This 2015 JAAOS narrative review by Amin et al. covers the evaluation and management of medial epicondylitis — from the anatomy of the common flexor tendon origin and the staged histopathologic progression of degeneration, through nonsurgical and surgical treatment options and rehabilitation principles.
When you see a patient with medial elbow pain, always assess ulnar nerve status before committing to a treatment plan — concomitant ulnar neuropathy is common and, if moderate or severe, is the single strongest predictor of poor surgical outcome.
Corticosteroid injection can bridge acute symptoms but counsel patients that relief beyond 6 weeks is unlikely, and shift focus early to flexor-pronator rehabilitation once pain allows.
This 2015 JAAOS narrative review by Amin et al. covers the evaluation and management of medial epicondylitis — from the anatomy of the common flexor tendon origin and the staged histopathologic progression of degeneration, through nonsurgical and surgical treatment options and rehabilitation principles.
When you see a patient with medial elbow pain, always assess ulnar nerve status before committing to a treatment plan — concomitant ulnar neuropathy is common and, if moderate or severe, is the single strongest predictor of poor surgical outcome.
Corticosteroid injection can bridge acute symptoms but counsel patients that relief beyond 6 weeks is unlikely, and shift focus early to flexor-pronator rehabilitation once pain allows.