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golfer's elbow exercises physical therapy guide

Get Back in the Swing: Top 5 Golfer’s Elbow Exercises for Athletes

Discover Dr. Tim's effective Golfer's Elbow exercises (Medial Epicondylitis) to alleviate pain, improve forearm strength, and promote healing. This comprehensive guide will help you recover and prevent future injuries, enabling you to get back to peak performance.

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Medial epicondylitis, commonly known as Golfer’s Elbow, is an overuse injury affecting athletes and individuals engaged in repetitive arm movements. A common misconception, however, is that only golfers can experience Golfer’s Elbow, which is untrue as any athlete that performs repetitive gripping activities can develop this condition. The condition arises from inflammation of the tendons on the inner side of the elbow due to repetitive stress and strain. Fortunately, specific exercises can provide relief, aid in healing, and prevent further injury. This comprehensive guide explores a range of effective Golfer’s Elbow exercises aimed at strengthening and rehabilitating the affected area.

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Golfer's Elbow Exercises Symptoms

Understanding Golfer’s Elbow

Golfer’s Elbow, medically known as Medial Epicondylitis, is characterized by inner elbow pain and tenderness, often radiating down the forearm. While it commonly affects golfers, tennis players, and weightlifters, anyone involved in repetitive tasks like typing or painting may also experience this condition.

The primary cause of Golfer’s Elbow is overuse, resulting in small tears in the tendons connecting the forearm muscles to the medial epicondyle, a bony bump on the inner side of the elbow. These tears lead to inflammation and discomfort.

Golfer’s Elbow Symptoms Include:

  • Pain and tenderness on the inner side of the elbow.
  • Weakness in the affected arm and difficulty gripping objects.
  • Worsening pain when flexing or pronating the wrist.
  • Stiffness and discomfort during and after physical activity.

golfer's elbow physical therapy exercises guide

Causes of Golfer’s Elbow

Golfer’s Elbow can affect not only golfers but also individuals involved in various activities that stress the forearm tendons leading to pain and discomfort near the inner elbow region. Understanding potential aggravating activities and causes is essential for effective management.

Here are some common causes of Golfer’s Elbow pain:

  1. Repetitive Strain

    • The most common cause of Golfer’s Elbow is a repetitive strain on the forearm muscles and tendons. Activities that involve repeated wrist flexion and gripping, such as golf swings, tennis strokes, weightlifting, and repetitive computer use, can lead to micro-tears in the tendons over time.
  2. Incorrect Technique
    • Poor technique in sports or other activities can contribute to the development of Golfer’s Elbow. When the wrist is not properly aligned during movements like a golf swing or tennis stroke, excessive stress is placed on the forearm tendons, increasing the risk of injury.
  3. Overloading and Overexertion
    • Overloading the forearm muscles by using equipment that is too heavy or participating in activities without proper warm-up and conditioning can strain the tendons, leading to Golfer’s Elbow. Additionally, sudden or excessive exertion without proper rest and recovery may contribute to the development of the condition.
  4. Age and Degeneration
    • As individuals age, tendons tend to lose some of their elasticity and become less resilient. This natural degeneration of tissues can make older individuals more susceptible to Golfer’s Elbow, even with less repetitive or strenuous activities.
  5. Lack of Proper Conditioning
    • Inadequate conditioning and strength training of the forearm muscles can leave them more susceptible to injury. Weak muscles may not be able to handle the repetitive stresses placed on them during certain activities, increasing the risk of developing Golfer’s Elbow.
  6. Sports and Activities
    • Apart from golf and tennis, other activities that involve repetitive wrist flexion and gripping, such as baseball, bowling, and racquetball, can contribute to Golfer’s Elbow. Additionally, activities like carpentry, painting, gardening, and typing can also strain the forearm tendons and lead to the condition.
  7. Previous Injuries
    • A history of previous injuries to the elbow or forearm can make the area more vulnerable to Golfer’s Elbow. Scar tissue and altered mechanics from previous traumas can create imbalances and increase the likelihood of developing this overuse injury.
  8. Poor Posture:

    • Poor posture, particularly when working at a computer or using handheld devices, can place additional stress on the forearm tendons, increasing the risk of Golfer’s Elbow.

