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Medial Epicondylitis, Sports Medicine

Emily B. Porter, MD, ATC and Craig C. Young, MD Reviewed 04/2019
 


BASICS

DESCRIPTION

Medial epicondylitis is clinically defined as pain at the medial epicondyle due to repetitive flexion and pronation at the elbow. A more accurate term may be medial epicondylosis or ...

DIAGNOSIS

HISTORY

  • Pain and tenderness along the medial elbow, extending into the forearm, which worsen with resisted forearm pronation or wrist flexion at 90 degrees of elbow flexion and/or full elbow ...

TREATMENT

  • More studies are needed specifically on medial epicondylitis; most studies focus on treatment of lateral epicondylitis. Many of these treatments are used for medial epicondylitis as well.

  • Ini...

ONGOING CARE

Home exercise program as follows: 
  • Strengthening:

    • Stay below the level of pain.

    • Perform two to three sets of 10 to 15 repetitions 2 to 4 times a week. Once three sets of 15 repetitions can b...

REFERENCES

1
Amin NH, Kumar NS, Schickendantz MS. Medial epicondylitis: evaluation and management. J Am Acad Orthop Surg.  2015;23(6):348–355.
2
Rosa D, Di Donato SL, Balato G, et al. Supinated fore...

ADDITIONAL READING

  • Gündüz R, Malas FÜ, Borman P, et al. Physical therapy, corticosteroid injection, and extracorporeal shock wave treatment in lateral epicondylitis. Clinical and ultrasonographical co...

CLINICAL PEARLS

  • Wrist splints are often more helpful than counterforce bracing if the patient has significant pain upon awakening. However, counterforce braces are often better tolerated during the da...

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