Golfer’s Elbow, medically known as Medial Epicondylitis, causes pain and discomfort on the inner side of the elbow joint. This discomfort arises from strain or minor tears in the tendons that attach to the medial epicondyle, the bony bump on the inside of the elbow. Utilizing a brace is a widely accepted and effective self-care measure to manage symptoms associated with this overuse injury. Properly placing the correct support device is paramount to achieving relief and facilitating recovery.
Identifying Golfer’s Elbow
Golfer’s Elbow specifically affects the flexor and pronator tendons of the forearm, which are responsible for bending the wrist and rotating the forearm palm-down. These tendons converge and attach to the medial epicondyle. The condition is primarily an overuse injury resulting from repetitive activities that involve strong wrist flexion and gripping, such as golfing, throwing sports, or using hand tools. Repeated tension at the tendon’s attachment point leads to micro-tearing and inflammation in the area. Pain is typically localized directly over this bony prominence and often radiates down the forearm toward the wrist.
Choosing the Right Support Device
Two main types of support devices are generally available for Golfer’s Elbow: the compression sleeve and the counterforce strap. The compression sleeve provides mild, uniform pressure across the entire elbow joint, which can help reduce swelling and offer general support. For targeted pain relief, the counterforce strap is often the preferred device due to its specific mechanism of action. The strap works by applying direct pressure to the forearm muscles just below the elbow joint. This compression changes the angle of pull and redirects tension away from the injured tendon attachment site, allowing the strained tendon to rest during activity and providing immediate pain reduction.
Precise Placement of the Counterforce Strap
The correct positioning of the counterforce strap is the most important factor in ensuring its effectiveness. The strap should be situated over the thickest part, or “belly,” of the forearm flexor muscles, not directly on the elbow joint or the bony prominence itself. A practical guideline is to place the strap approximately one to two inches below the painful medial epicondyle, which is typically about two finger widths down the forearm. This targeted placement ensures the compression is applied directly to the muscle tissue that attaches to the injured tendon.
Applying the Strap
To apply the strap correctly, the forearm should be in a relaxed, neutral position before fastening. Once in place, the compression pad, if the brace has one, should align centrally over the flexor muscle mass on the inner side of the forearm. The strap’s tension needs careful adjustment; it should be snug enough to compress the muscle during activity but must never impede circulation or cause discomfort like numbness or tingling. A simple test for appropriate tension is ensuring you can comfortably slip one finger underneath the strap. If the strap is too loose, it will migrate out of position and fail to redirect muscular forces effectively.
When and How Long to Use the Brace
The counterforce brace is most beneficial when worn during activities known to aggravate symptoms, such as gripping, lifting, or performing repetitive tasks. Wearing the brace during these times helps to protect the tendon from excessive strain, allowing it to start the recovery process. Conversely, the brace should generally be removed when resting or sleeping, as continuous compression is unnecessary and could potentially irritate the skin or interfere with circulation.
Duration of Use
The duration of brace use varies depending on the severity of the injury, but it is typically recommended for a period of several weeks to a few months. As symptoms begin to improve, a gradual reduction in brace usage, known as weaning, is advisable. This process encourages the forearm muscles to regain their strength and function without relying on external support. Bracing is typically one part of a comprehensive recovery strategy, which may also include rest, ice application, and specific physical therapy exercises to rebuild strength and flexibility.