Recognizing and addressing these activities and causes for Golfer’s Elbow is a significant first step toward managing the condition. Stay diligent and proactive in your approach to reduce the chances of encountering this stubborn injury. Seek the guidance of medical professionals or physical therapists to learn personalized prevention strategies and take control of your health.

Tennis Elbow vs Golfer’s Elbow

Tennis Elbow (lateral epicondylitis) and Golfer’s Elbow (medial epicondylitis) are both painful conditions affecting the elbow, but they involve different tendons and occur on opposite sides of the joint.

Physical Therapy Exercises for Tennis Elbow Pain Relief
Tennis Elbow Symptoms

Understanding the key differences between these two conditions can help in proper diagnosis and treatment.

Tennis Elbow Symptoms:

  1. Location of Pain
    • Tennis elbow causes pain and tenderness on the outer side of the elbow, specifically at the bony bump called the lateral epicondyle.
  2. Affected Tendons
    • The condition involves inflammation of the extensor tendons, which are responsible for wrist and finger extension.
  3. Activities
    • Repetitive movements involving gripping and wrist extension, common in sports like tennis, racquetball, and activities like typing and using a computer mouse, can lead to tennis elbow.
  4. Symptoms
    • Pain worsens with activities involving gripping or lifting, and individuals may experience weakness in the affected arm.

Golfer’s Elbow Symptoms:

  1. Location of Pain
    • Golfer’s elbow causes pain and tenderness on the inner side of the elbow, specifically at the bony bump called the medial epicondyle.
  2. Affected Tendons
    • The condition involves inflammation of the flexor tendons, which are responsible for wrist and finger flexion.
  3. Activities
    • Repetitive movements involving gripping and wrist flexion, common in sports like golf, baseball, and activities like carpentry and painting, can lead to Golfer’s Elbow.
  4. Symptoms
    • Pain worsens with activities involving wrist flexion or pronation (turning the palm down towards the floor), and individuals may experience weakness in the affected arm.

Golfer’s Elbow Treatment Options

Alternative treatment options for Golfer’s Elbow aim to complement traditional approaches and promote healing while relieving pain in the affected area.

These alternative therapies can be considered in addition to conventional treatments such as rest, ice, physical therapy, and anti-inflammatory medications. It is essential to consult with a healthcare professional before trying any alternative treatment to ensure safety and effectiveness.

Here are some alternative treatment options for Golfer’s Elbow:

  1. Golfer’s Elbow Exercises
    • Golfer’s Elbow exercises can not only help to reduce pain and inflammation, but also strengthen the forearm and elbow muscles to help prevent this condition from returning in the future.Golfer's Elbow Exercises in Gym
    • An elbow strap can provide immediate reduction of elbow pain when performing tasks with the arm by redirecting the pressure away from the elbow. These straps are effective for short-term pain relief but should be used in conjunction with other treatments.
  2. IASTM Therapy (Instrument Assisted Soft Tissue Mobilization)

    • This is a manual technique that involves using a specialized tool to apply pressure along the affected tendons and muscles. IASTM therapy can help reduce pain, improve function, and accelerate healing in individuals with Golfer’s Elbow, especially those with chronic or persistent symptoms.

    • Use the STICKON Stainless Steel Massage Tool to massage the muscles and tendons on the inside of the elbow for 3-5 mins (1x every other day). IASTM physical therapy treatment in conjunction with golfer's elbow exercises

    IASTM Steel Massage Tool
    9.8
    • RELIEF FOR MULTIPLE CONDITIONS
    • SOFT TISSUE MASSAGE TOOL
    • EFFECTIVE RELIEF OF TRIGGER POINTS AND ADHESIONS
    • INJURY PREVENTION & RECOVERY FAST
    • MEDICAL GRADE QUALITY

  3. Voltaren Anti-Inflammatory Pain Gel
    • Voltaren Gel (Diclofenac Sodium) is an over-the-counter nonsteroidal anti-inflammatory gel that can be rubbed over the skin several times per day. It soaks through the skin and has anti-inflammatory effects on the soft tissues just below skin level. It works quite well on superficial muscles such as those found in the elbow. Speak with your medical doctor or physical therapist to see if this would be safe for you to use.

