ANATOMY AT A GLANCE
The common flexor tendon originates at the medial epicondyle on the inner elbow. The arrow marks this commonly painful area in golfer’s elbow.
Typical symptoms
Forceful gripping, palm-up lifting or bending the wrist can load the inner elbow.
How is the cause assessed?
Examination assesses the painful tendon attachment and symptoms when loading the wrist flexors. Associated sensory changes or weakness require further assessment.
Consider other causes
Numbness or tingling in the ring and little fingers may suggest involvement of the ulnar nerve. They should not be attributed to the tendon attachment alone.
Treatment options
Without surgery
Activity changes and progressive guided strengthening are key approaches. A forearm strap may help temporarily.
Surgical options
Surgery is uncommon and considered for persistent significant symptoms despite suitable care.
Suitable treatment depends on the confirmed diagnosis, examination findings and your individual needs.
When to seek an examination
Seek assessment for persistent pain or difficulty with daily activities. New numbness or weakness needs earlier assessment.
Sources & editorial status
American Society of Hand Therapists (ASHT)
American Society for Surgery of the Hand (ASSH)