Ace Physiotherapy and Sports in Singapore
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ACE PHYSIO SPORTS
East gate Building, 46 East Coast Road
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Medial Epicondylitis Release (Golfer's Elbow)
Medial epicondylitis release is a surgical procedure to treat golfers elbow, a condition caused by overuse of the forearm and elbow muscles leading to tissue damage and inflammation on the inner side of the elbow. Physiotherapy after medial epicondylitis release is essential to restore painless, full or near-full function in the elbow joint, support recovery, and prevent future problems. acephysiosports.com provides a comprehensive physiotherapy programme to help you regain strength, range of motion, and function in your elbow. Call +65 81535374 for more information or to book an appointment.
Medial epicondylitis, commonly known as golfers elbow, is caused by overuse of the muscles and tendons of the forearm and elbow. Repetitive activities place excessive strain on the tendons attached to the medial epicondyle (the bony prominence on the inside of the elbow), leading to tissue damage and inflammation. While commonly associated with golf, other activities such as swimming, gardening, or repetitive lifting can also trigger this condition. The main symptom of golfers elbow is tenderness and pain at the medial epicondyle, which may radiate down the forearm. Bending the wrist, twisting the forearm, or grasping objects can worsen the discomfort. In addition, medial epicondylitis may cause significant weakness in the muscles of the elbow, forearm, and wrist.
Golfers elbow can often be successfully managed with conservative treatments, including a structured physiotherapy programme, medications, and other supportive modalities such as ice, electrical stimulation, strapping, or rest from aggravating activities. However, in severe cases where these conservative approaches fail to relieve symptoms, medial epicondylitis release surgery may be required. This surgical procedure is designed to alleviate persistent pain, tenderness, and loss of function in the elbow joint, restoring mobility and strength.
Medial epicondylitis release surgery involves the surgeon making an incision over the medial epicondyle of the elbow. The surrounding soft tissues are carefully moved aside to access the flexor tendon, which is then cut and cleaned at its attachment to the medial epicondyle. The tendon is divided, and any damaged or scarred tissue is removed. If bone spurs (abnormal bony growths) are present, they are also excised. In some cases, the loose end of the tendon is reattached to nearby soft tissues. Once all damaged tissues are addressed and the tendon is properly managed, the wound is closed using sutures.
Physiotherapy after medial epicondylitis release surgery is essential to ensure the success of the procedure, minimise the risk of future problems, and restore full or near to full strength and function in the elbow joint.
Physiotherapy before medial epicondylitis release
Physiotherapy before medial epicondylitis release surgery is recommended to prepare your elbow for the procedure and to give you a head start in post-surgery rehabilitation. Preoperative physiotherapy helps ensure a faster and smoother recovery by strengthening the muscles around your elbow, wrist, and shoulder, while also improving cardiovascular fitness and muscle endurance. A structured physiotherapy programme before surgery maximises your readiness for the operation and supports optimal recovery of your upper limb function.
Symptoms after medial epicondylitis release
After medial epicondylitis release surgery, you can expect pain, swelling, and stiffness in your elbow joint, along with a temporary reduction in range of movement and function in your elbow, forearm, and hand. The surgical wound will be covered with a dressing, and a sling will be provided for short-term support and protection. Painkillers will be given to manage discomfort, and your elbow should remain elevated to help reduce swelling during the initial recovery period. Physiotherapy will begin immediately to help restore mobility and function in your elbow as quickly as possible. In the early stages, repetitive bending of the elbow or lifting heavy objects should be avoided, and you must refrain from activities that initially aggravated your medial epicondylitis. Driving is also not recommended until you regain full, painless movement in your elbow.
Physiotherapy after medial epicondylitis release
After medial epicondylitis release surgery, participating in a comprehensive physiotherapy programme is essential to maximise the success of the procedure, prevent future problems or recurrence of symptoms, and restore full or near-to-full function in your elbow as quickly as possible. AcePhysioSports.com offers a personalised physiotherapy programme that focuses on regaining the full range of movement, strengthening the muscles around the elbow, and improving overall function within the elbow joint.
1-2 weeks
In the early stages of your recovery after medial epicondylitis release surgery, your physiotherapy programme with AcePhysioSports.com will focus on reducing pain and swelling while maintaining mobility and range of movement in your elbow. Additionally, your physiotherapy will work on improving strength in your wrist, shoulder, and unaffected arm to provide extra support for your elbow joint.
- Control pain and swelling in the elbow joint
- Maintain mobility and range of movement in the elbow
- Improve strength in the wrist, shoulder, and unaffected arm for additional support
2-6 weeks
During the early stages of recovery, your physiotherapy will continue to focus on controlling pain and swelling in and around your elbow joint. Gradually, more active stretching and strengthening exercises for the muscles around your elbow, wrist, and shoulder will be introduced. This stage typically begins about 2–3 weeks after surgery. Exercises are carefully designed to work the forearm muscles without straining the healing tissues. Your physiotherapy will also continue to include both passive and active range of movement exercises to improve overall function within the elbow joint.
- Control pain and swelling in and around the elbow joint
- Gradually begin active stretching exercises for the muscles around the elbow, wrist, and shoulder
- Gradually begin strengthening exercises for the muscles around the elbow, wrist, and shoulder
- Perform exercises that work the forearm muscles without straining healing tissues
- Continue passive range of movement exercises
- Continue active range of movement exercises to improve elbow joint function
6-12 weeks
During the later stages of your rehabilitation with acephysiosports.com, you will have seen significant improvements in the range of movement, strength, and function within your elbow joint. Your physiotherapy programme will focus on maximising mobility and range of movement in your elbow, increasing strength and muscle control in the muscles around your affected elbow, wrist, shoulder, and unaffected arm. Exercises will also aim to improve fine motor control and dexterity of the hand to further enhance function within your affected upper limb. Additionally, your physiotherapy will target improvements in cardiovascular fitness and muscle endurance. Emphasis will also be placed on activities specific to everyday tasks, your job, hobby, or sport. Your therapist will provide a home exercise programme that you will be encouraged to continue to maintain and further your recovery.
- Maximise mobility and range of movement in your elbow
- Increase strength and muscle control around the affected elbow, wrist, shoulder, and unaffected arm
- Improve fine motor control and dexterity of the hand
- Enhance cardiovascular fitness and muscle endurance
- Perform exercises specific to everyday tasks, your job, hobby, or sport
- Complete a home exercise programme provided by your therapist
You may need therapy for two to three months, and it may take four to six months to return to high-level sports and work activities. Before your therapy sessions end, your therapist at acephysiosports.com will teach you strategies to prevent future problems and maintain the health and function of your elbow.
Summary
Medial epicondylitis release is a surgical procedure to treat problems caused by medial epicondylitis, more commonly known as golfer’s elbow. This condition is most often caused by overuse of the muscles and tendons of the forearm and elbow, leading to tissue damage and inflammation within the elbow joint. Medial epicondylitis release surgery removes the damaged tissues, reducing inflammation and alleviating symptoms such as pain, stiffness, and reduced upper limb function. Physiotherapy after medial epicondylitis release is essential to maximise the success of the surgery and help you regain full or near-to-full function in the elbow joint. Post-surgery physiotherapy also ensures a rapid recovery and helps prevent future problems associated with golfer’s elbow. acephysiosports.com offers a comprehensive physiotherapy programme designed to achieve all your rehabilitation goals and get you back to everyday tasks, work, hobbies, or sport. Call +65 81535374 for more information or to book an appointment.
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