    Anti-Inflammatory Gel
    10
    • TWO 3.5oz/100g TUBES OF VOLTAREN PAIN GEL
    • POWERFUL TOPICAL PAIN RELIEF
    • NONSTEROIDAL ANTI-INFLAMMATORY
    • NUMBER 1 DOCTOR RECOMMENDED TOPICAL PAIN RELIEF

  4. Acupuncture
    • Acupuncture involves inserting thin needles into specific points on the body to promote healing and relieve pain. Some people find acupuncture beneficial for managing Golfer’s Elbow symptoms and reducing inflammation in the affected area.
  5. Massage Therapy
    • Therapeutic massage can help reduce muscle tension, improve blood flow, and promote healing in the forearm muscles and tendons affected by Golfer’s Elbow.
    • Perform: 5-10 mins (1x/day)massage can help reduce elbow and forearm muscle tension to reduce golfer's elbow symptoms
  6. Transcutaneous Electrical Nerve Stimulation (TENS)
    • TENS therapy uses a specific device that delivers low-voltage electrical currents to the skin, which can help reduce pain and promote muscle relaxation in the affected area. TENS units can be purchased easily from online retailers such as Amazon.TENS Unit for Golfer's Elbow
      TENS Unit
      9.3
      • PROFESSIONAL PAIN RELIEF MACHINE
      • REAL AB DUAL CHANNEL
      • MEMORY FUNCTION & ACCIDENTAL TOUCH PREVENTION
      • 24 MODES & 20 INTENSITY LEVELS
      • 14 STRONG ADHESIVE THICKER REUSABLE ELECTRODE PADS
  7. Extracorporeal Shockwave Therapy (ESWT)
    • ESWT is a non-invasive procedure that uses shockwaves to stimulate healing in the affected tendons. It has shown promising results in treating chronic tendinopathies like Golfer’s Elbow, but must be performed by a licensed medical professional.
  8. Platelet-Rich Plasma (PRP) Therapy
    • PRP therapy involves injecting a concentrated solution of the patient’s own platelets into the affected area to promote tissue repair and reduce inflammation.
  9. Therapeutic Ultrasound

    • Ultrasound therapy uses high-frequency sound waves to penetrate deep into the tissues, promoting blood flow and healing in the affected area.

  10. Cryotherapy (Cold Pack)

    • Cold therapy can be effective with pain relief and reducing inflammation in the irritated tissue. Use for 5-10 minutes (2x/day). 

    Cryotherapy Treatment for Golfer's Elbow

    Gel Cold Pack, Small
    9.4
    • REUSABLE, SMALL SIZE
    • LONG-LASTING GEL COLD PACK
    • GREAT FOR SMALL BODY AREAS SUCH AS NECK, ELBOW, ETC.
    • PROFESSIONAL QUALITY
    • FILLED WITH NON-TOXIC SILICA GEL

If you are experiencing symptoms of Golfer’s Elbow, it is essential to monitor the severity and persistence of the pain. In many cases, mild cases of Golfer’s Elbow can be managed with rest, ice, and over-the-counter pain medications.

physical therapist evaluating a patient's elbow pain for Golfer's Elbow symptoms

However, there are instances when it is crucial to seek medical attention:

  1. Severe pain: If you are experiencing intense and constant pain in your elbow that interferes with your daily activities or sleep, it is advisable to see a doctor or physical therapist.
  2. Limited range of motion: If you notice a significant decrease in the range of motion in your affected arm, or if you are having difficulty flexing or extending your elbow, a medical evaluation is necessary.
  3. Weakness and loss of grip strength: Golfer’s Elbow can weaken the affected arm, leading to a noticeable loss of grip strength. However, if you find it challenging to perform simple tasks that require gripping or lifting, consult a doctor.
  4. Pain worsening or not improving: If your symptoms do not improve with self-care measures or if the pain significantly worsens over time, it is essential to seek professional medical advice.
  5. Recurring or chronic pain: If you have experienced Golfer’s Elbow in the past and the pain has returned, or if you have chronic elbow pain, it is best to see a doctor or physical therapist for a proper evaluation and treatment plan.
  6. Tingling or numbness: If you experience tingling or numbness in your fingers or hand, this may indicate nerve involvement and medical attention is necessary.
  7. Inability to bear weight: If you cannot put weight on your affected arm or if there is significant swelling and bruising around the elbow, seek immediate medical attention as it could be a sign of a more severe injury.

