3 years ago I got Golfer’s Elbow (medial epicondylitis) which is essentially very similar to Tennis Elbow (lateral epicondylitis) except it hurts on the inside of your elbow, not on the outside.
After trying all sorts of treatments, I posted a long blog post discussing my Golfer’s Elbow Treatment and Cure. This post contained lengthy discussion on all the things I’d tried and researched regarding how to treat golfer’s elbow, including:
- Complete Rest
- Physiotherapy – Ultrasound
- Physiotherapy – Interferon
- Physiotherapy – 10 min Massage
- Golfer’s Elbow Exercises and Stretching
- CT Cream off the internet
- Band-It forearm Band
- Acupuncture
- Physiotherapy – Remedial Massage
- Golfers Elbow Exercises
- The Zone Diet
- Fish Oil Supplements
To be honest I didn’t expect anyone on the internet to notice, the post was for my own benefit really. I was extremely surprised then to discover that it became one of the most popular pages on my blog and has attracted over 100 comments and literally thousands of visitors. But most importantly, there has been a wealth of information added to the page in the form of the experiences of others who have suffered elbow pain.
At the time I said I was 95% cured of my golfer’s elbow, but things have changed in the last 3 years and I’m older and wiser at treating golfer’s elbow, so I thought it would be useful to post an update and also to summarise the extra advice given by all the commentators on my original post.
Have My Golfer’s Elbow Treatments Cured Me?
I would say the answer to this question is yes… mostly! That is to say I’d call myself at least 99% better. Almost all of the time I have no more pain. I continue to workout down the gym, can do all CrossFit exercises, including all the Olympic lifts. It certainly didn’t stop me becoming British Master’s Weightlifting Champion in 2010 so I guess from the point of view of functional fitness, I am cured.
That said, there are just 2 exercises that always give me a little niggle: front squats and shoulder press. Either one of these I can do to max effort and come away with a bit of pain that lasts 24-48 hours and then goes. The only time I have a problem is if I try to do both these exercises in the same workout. If that’s all I have to avoid, then I’m happy happy happy!
Of all the things I tried, and all the advice given on the other post, there is one simple thing that I credit with my recovery.
But before I get onto that, I thought it would be a good idea to summarise some of the advice given by other golfer’s and tennis elbow suffers from the other posts comments, which should be considered in addition to the list of things above:
13. Active Release Technique (ART)
ART works on the principle that over time, adhesions or scar tissue on your muscles build up (and I guess possibly tendons) and prevent normal movement of your squidgy bits. Through hands on manipulation, these adhesions etc are broken (I’m guessing that hurts!) resorting full and normal movement.
Several commentators mentioned this but only one reported any success with it (though she wasn’t using it in isolation, so you can’t be sure this was what helped). I would say that if that’s your problem, it sounds like it might work. However I am very sure that muscle adhesions weren’t the cause of my elbow pain, so I didn’t use this as a treatment for golfers elbow.
14. Cortisone Shot for Golfer’s or Tennis Elbow
Cortisone shots (not Cortizone but sometimes called Corticosteroid Injections) are the injection of anti-inflammatory steroids into the elbow. (Cortisone is a type Corticosteroid and the 2 words are often used interchangeably.) Usually people report good results are reducing pain with Cortisone Injections, but the benefits are temporary (typically only 3 weeks!) and this is treating the symptom (pain), not the cause of your elbow injury.
Personally, unless you are a competitive athlete and need to be pain free for a competition, I think they are a bad idea and here’s why: pain is your body’s feedback mechanism to tell you something is wrong and what you’re doing could be doing yourself more damage. If you use the magic of modern medicine to hide your pain, you could easily be injuring yourself more and not knowing it. At best this will just prolong your elbow recovery time, at worse… who knows what additional injury you may cause?
