MSK: Golfer's Elbow: Free MSRA Podcast

🎯MSRA Deep Dive:Medial Epicondylitis (Golfer’s Elbow)Welcome to anotherfocused MSRA revision session. This episode is all about medial epicondylitis – better known as golfer’s elbow. We’re breaking down what it is,how it happens, and exactly what you need to know to nail it on exam day. 📌What Is Golfer’sElbow?• A tendinopathy at the medial epicondyle of the elbow• Caused by overuse of wrist flexors and pronators• Common inactivities involving gripping, repetitive flexion, or forceful wrist movements 💥Causes & RiskFactors• Repetitive strain – sports (e.g. golf, tennis,baseball), manual jobs• Incorrecttechnique in sport or lifting• Vibration tool use• More common in ages 40–60• May involve the ulnar nerve – causing tingling in 4th/5thfingers 🔬Pathophysiology• Microtrauma to tendons → degeneration and sometimes inflammation• Mainly affects theflexor-pronator group, especially pronator teres and flexor carpi radialis• Collagendisorganisation may result from abnormal healing responses 🧠Mnemonic to RememberM for Medial= muscles on the inside→ Flexion and Pronation = movements that hurt in golfer’s elbow✅Medial = Flexion +Pronation Pain 🔍DifferentialDiagnosis Includes• Tennis elbow (lateral epicondylitis) – lateralelbow pain• Ulnar nerve compression• Cervical radiculopathy (referred pain)• Olecranon bursitis, elbow arthritis, or othertendinopathies 📊Epidemiology• Less common thantennis elbow• Still a leadingcause of medial elbow pain• Affects bothathletes and manual workers 🩺Key Clinical Features• Pain and tenderness at medial epicondyle• Worse on wrist flexion or forearmpronation• May include grip weakness or ulnarparaesthesia• Golfer’s elbow test: pain on resisted wristflexion/pronation = diagnostic clue 🧪Investigations• Mostly clinical diagnosis• Imaging(X-ray/MRI/ultrasound) only if:Symptoms persistNeed to rule out other causesPlanning surgical or specialist input 💊Management Overview✔️Conservativefirst-line:– Rest & activity modification– NSAIDs (topical/oral), paracetamol– Ice/heat therapy– Physiotherapy: strengthening & stretching– Elbow supports or braces✔️ Other options if persistent:– Topical GTN– Corticosteroid injection (cautious use)– Platelet-rich plasma (PRP)– Botox, tenocyteinjection, shockwave therapy✔️Surgery = last resort after 6–12 months of failedconservative treatment 📈Prognosis &Complications• Most cases resolve with conservative care in6–12 months• ~5–10% may needfurther intervention• Rarecomplications:Chronic painGrip weaknessFunctional impairmentPsychological impact (e.g. low mood due to chronic pain) 🎓Practice Tip🔹“45-year-old golfer,medial elbow pain on wrist flexion + grip weakness → Think medialepicondylitis!” 📚Medial EpicondylitisMSRA Resources📝 Revision Noteshttps://www.passthemsra.com/topic/medial-epicondylitis-golfers-elbow-revision-notes/🧠 Flashcardshttps://www.passthemsra.com/topic/medial-epicondylitis-golfers-elbow-flashcards/❓ Accordion Q&A Noteshttps://www.passthemsra.com/topic/medial-epicondylitis-golfers-elbow-accordion-qa-notes/⚡ Rapid Fire Quizhttps://www.passthemsra.com/topic/medial-epicondylitis-golfers-elbow-rapid-quiz/🧪 Extra Quizhttps://www.passthemsra.com/quizzes/medial-epicondylitis/ 🌐Free & Paid MSRATools• Full course + mockexams → https://www.passthemsra.com• Free notes,quizzes & guides → https://www.freemsra.com 🎧 #MSRA #MSRARevision #GolferElbow#MedialEpicondylitis #MSRAMSK #Tendinopathy #MSRAFlashcards #MSRAQuiz#MSRAQandA #PassTheMSRA #FreeMSRA