Medial Epicondylitis

Medial epicondylitis is a condition characterized by inflammation of the medial epicondyle, a bony bump on the inside of the elbow where several muscles merge to form a single tendon. Because medial epicondylitis impairs these wrist flexor muscles that are instrumental in flexing the arm, it can be a serious hindrance to the proper functioning of the body. New York Dynamic Rehabilitation Clinic (NYDNRehab) offers treatment for medial epicondylitis and for a number of other elbow-related conditions.

Although medial epicondylitis is commonly known as “golfer’s elbow,” it is a condition that affects not only golfers but those engaged in other repetitive activities that overuse the muscles in the forearms. This may include chopping wood, throwing a javelin, carrying a heavy suitcase, or using a chainsaw. Because the flexor muscles that move the wrist toward the palm originate at the medial epicondyle, prolonged stress on these muscles can cause injury at the spot where the tendons are attached to the bone of the elbow, which is also the point of maximum stress.

Risk factors that may increase a person’s chances of developing medial epicondylitis include weak muscles, poor playing technique, and improper equipment.

Medial epicondylitis treatment largely consists in reducing the effects of over-use and preventing the muscles from being overused in future. Non-steroidal anti-inflammatory medications (NSAIDs) may provide some relief from painful symptoms; so may cortisone injections. The relief provided by cortisone injections is typically longer-lasting.

A doctor may also prescribe medial epicondylitis physical therapy, constructively working with the patient to prevent adding extra strain to the already overloaded elbow and in some cases applying elbow straps or other methods for medial epicondylitis relief. He or she will also assist the program in a series of guided exercises to strengthen the forearm muscles. A therapist may also use electrical stimulation for the purpose of healing the collagen.

NYDNRehab has years of experience treating lateral and medial epicondylitis. The success of our approach lies in the combination of the conventional methods described above with the most recent advances in technology. For example, we use extracorporeal shockwave therapy (ESWT), an approach that has gained widespread use in the last ten years because of its efficacy in curing a variety of different conditions. ESWT applies a set of high-frequency sound of waves to the site of elbow injury, stimulating the body’s self-repair mechanisms and triggering the healing process. This, in turn, renews circulation and lessens pain while regenerating damaged tendons. The relief felt from ESWT is immediate and longer-lasting than that obtainable from NSAIDs and cortisone injections; it’s one of the most effective methods currently on offer, and at NYDNRehab we have years of experience in doing it.

130 West 42 Street Suite 1055, New York NY 10036
bg

In this instance, an athlete was originally diagnosed with minor quadriceps muscle strain and was treated for four weeks, with unsatisfactory results. When he came to our clinic, the muscle was not healing, and the patients’ muscle tissue had already begun to atrophy.

Upon examination using MSUS, we discovered that he had a full muscle thickness tear that had been overlooked by his previous provider. To mitigate damage and promote healing, surgery should have been performed immediately after the injury occurred. Because of misdiagnosis and inappropriate treatment, the patient now has permanent damage that cannot be corrected.

The most important advantage of Ultrasound over MRI imaging is its ability to zero in on the symptomatic region and obtain imaging, with active participation and feedback from the patient. Using dynamic MSUS, we can see what happens when patients contract their muscles, something that cannot be done with MRI. From a diagnostic perspective, this interaction is invaluable.

Dynamic ultrasonography examination demonstrating
the full thickness tear and already occurring muscle atrophy
due to misdiagnosis and not referring the patient
to proper diagnostic workup

Demonstration of how very small muscle defect is made and revealed
to be a complete tear with muscle contraction
under diagnostic sonography (not possible with MRI)

image

Complete tear of rectus femoris
with large hematoma (blood)

image

Separation of muscle ends due to tear elicited
on dynamic sonography examination

contact-form-animation
You can call
or Send message