Further more, inflammation is your body’s natural defence mechanism against further injury. We have evolved that mechanism over millions of years of evolution (or God gave it to us, if you prefer, either way we have it) so to mask your body’s normal mechanism for resolving an injury, doesn’t seem like the right thing to do. To be clear here, I’m all for medicine helping the body out (casts for making broken bones heal straight etc) but we’re not fixing golfer’s elbow with a cortisone shot, just masking the symptoms. So for me, cortisone injections for elbow pain are just not worth it.
15. Icing and Heating the Injured Elbow
Icing any injury is typically a way to reduce swelling and inflammation, and reduce pain. (Sometimes extended to RICE: Rest, Ice, Compression and Elevation.) Again in my opinion this simply treats the symptoms, not the cause, so I’m not a fan. Having said that, heating does appear to have some use: Tendons (golfer’s elbow is a form of tendinitis) have few blood vessels and so don’t get much in the way of blood circulation. Heating is a way of improving that circulation which gets extra nutrient rich blood flowing to them. This can only be a good thing if the cells are trying to repair themselves.
There’s some thought that icing before heating is better than just heating on its own. That’s a tricky one, as ice is good for reducing pain. A physiotherapist told me that the combination of ice and heat can help to get blood flowing better than just heat, which may be true. Massage is also good for getting new blood into the tendons. On balance, I would suggest that a combination of icing, heating and massage certainly can’t hurt and can only speed your recovery.
16. Laser Treatment
A couple of visitors mentioned this, but mostly as a way to line their therapists pockets! Lasering away at your body isn’t high up on my list of ways to pass the day, though I suspect in order to keep it safe, the power of the laser is so low as to probably not do much anyway. Personally I wouldn’t do this.
17. MRI Scans
These are obviously not a treatment in their own right, but a tool for diagnosing the route cause of your elbow pain. Some people who have had them report that they have shown up tears. This can provide your doctor with the information on whether to refer you for surgery, or whether just some specific golfers elbow exercises would cure you, as I detail below.
18. Prolotherapy
This is the process of injecting a mild irritant into the body, in order to trigger some regenerative reaction. Irritants include things like sugar water, glycerine or cod liver oil. It claims to be useful in a wide variety of common ailments.
To be honest, this gets my spider sense tingling and it just feels like quack remedy, but you never know. A few commentators tried it but only 1 claimed it was the cure they were looking for. Apparently there’s a clinical trial under way at the moment specifically looking at prolotherapy as a treatment for tennis elbow. If I spot the result, I’ll post it here.
19. Thera-band Flexbar
In ascending order of difficulty Yellow, Red, Green, and Blue Theraband Flexbar bars are hand exercisers that claim to be an effective tennis elbow treatment and golfers elbow treatment.
Certainly I’m a proponent of appropriate exercise as a golfers elbow treatment and the Thereband Flexbars can help and several people have reported success with them. It ‘ll cost you $56 for the full set, which I’d recommend in order to start off light and work up. The prescription seems to be 3×15 rep 3 times per day. However these bars only really help with rotational exercise which I think is limiting, so see my specific comments on golfers elbow exercises below:
20. Voltaren Gel (also Voltarol Gel)
This is a topical anti-inflammatory cream based on the NSAID (non-steroidal anti-inflammatory drug) Diclofenac. I think everything I said about cortisone shots apply here too, it’s a symptom treatment, not a cause fixer. I didn’t try it.
21. Remedial Exercises
Combined with the original post that started all this, I’ve now covered 20 different treatments for golfers elbow.
There is good news however, given enough time, everyone gets better!
Our goal of course is to minimise that recovery time, and bring it down from years to months. From all the differing treatments attempting to find a cure for golfer’s elbow that people posted about, there is a common thread amongst those that reported successful recovery, and it’s one that mirrors my own experience. I said above there was a simple golfers elbow cure and this is it: specific exercises! If you read my other post, you’ll note that my conclusion at the time was that eventually your elbow pain will go away, and you will credit the last treatment you had for it’s cure. However in most cases, people who got better stated that they did some form of remedial golfers elbow exercises.
