Outside and inside elbow pain Tennis and golf elbow, treatment?
Jun 01, 2025
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◇ External and medial epigastric inflammation that begins with small pain, and initial response is important
Tennis Elbow causes pain in the outer part of the elbow where the extensor muscles that lift the wrist start, and Golf Elbow causes pain in the inner part of the elbow where the flexor muscles that bend the wrist start. Although the name includes the letters 'salt (炎)', in recent years, micro-damage and degenerative changes in tendons have been found to be the main causes rather than simple inflammation. In particular, the area has structural characteristics that slow recovery due to low blood flow, so it is difficult to heal well in case of damage and regression is likely to be repeated.
These external and internal epigastric inflammation is a chronic disease that occurs as a result of repeated use of the wrist in daily life rather than a one-time trauma. It starts lightly in the beginning, but if the cause is left uncorrected, the symptoms gradually worsen, and the pain can worsen even in lifting objects, twisting arms, and long computer work. When pressed inside and outside the elbow, pain can also be caused.
◇ Rest and stretch, posture correction, assistants, etc. are required
The most basic and key treatment of this disease is to rest the damaged area. Avoid excessive use and rest your arms for a certain period of time naturally heals and relieves pain. However, it is often difficult to stop using arms due to daily life or economic activities, so auxiliary efforts such as posture correction or the use of assistants are required.
Wrist stretching is also known as a very effective prevention and treatment. For example, the action of pressing the back of the hand with the opposite hand while the elbow is fully extended helps to stretch the outer muscles of the elbow, and the action of pressing the palm helps to stretch the inner muscles. Stretching your elbows fully while stretching is the key to increasing the effectiveness.
◇Consider drug/injection to surgery depending on the degree of pain
If the pain is severe, injection treatment may be considered as well as medication such as anti-inflammatory analgesics or muscle relaxants. Steroid injections have been widely used in the past, but this is only a short-term analgesic effect and has been limited in recent years.
Instead, platelet-rich plasma (PRP) injections are recognized for their therapeutic effect and are included as health insurance benefits. In addition to PRP, various injection treatments such as high-concentration glucose proliferation therapy and collagen injection are being conducted at the same time.
About 90% of patients show good results only with such conservative treatment, but surgical treatment can be considered when symptoms do not improve after several months of treatment. Surgery is divided into minimally invasive method through arthroscopy and open method, and the key is to remove the denatured tissue. Symptoms are reported to improve in more than 90% after surgery, but it takes several months to recover and symptoms do not completely disappear, so a careful approach is needed.
◇ Steady management and lifestyle improvement are important
External and internal epigastric inflammation is a disease that lasts a long time and requires constant management. It is important to understand the course of the disease and find appropriate treatment for your environment and conditions. In addition, the habit of reducing repetitive movements in daily life and maintaining the right posture and taking care of your wrist and elbow are helpful in preventing pain and recurrence. It is desirable not to simply endure elbow pain, but to actively cope with it and improve lifestyle from the beginning.
Kang Hyun-tak, a professor of orthopedic surgery at the National Health Insurance Ilsan Hospital, advised, "'It is important to actively manage external and internal epigastric inflammation from the initial symptoms, and to receive accurate diagnosis and appropriate treatment if necessary.'"In addition to treatment, maintaining a lifestyle that reduces the burden on the elbow helps improve symptoms and prevent recurrence.'
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This article was translated by Naver AI translator.
