. 😎 **as you can see in video, I create a superficial cutting line first. Then I move the saw blade along the cutting line in several passes, using an up and down technique and being careful not to keep the vibrating blade in one spot too long.**

5. I always give my patients the option to keep their cast… but very few choose to keep it!!

@peterdenoblemd

#cast #castremoval #fracture #orthopedics #upperextremity #shouldersurgeon #elbowsurgeon #handsurgeon #orthopedicsurgeon #handtherapy #orthopedicsurgery #occupationaltherapy #physicianassistant #athletictrainer #handsurgery #rotatorcuffrepair #carpaltunnelrelease
...

What’s in your water??

I want to make sure our amazing Paramus flagship location will deliver both cutting edge orthopaedic care AND a safe occupational environment for our patients and all-star staff!! This includes ensuring we have the purest possible water coming from all of its faucets! 💦

Today we tested for a variety of contaminants in our water including Arsenic, PFAS, chlorine, chlorine byproducts, and Uranium. 🫙

Big thx to @jennifer.vanbeekum for helping with our testing today, and to @healthyhomeexpert for her guidance over the years on how to create these safe occupational environments!!

#orthopedics #upperextremity #shouldersurgeon #elbowsurgeon #handsurgeon #orthopedicsurgeon #handtherapy #orthopedicsurgery #occupationaltherapy #physicianassistant #athletictrainer #handsurgery #rotatorcuffrepair #carpaltunnelrelease
...

Only fitting that our new Paramus building has some great bones 🙂

@peterdenoblemd @davidratliffmd @wellsarchitecture @vda_designs

#orthopedics #upperextremity #shouldersurgeon #elbowsurgeon #handsurgeon #orthopedicsurgeon #handtherapy #orthopedicsurgery #occupationaltherapy #physicianassistant #athletictrainer #handsurgery #rotatorcuffrepair #carpaltunnelrelease
...

Call Now Button