are common conditions, affecting up the 3% of the population each year. Although occurring in all age groups, it is most prevalent in those aged between 30 and 50, and is generally caused by repetitive actions involving the hand and forearm.
Although less common, golfer’s arm (medial epicondylitis) is the most common cause of medial elbow pain. It is generally caused by repetitive forearm, wrist or hand motion, involving repeated straightening and bending of the elbow.
Both conditions commonly affect athletes (e.g. those involved in racquet sports, golfers, weight-lifters, javelin throwers, softball players) and those undertaking repetitive manual tasks during the course of their work (e.g. painters, carpenters, assembly line workers, those using a wireless mouse on their computer).
Both conditions are self-limiting, i.e. they improve over time, with the natural course ranging from 6 to 48 months. Although around 89% of patients recover within 12 months, for some patients the pain and societal costs associated with these conditions last much longer. Surgical intervention is required in up to 10% of cases.
Current management involves physiotherapy, including advice on activity and rehabilitation exercises; non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen or naproxen, both oral and topical; local corticosteroid injections; and surgery where conservative treatment is ineffective.
A 10-minute treatment using the Ultrasonic Pain Relief device can result in effective, ongoing pain relief within 24 hours.