It is the pain seen in the inner part of the elbow. Overuse injuries of the inner elbow typically concern the muscle-tendon structures on the inner surface of the forearm that move the wrist inward.
Who gets Medial Epicondylitis?
Throwing, such as racquet sports. It is more common in sports enthusiasts and especially competitive athletes. Tennis players who use high-level forehands and serves are more prone to inner elbow pain. Golfer's elbow refers to the same clinical picture.
What are the complaints of Medial Epicondylitis?
Patients complain of localized medial elbow pain and pain usually referred to the forearm. The patient's complaints increase with wrist movements. In chronic cases, soft tissue stiffness occurs. Muscle weakness may occur due to loss of wrist movement.
With which diseases is Medial Epicondylitis confused?
The differential diagnosis of internal elbow pain includes diseases such as sprains of the internal elbow ligaments, nerve compression, cervical disc herniation and thoracic outlet syndrome. gets. The differential diagnosis of medial epicondylitis becomes important, especially in chronic cases that do not respond to treatment.
How is Medial Epicondylitis diagnosed?
Medial epicondylitis is often easily diagnosed in the clinic. Most patients complain of localized tenderness extending from the elbow to the inner part of the forearm. Pain increases with grasping movement. There may be loss of strength in the wrist muscles and back shoulder muscles.
The diagnosis of medial epicondylitis is often made by history and physical examination.
How is Medial Epicondylitis treated?
The treatment protocol for medial epicondylitis is similar to those described for lateral epicondylitis. Treatment of medial epicondylitis follows similar principles as soft tissue rehabilitation. Controlling fire in the elbow area, stimulating healing, reducing potentially harmful forces, increasing soft tissue flexibility, strength and endurance. In acute cases, it is important to rest the arm and avoid movements that aggravate the event. Sometimes a wrist splint may be necessary. Anti-inflammatory painkillers and ice are useful in the acute phase. Therapeutic methods, pain and inflammation It is used to reduce weight and increase soft tissue healing. Manual therapy, neural therapy, acupuncture and dry needle therapy are used in soft tissue injuries such as medial epicondylitis. Before strengthening exercises, it is necessary to reduce pain and ensure full joint range of motion without pain. In medial epicondylitis, internal rotation of the shoulder may also be restricted, and it is important to consider and treat this. Steroid injection, another form of treatment, should be applied carefully on the inside of the elbow due to the proximity of the nerve. Activities and sport-specific training should focus on biomechanical adaptations that predispose to injury. In tennis, the athlete should be warned about a straighter serve and less wrist movement during the forehand shot.
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