As mundane as it is, I agree with them. Sure we’d all like to buy a that magic cure, but if nothing else I think the myriad of alleged treatments proves that there is no silver bullet here. Cessation of whatever caused it, some rest, and a slow and steady program of remedial golfer’s elbow exercises and stretches, designed specifically to gently work the appropriate area, is the best and most effective cure for golfer’s elbow, and I would say, tennis elbow too.
Having come to this conclusion, I set about to look for the best program of exercises I could find. After all, I didn’t want to be splashing money out for physiotherapists for month after month. There had to be something out there that was quick and easy to do, and cheap too!
It took me a while as there’s a lot of fluff and nonsense out there, but I finally found a program that met my criteria as being low on bull and high on simple, effective stretches and exercises, that’s cheap and you can get your money back if it doesn’t work! There’s no expensive kit either, you start with a hammer and an elastic band, lol! What’s more, because it’s a set of downloadable PDFs, you can be up and running in minutes and the videos make it impossible to get wrong.
It’s by an unassuming guy called Todd Scott, and deals equally with Golfer’s Elbow and Tennis Elbow Exercises and Stretches (click here) That link takes you to a big waffly sales page, a sad reality of internet existence these days, but don’t let that put you off. At the end of the day it’s up to you, but it only costs $4.95 for a 7 day trial and of all the different golfers elbow treatments I tried, these exercises are what I credit my cure and continued pain free existence to.
Should I exercise if I still have pain?
This is a question that I’ve been asked several times, and is something that Todd deals with in his videos better than I can here, it was certainly something I was keen to find out the answer to. I’ll leave it to Todd to answer that then.
I know I was a bit worried the first time I bought something like this online, so I thought I’d put together a quick video of the order process, so you can see exactly how it works (note that this video was taken when I still had my old website theme, not this groovy new one, and also before Todd changed the name of his product to Golfer’s Elbow Solution), take a look:
The link you need is this one: www.ColinMcNulty.com/tips/golfers-elbow Good luck, and do come back and let me know how you’re getting on, I love reading everyone’s comments!





{ 22 comments… read them below or add one }
Hi Colin,
I had some great success on what had all the hallmarks of tennis elbow. James Jowsey (biomechanics specialist at our gym) found that some issues in and around my right scapula, of the same arm, were causing a dsyfunction and subsequent symptoms of tennis elbow. After some hands on mobilization and breaking up of the tissues, and then a series of mobilizations before and after workouts it cleared up.
I am 95% cured now.The rubber band and hammer exercises were great as was squeezing the ball.All these corrected an imbalance. Of course patience and rest helped!
But…I can now open doors,shake hands ,do pull ups etc without pain.
If you have suffered from this for a while the link Colin supplied does work.I know it seems like a too good to be true link but I honestly credit it with 75% of mu cure( the other 25% been good old common sense!)
Hi Sean, yeah I’ve been to see James re my new shoulder issue. Good to hear you’re doing better.
Thanks for the comment Guy, it’s always nice to hear other people corroborate my advice!
Todd has just sent me this awesome testimonial. Larry, if you’re out there, I hope you don’t mind me posting it here, I’m just thrilled that Todd’s system helped you so much:
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Hi Todd,
Just in case you were serious about wanting to hear about progress with my elbow using your method, I thought I’d write…
First some background… I’m a swimmer… and a rower… I have MEDIAL epicondylitis in both elbows… I’ve had it in the left elbow the worst (although the right elbow is the worst right now) and that started sometime in the summer of 1990… I remember pulling myself out of the pool August 2nd of 1990… stayed out of the water for about six months and then when I finally got back in, it wasn’t any better… the right elbow has been troubling (but much less so) for a long time but about a year ago it completely went wild … and so I’ve been out of the water again since then…
In the course of trying to fix both elbows, over time I’ve tried:
- Rest
- Ice
- Various anti-inflammatories
- Massage
- Various forearm bands
- Physical therapy
- Stretching
And most recently… and stupidest… cortisone
None of these worked… well the cortisone worked but only for a few weeks. The reason I say stupidest was cuz I have no experience with cortisone and didn’t quite understand that it was masking the pain… I thought it was acting as a topical anti-inflammatory.
