Medial epicondylitis (Golfer’s Elbow) is an inflammation of the tendons that originate on the inside of the elbow, which predominantly flex the wrist and fingers. The tendon injury is from repetitive stress that causes micro-tears that occur faster than the body can heal. When prolonged splinting, physical therapy, NSAIDs, and cortisone injections have not helped, typically at least 6 months, surgery may be considered.
The surgery involves making a small cut over the inside of the elbow. An incision is made in the common flexor tendon and the diseased areas of tendon are identified. These areas usually involve the flexor carpi radialis or pronator teres muscles. The disease tendon is removed, the bony attachment is scraped to healthy bleeding bone to promote healing, and the healthy tendon is sutured back together.
You are encouraged to stop smoking before surgery to prevent lung complications or delayed healing. Pre-admission testing (lab work, EKG, chest x-ray) will be scheduled prior to your surgery. Medications such as anti-inflammatory medications, aspirin, and blood thinning medications should be stopped one week before surgery unless otherwise specified by your family doctor.
After surgery, you will be in a splint at the wrist to rest the involved tendon for about 6 weeks. You can perform light activities during this time.
When the splint comes off at 6 weeks after surgery, physical therapy is initiated. As movement and strength return, you will be allowed to ease back into gentle activities. The tendon should be healed about 12 weeks post-surgery, and based on progress with therapy, you will be allowed to resume more normal activities as your strength allows.
Return to work is highly individualized. Jobs requiring only deskwork may be able to return within 1-2 weeks, whereas heavy lifting manual labor jobs may require 3 months or longer to return without restrictions.
For additional information about treatment, we have included this complete patient eduction sheet as a pdf to view, download and print:
Muskegon Office
1400 Mercy Drive, Suite 100
Muskegon, Michigan 49444
231-733-1326
Grand Haven Office
1445 Sheldon Road, Suite 200
Grand Haven, Michigan 49417
616-296-9100
About Orthopaedic Associates of Muskegon (OAM)
Our highly-experienced physicians and staff provide orthopaedic surgery, nonsurgical orthopaedic treatments and procedures, and physical medicine and rehabilitation services to the West Michigan community. We treat disorders and injuries to the shoulder, spine, hip and knee, as well as the extremities – foot/ankle, leg, hand/wrist and elbow. Patients may seek treatment due to a fracture or other type of traumatic bone, joint or muscle injury, nerve pain, arthritic bone deterioration, or a spinal disorder. We use state-of-the-art technology to provide total orthopaedic care – from diagnosis to surgical and nonsurgical intervention, to rehabilitation therapy and wellness.
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