Reduce Pain
Manual therapy for the forearm and elbow, activity modification, and laser therapy to settle the tendon so loading can begin.
Pain on the inside of the elbow that flares when you grip, lift, throw or swing is golfer’s elbow, and golfers are only a small share of the people who get it. At AR Physical Therapy we treat it the way tendons respond best: calm the pain, load the tendon progressively, and fix the wrist, shoulder and technique issues that overloaded it.
Golfer’s elbow is the inside-of-the-elbow counterpart to tennis elbow, and the plan follows the same principles: reduce pain, then rebuild the tendon through graded strengthening.
We also check the ulnar nerve that runs right beside the sore spot, because tingling in the hand changes the plan.
Golfer’s elbow, or medial epicondylitis, is pain where the wrist flexor and pronator muscles attach to the bony bump on the inside of the elbow. Like tennis elbow it is a tendinopathy rather than a true inflammation: the tendon has been asked to do more than it can recover from, often through repeated gripping, wrist flexion or forearm rotation.
It affects throwers, golfers, climbers, weightlifters, carpenters, plumbers and anyone whose work involves heavy or repetitive gripping.
See a physical therapist when the pain has lasted more than a few weeks, is affecting work or sport, or comes with numbness or tingling in the hand.
The sequence is the same one that works for the outside of the elbow, adapted to the flexor-pronator tendon and the nerve beside it.
Manual therapy for the forearm and elbow, activity modification, and laser therapy to settle the tendon so loading can begin.
A progressive program for the wrist flexors and pronators, emphasizing slow eccentric work, building through to the gripping and lifting demands of your sport or trade.
The ulnar nerve runs directly beside the medial epicondyle. We check it at every visit and adjust treatment if it is involved.
Shoulder and thoracic mobility, grip and swing or throwing technique, and tool or bar setup so the load is shared rather than concentrated at the elbow.
The flexor-pronator tendon on the inside of the elbow is a superficial structure, well within reach of the LightForce Class IV laser. A small contact head is applied over the tendon attachment and along the muscle, increasing circulation and reducing pain in a tendon that recovers slowly on its own. A brief application at the neck can be added to reinforce pain relief through the nerves that supply the elbow.
Golfer’s elbow is studied less often than tennis elbow, so we borrow the broader tendinopathy evidence and say so plainly. A 2021 review of 17 randomized trials across tendon conditions found that laser combined with exercise reduced pain and improved function more than exercise alone.
The approach is identical to what we do for the outside of the elbow: laser lowers the pain, the loading program rebuilds the tendon.
Most patients feel meaningful pain relief within two to four weeks of starting loading and laser, with grip strength and confidence returning over six to twelve weeks. Any ulnar nerve involvement adds time.
The flexor-pronator program is the treatment. Do it every day as prescribed.
Avoid heavy palm-down gripping until we clear it, and warm up the forearm before sport or work.
Any tingling in the hand changes the plan. Tell us right away.
Most elbow pain is a tendon. Some of it is a nerve. We tell the difference and treat accordingly.
Golfer’s elbow is on the inside of the elbow and involves the wrist flexors; tennis elbow is on the outside and involves the wrist extensors. The treatment principles are the same.
Usually, with modifications during the early phase. We build the return into the plan rather than telling you to stop.
The ulnar nerve runs beside the sore tendon and can become irritated. We screen for it and treat it if needed.
A few minutes, delivered within your regular PT visit.
Book an evaluation and start rebuilding the tendon.