After a couple weeks, the pain rushed back on me way worse than before… of course because there wasn’t much pain I had been way over using the arm… so that made it much worse… so cross cortisone off my list of things to try.
Out of desperation I consulted the internet one last time… recognized the postings of a blogger from another swimmer’s (golfer’s) elbow sufferer who has tried more stuff than I have… read his updates since the last time at colinmcnulty.com… and there was a link to your site… so what the Hell, I followed the link… read through your material… and ended up buying your package… then began to diligently apply your methods…
OH MY GAWD!!!
After less than a week… What a difference!…
it’s been almost a week that I’ve been doing the exercises and while I’m notsaying the pain is gone… it is really reduced. I still don’t dare get back in the water… or back out in a rowing shell… but I am daring to think that I might again someday… I really do miss both of these activities.
I’ve been doing the exercises three times a day… and the stretches about two times… I know that the improvement will be gradual… but now I’m getting all excited that maybe I can get things back to normal so it’s getting hard to wait… feeling very impatient… gotta work on that… been a medial epicondylitis sufferer for over 20 years…
it’s not just gonna go away over night… but still… I want it to.
Not sure why I’m writing… I guess cuz you asked how I was doing…
and also to express my gratitude to you for discovering this … and I’m further grateful to you for not keeping it to yourself.
All for now… I’ll let you know how I’m progressing…
Very warm and grateful regards,
Larry
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Cool huh?
I’m a 45-year old swimmer. Amazingly, I have never had any serious or chronic injury, related to swimming. However, over the course of the past few years, I’ve been supplementing my swimming with a ‘military’ workout (significant number and reps of push-ups, pull-ups, sit ups), every other day, between heavy swim days . As far as I can self-diagnose, I must have injured my medial elbow muscles/tendon on a particular day when I over did the push-ups, which has proven paralyzing. The pain is severe to the point that I now cannot do any form of pull-up, rows, push-ups, etc. I’ve tried rest, ice, heat, massage, elbow bands . . . and, depressingly, the pain remains as acute as ever, 60 days after the injury. I’m extremely optimistic and interested in trying these exercizes – I’ll report on progress, presently.
I find the whole writeup rather sounding like a sales pitch for the book.
Could it be that this is one of those sites that are written by a person selling a product – the book?
You will note that the author does not “reveal the secret” of the wonder book, just tells you that $4.95 is nothing. Come-on, this stinks of a sales pitch and in some con tries is illegal.
I’m sorry you feel that way “None Believer”. This is my personal blog which has over 800 pages (according to Google, I haven’t counted personally!) and I have just 2 main pages devoted to how I investigated and tried to cope with suffering Golfer’s Elbow and the year or so it took me to get back to a reasonable level of functional fitness.
I spent literally scores of hours researching different alleged Golfer’s Elbow “cures”, and hundreds of pounds trying many of them out, and posted my findings on this blog along with my personal feelings on them. At the time, I had no idea that golfer’s elbow injuries were so prevalent! However when you’ve suffered it as I did, for so long and it has such an affect on your life, when you finally decide you’ve found a treatment that actually works as advertised, than I think it’s pretty natural to want to tell others about it.
If that comes across salesy, that was not my intention. You’re sadly misunderstanding my enthusiasm. I am not Todd Scott, he’s from the US and I’m from the UK. You can see videos of him on his website, and you can see videos of me on mine (this site), just look for the How to cook a Blue Steak link on the right, which incidentally is another thing I’ve blogged about.
