Golfer's Elbow Repair (Medial Epicondylitis Surgery, Medial Epicondylitis Release)
A Surgical Procedure to Relieve Pain and Restore Function in Chronic Golfer's Elbow
Golfer’s elbow repair involves removing or repairing damaged tendon tissue near the inner elbow and, if necessary, releasing tension on the tendon. The surgery is tailored to address chronic pain and dysfunction.
Common Reasons for Surgery
- Ongoing pain on the inner side of the elbow that has not improved with other treatments.
- Difficulty gripping or performing activities requiring forearm strength.
- Tendon degeneration (tendinosis) or scarring confirmed by imaging.
Goals of the Procedure:
- Reduce pain and discomfort caused by chronic tendon damage.
- Improve arm strength and restore the ability to perform everyday tasks.
- Enable a return to recreational activities or sports involving repetitive arm movements.
Preparation for Surgery
Careful preparation is essential to optimise surgical outcomes and recovery.
Steps in Preparation:
- Pre-Surgical Consultations:
- Dr Ben McGrath will conduct a thorough assessment and may recommend imaging, such as an MRI, to confirm the extent of tendon damage.
- Pre-Operative Instructions:
- Patients may need to fast for a certain period before the procedure.
- Certain medications, such as blood thinners, may need to be paused under medical supervision.
- Lifestyle Adjustments:
- Quitting smoking and maintaining a healthy weight can help reduce the risk of complications.
- Strengthening exercises for the surrounding muscles may be recommended prior to surgery.
What Happens During the Surgery?
Golfer’s elbow repair is typically performed as a minimally invasive procedure, although open surgery may be required in some cases.
Surgical Steps:
- Anaesthesia:
- Regional or general anaesthesia is administered to ensure comfort during the procedure.
- Tendon Repair or Release:
- Damaged sections of the tendon are removed or repaired.
- If necessary, tension is released by detaching and reattaching the tendon.
- Incision Closure:
- Incisions are closed with sutures or adhesive strips, and a sterile dressing is applied.
- Duration:
- The procedure usually takes 30–60 minutes.
Understanding the Risks
While generally safe, golfer’s elbow repair carries some risks that should be considered.
Common Risks:
- Temporary swelling, bruising, or discomfort around the surgical site.
- Stiffness in the elbow during the early recovery period.
Rare but Serious Risks:
- Infection at the incision site.
- Nerve or blood vessel damage near the surgical area.
- Formation of scar tissue affecting mobility.
Dr McGrath will take steps to minimise these risks and provide guidance on managing them.
What to Expect After Surgery
Immediate Post-Operative Care:
- Pain management with prescribed medications and the use of ice packs.
- Temporary use of a sling or brace to protect the elbow.
Discharge Instructions:
- Keep the surgical site clean and dry.
- Avoid heavy lifting or repetitive arm movements during the initial healing phase.
Rehabilitation and Recovery
Recovery timelines can vary depending on the severity of the condition and the individual’s healing process.
Recovery Timeline:
- First 2 Weeks:
- Focus on resting the arm and following wound care instructions.
- Begin gentle range-of-motion exercises as advised.
- Weeks 2–6:
- Gradually resume light daily activities and work with a physiotherapist to rebuild strength.
- Months 2–3:
- Return to regular activities and sports, as cleared by Dr McGrath.
Restrictions During Recovery:
- Avoid lifting heavy objects or performing strenuous activities until fully healed.
- Adhere to a physiotherapy program to improve strength and flexibility.
Long-Term Outcomes
Golfer’s elbow repair is often effective in relieving pain and improving elbow function, allowing individuals to return to their regular activities.
Expected Improvements:
- Reduced pain and increased arm strength.
- Enhanced ability to perform tasks requiring grip or forearm strength.
- Improved overall quality of life.
Maintenance of Results:
- Engage in regular stretching and strengthening exercises for the elbow.
- Avoid repetitive or excessive strain on the arm to prevent re-injury.