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Frozen Shoulder
(Adhesive Capsulitis)
GOLFERS’ ELBOW
Golfers’ elbow is generally classified as an overuse or injury to the tendon on the inside of the elbow. Infrequently it is caused by playing golf, but is more common in tennis players Golfers’ Elbow is the same as Tennis Elbow but the problem is on the inside of the elbow. It is due to overuse and repetitive strain or injury to the tendon on the inside of the elbow . The muscles from the inside of the forearm that flex the fingers towards the palm and flex the wrist originate from one tendon - the common flexor tendon - which attaches to the inside bony part of the elbow. Golfers’ elbow can be caused by golf, as the name suggests, by constantly taking the divot with the ball. Overstraining the wrist, either by bending it repetitively or by twisting it sideways can bring it on. This may even be as a result of faulty technique in racket sports or an unaccustomed activity using the wrist. If you have these early signs of golfers’ elbow you need to seek the attention of a Chartered Physiotherapist. If you have had the condition a long time it can still be treated, but may require a steroid injection if the condition is resistant to treatment.
Resting the arm from provocative activities will have a large impact on symptoms. Applications of ice (wrapped in a damp cloth) for 20 minutes every 2 hours will help reduce pain, initially. Physiotherapy will consist of manual therapy such as localized massage, mobilization of the local joints, and may require treatment of the shoulder or cervical spine. In some cases electrotherapy modalities will be used. Rehabilitation exercises will be given to strengthen certain muscles around the joint, and stretch others, and biomechanical advice may be given; by reducing the tension in the tendon the fibres are able to glide on each other and allow freer movement without causing discomfort and pain.