However Todd (who suffered golfer’s and tennis elbow at the same time!) went to the trouble of putting together an eBook and selection of videos and accompanying pdfs and packaged it up as a product, which he sells (pretty cheaply I think, considering that it’s less than the cost of a single phsyio session), so it would be pretty underhand of me to copy his material here. That might even be illegal, which you are obviously concerned about. But most of all, it just wouldn’t be right to rip him off like that. Besides, he offers a complete guarantee and you can always claim a refund if you’re that cheap.
The nature of blogs is you write about stuff you find interesting. You’ll see for example that my more recent posts have been about shoulder injuries, specifically my SLAP and PASTA tears that I got from doing pull ups in the gym! I’m currently having to decide whether I get some possibly life changing surgery for that, but you can bet your boots that I’m searching this wonderful internet of ours to see if I can find something that will help rehabilitate my shoulder. And if I find a gadget, product, guide or service that I think is worthwhile telling people about, I’ll do that too, and be happy that I think I’ve done people a good turn for it.
Well its not a sales pitch. It is a sad fact that we are so conditioned to be skeptical that we lose sight of what may be valid.
Alot of the internet is about selling I agree but not all.This does work.I used a hammer,a tennis ball and a rubber band to cure my elbow as per his instructions and thats that!!!
Hi Colin,
I appreciate your blog. I have had GE for over a year. I sustained the injury playing tennis. It has been tough to not play for nearly a year. I nearly tried all the treatments you have suggested. I purchased Todd’s exercise regime and cannot say it actually helped. I was familiar with all the exercises he suggested and in fact asked for a refund but frankly never heard back from him. I long let it go and and do not want to use this blog to get a refund. Just wanted to be frank.
More importantly I recently started playing again and despite technique & equipment change
Reaggravated the elbow. It seemed 90% better when I returned to play but dropped down to perhaps 85 after playing for a few weeks of playing. I will now stop playing for a couple of weeks and reevaluate. I continue to have art treatments and curiously got worse when I stopped the treatments. The question I have did you resume your lifting and experience some set backs until you were pain free. My hope is to find a way to still play but maintain a 90-95% recovery. I was able to do that when I had TE some years ago but GE seems like a different animal. Thanks for all your input and extremely useful blog.
Thanks Guy, it’s always nice to hear other people’s success stories. I’m glad you’ve sorted out your elbow.
Hi Allen, I’m sorry to hear you’re still struggling mate. First off, I’ve emailed Scott as he’s normally pretty up front about the occasional refunds. Either way, if it’s within 60 days of ordering, you can get a refund directly from the company who take the payments. Find your order email, click the Customer Services link, then I think click Customer Support and request a refund online there. In my research, the severest of cases seemed to take up to 18 months to heal, so it may be that it’s just a time thing. The other potentially more serious issue is that you might not have tendonitis (inflammation of the tendon) but rather you may have tendonosis (degeneration of the tendon) which are 2 different beasts. As it’s been a year, I would definitely seek the advice of your Doctor.
Oh and to answer your question, whilst there were bad days after I’d pushed it too far at the gym, once it started to get better, it was generally a smooth recovery process over several months.
I’ve had golfer’s elbow with a low grade pain for fifteen years or so. Things seemed to be getting worse so I began looking for options and wanted to try them one at a time. I decided to start with with trigger point therapy in my forearm. I started self massaging the painful area around the tendon and discovered that the pain extended through all the muscles in the forearm. I also found small knots in those muscles that I worked on. What was interesting is that the forearm muscles became very sore after the first time I massaged them. Most of that is gone after a few weeks. After the first day I could feel a shift in the tension in my forearm. Within a couple of days I noticed a diminished pain in on the knot inside my elbow. Over the past three weeks my overall pain is diminished by 80% in both elbows. All pain can be temporarily eliminated by massaging the muscles in my forearm. Strenuous use causes some measure of pain to return. I was skeptical that tension in the muscles of the forearm was the root of the pain. I was wrong. I plan to add some exercises after I am satisfied the tendons have healed.
