Conservative Treatments

The most conservative method to treat Medial Epicondylitis is through modalities (ice, heat), gentle stretching, immobilization of the wrist, counterforce bracing, activity modification, massage, and when appropriate gentle progressive eccentric strengthening of the wrist and hand.

Injections

Corticosteroid injections are the next step to address Medial Epicondylitis and are commonly used in combination with therapy to help reduce inflammation and healing time of the common flexor tendon. The corticosteroid injections are very effective in reducing pain in the elbow, so it’s easy for forget that activity should be limited to ensure a proper recovery. Injections are used conservatively because if there are too many injections or if the amount is too much, it can cause weakening of the tendon and even necrotic tissue development of the bone and tendon.

Surgical Intervention