Golfer’s elbow

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Name Tissue Type of pathologies
Acute and chronic muscle aches and pain Muscle Pain management
Acute and chronic cervical and lumbar pain Muscle Idiopathic cervical and low back pain
Acute and chronic soft tissue wounds Skin Wounds
Adhesive capsulitis Joint Capsulitis
Calcifying tendinitis of the shoulder Tendons Tendinopathy
Cellulite Skin Cellulite
Chronic distal biceps tendinopathy Tendons Tendinopathy
Chronic proximal hamstring tendinopathy Tendons Tendinopathy
Diseases secondary to trigger points and myofascial Pain Muscle Myofascial pain syndrome
Golfer’s elbow Tendons Tendinopathy
Greater trochanteric pain syndrome Tendons Tendinopathy
Insertional Achilles tendinopathy Tendons Tendinopathy
Knee osteoarthritis Joint Osteoarthritis
Medial tibial stress syndrome Tendons Tendinopathy
Mid-body Achilles tendinopathy Tendons Tendinopathy
Osgood-Schlatter disease Bone Disturbance of musculoskeletal development
Patella tip syndrome Tendons Tendinopathy
Plantar fasciopathy Tendons Tendinopathy
Primary and secondary lymphedema Skin Lymphedema
Primary long bicipital tenosynovitis Tendons Tendinitis
Proliferative connective tissue disorders Connective tissue Fibrosis
Spasticity Central nervous system Cerebral palsy and stroke
Stress fractures Bone Fracture
Subacromial pain syndrome Tendons Tendinopathy
Superficial nonunions Bone Fracture
Tennis elbow Tendons Tendinopathy
Trigger points Muscle Myofascial pain syndrome


Golfer’s elbow (medial epicondylitis) is an overuse tendinopathy that shares many similarities with tennis elbow (lateral epicondylitis). Typical activities that are associated with a higher risk of developing golfer’s elbow are racquet sports, throwing sports, golfing, archery, weight lifting and bowling.
The clinical diagnosis of golfer’s elbow is based on tenderness on palpation of the medial epicondyle, as well as pain on the medial area of the elbow joint when resistance is generated by flexion and pronation of the wrist joint.
Eccentric exercises have become very important in conservative treatment of golfer’s elbow. An attractive alternative is extracorporeal shock wave therapy. In most circumstances, injections of corticosteroids should not be used. This is due to the fact that corticosteroids may lead to very good results in the short term (six weeks) but were demonstrated to be harmful in the longer term (more than three months).
Surgery should only be considered when conservative treatment fails.


Lee et al., Ann Rehab Med 2012;36:681-687

Effectiveness of Initial Extracorporeal Shock Wave Therapy on the Newly Diagnosed Lateral or Medial Epicondylitis



Number of treatment sessions 3 to 5 3 to 5
Interval between two sessions 1 week 1 week
Air pressure Evo Blue® 1.5 to 3 bar 3 to 4 bar
Air pressure Power+ Not recommended Not recommended
Impulses 2000 on the painful spot 2000
Frequency 8Hz to 12Hz 12Hz to 20Hz
Applicator 15mm 36mm
Skin pressure Light Light to moderate

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