Thanks for all this useful information. I’ve had golfer’s elbow in both elbows off and on for about 15 years or so. The pain has definitely increased over the past couple of years since I’m started weight training with a personal trainer three times a week. We simply bypass the exercises that aggrevate the elbows. About a couple of months ago though, and at the advice of my family doctor, I tried physio therapy – all the treatments you listed – and the pain only got worse. So I’ve stopped going. Hot/cold compresses and massage helps but there are still certain exercises (pull-ups) that inflict pain again. I’m able to cope (I still enjoy a good workout) and for now, I just going to give it time.
I really appreciate learning more about treatments.
Linda
I too am suffering from golfers elbow for about a month now. I have had scores of experts tell me to strengthen my lower forearm with this and that exercise… I politely agree, but nobody realizes I am a sports and alpine climber. I can literally do several dozens of pull-ups, I can hold incredible weights with my fingers, I juggle 15 kg plates and regularly pull 30% higher weights then “walking chemical industry” body builders and weight lifters.
How much more strength does one need to combat the elbow pain?
I suspect a climbing injutry of the ulnar nerve might have something to do with this. Maybe there’s nothing wrong with the muscle and tendon. Maybe the nerve is sending wrong messages to brain?
I’ve been trying to link to parts of Todd’s system inbedded in your post but the links do not seem to be working. Can you check and see if there is some problem? Thanks.
Hi Colin
Great reading your blog on this topic, been the blight of my workouts for years. I am 3 weeks now into the program of rubber band and hammer exercises etc. It seems to be improving, fingers crossed. How long is it recommended to stay doing these exercises, a few months? I find that any pulling exercises at all flare up my golfers elbow. Worst of all are any bicep exercises. I am left with now with some chest and shoulder exercises. I am not sure its wise to even attempt any pulling exercises again from now on. I was reading on another blog last night that dumbell exercises put more stress on the elbow so its best to stick with barbell exercises, can you verify is that true?
Thanks
Owen
hi my wife is in terrible pain with a combination of tennis and golfers elbow. the doctor will not refer her to the hospital and say she will have to live with it. was wondering if this book of exercises was a gimmick and you will understand there is a lot on the internet and what difference is the exercises from this guy and the program she gets from the doctor that is not working.
Owen: I’m glad it’s starting to work for you. There’s no magic quick fix for Golfer’s elbow in my experience, but if you’re doing something that’s showing an improvement, I’d keep doing it. It certainly can take months, but thats often a short amount of time compared to what’s often years of pain that people suffer.
Glen: I can’t tell you what’s the difference between Scott’s exercises and your wife’s doctor’s. I make no promises that his exercises will work for your wife or anyone, but they worked for me and I’ve had emails from many people saying they’d tried them after my recommendation and their pain has reduced and/or gone completely.
colin, thank you for your honest opinion will get the book and give it a try, nothing to lose really.
The KEY exercise is putting a rubber band around the outside of your fingers and thumb and then opening them against the resistance .About 3 x 25 reps per hand .I was cured in about 2 weeks.Note: this was after thinking I would have this condition for life.
I tried the treatment from the link you on site. So far two weeks in, I think I am worse, not better at all.
I have done most of what you have and mine still will not get better. MRI, PT, Ibuprofen, Rest etc. etc.
Life sux.
So, this is actually a sales ploy. Nicely done, though.
Guy, I’m glad things worked out for you.
Dave, you can be lucky and get a cure in 2 weeks like others have done (Guy above for example), but that wasn’t my experience. It took some months for me to see significant improvement and probably a year for full recovery. Keep the faith my friend.
Sadly not MG. I may well wish that I’d come up with Todd’s system, but I didn’t. I am happy however to promote something that has been shown time and again to work, and for a tiny fraction of the price of conventional medical treatment. Showing people what works to recover from what can be a very painful and debilitating illness, and saving them $hundreds or $thousands in the process… my conscience is clear.
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