Remember, early diagnosis and appropriate treatment, including the following Golfer’s Elbow Exercises, can help manage Golfer’s Elbow effectively and prevent further complications. If you are unsure about the cause of your elbow pain or if your symptoms are concerning, consult a healthcare professional for a thorough evaluation and personalized treatment plan.

The Top 5 Golfer's Elbow Exercises for Pain Relief!

IASTM Massage Forearm Flexor Muscles

The wrist flexor stretch is a fundamental exercise to alleviate forearm muscle tension and reduce strain on the injured tendon.

Instructions (Use this: StickOn IASTM Stainless Steel Massage Tool)

  1. Rest your arm on a table with your palm facing upwards.
  2. Rub some massage oil or lotion on your forearm.
  3. Gently press the tool down against the tender/sore forearm muscles and slowly massage the affected muscles around the elbow and forearm.
  4. Perform 1x/day for approximately 3-5 minutes.

Wrist Flexor Stretch

The wrist flexor stretch is a fundamental exercise to alleviate forearm muscle tension and reduce strain on the injured tendon.

Instructions:

  1. Extend your affected arm straight in front of you.
  2. With your palm facing forward, gently bend your wrist, pointing your fingers towards the ceiling.
  3. Use your other hand to apply light pressure, feeling a gentle stretch in the inner forearm.
  4. Hold the stretch for 15-30 seconds, repeating 3-4 times on each arm (2-3x/day).

Eccentric Wrist Flexion Exercise

Eccentric exercises focus on lengthening the targeted muscle while under tension, making them effective for golfer’s elbow.

Instructions (Use these Amazon Basics Vinyl Dummbells):

  1. Sit on a chair with your forearm resting on your thigh, palm facing upward.
  2. Hold a lightweight dumbbell or household item in your hand.
  3. Slowly lower the weight by flexing your wrist over 3-4 seconds.
  4. Use your other hand to assist in returning to the starting position.
  5. Perform: 2-3 sets of 10-15 repetitions on each arm (1x/day).

Wrist Pronation and Supination

Pronation and supination exercises strengthen the muscles responsible for forearm rotation, improving flexibility and strength.

Instructions (Use this Progressive Set of Hammers):

  1. Hold a dumbbell, hammer, or similar object with a neutral grip while sitting on a chair.
  2. Rest your forearm on your thigh, allowing your wrist to hang over the edge.
  3. Rotate your wrist outward (supination) and hold for a few seconds before returning to the starting position.
  4. Rotate your wrist inward (pronation) and hold for a few seconds.
  5. Perform: 2-3 sets of 10-15 repetitions on each arm (1x/day).

Wrist Flexion Exercise with Resistance

Strengthening the wrist flexor muscles is crucial for golfer’s elbow recovery and prevention of recurrence.

Instructions (Use this Theraband Flat Resistance Band):

  1. Sit or stand with your forearm supported on a table, palm facing upward.
  2. Hold a light dumbbell or resistance band in your hand.
  3. Flex your wrist upward against the resistance, then slowly lower it back down.
  4. Perform: 2-3 sets of 12-15 repetitions on each arm (1x/day).

Ball Squeeze Exercise

The ball squeeze exercise targets forearm muscles and improves grip strength, reducing elbow strain during daily activities.

Instructions:

  1. Grab a soft stress ball or tennis ball in your hand.
  2. Squeeze the ball firmly for 5 seconds, then release.
  3. Repeat this exercise 10-15 times on each hand (2-3x/day).

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