Medial epicondylitis and repetitive work

Medial epicondylitis affects the attachment of flexor and pronator tendons on the inner side of the elbow.

In brief

Medial epicondylitis affects the attachment of flexor and pronator tendons on the inner side of the elbow.

Contents
  1. A different location
  2. Possible symptoms
  3. Review combined demands
  4. Document without prejudging
  5. Adapt the work
  6. Review progress and function
  7. Related concepts
  8. References

A–Z dictionary →

A different location

Also called golfer’s elbow, this condition is not limited to golf. It can involve demands on muscles that bend the wrist and turn the forearm. It differs from lateral epicondylitis on the outer elbow and from compression of the ulnar nerve. The painful area provides a clue, but diagnosis requires a clinical history and examination of the structures involved rather than reliance on the familiar sporting name.

Possible symptoms

People commonly describe inner-elbow pain when gripping, lifting or making certain wrist movements. Pain may extend into the forearm. Tingling or reduced sensation, particularly towards the ring and little fingers, makes assessment of the ulnar nerve important as well. These symptoms should not be dismissed as simple tendon discomfort or investigated by repeatedly provoking painful movements at the workstation without appropriate clinical guidance.

Review combined demands

Consider wrist flexion, forearm pronation, gripping and repeated force alongside posture and recovery. Poorly fitting tools, components that are difficult to hold or excessive resistance can increase the demand. An assessment of working postures should observe how the operation is actually performed rather than just count movements. The same frequency can involve very different effort depending on materials, maintenance and the support available.

Document without prejudging

An occupational history records current and previous tasks, changes in intensity, duration and symptom development. Clinical assessment should also consider previous conditions and activities outside work. A temporal association is useful information but does not itself establish an occupational disease. Separating workstation observations from medical conclusions avoids turning the label repetitive work into either a diagnosis or an automatic attribution of causation.

Adapt the work

Possible trials include component supports, better-fitting tool handles and changes that reduce force or wrist deviation. Improvements must retain control and safety, particularly when powered equipment is introduced. Varying tasks is useful when it changes flexor and pronator demands, not when the same load is repeated on a different product. Coordinate practical changes with the functional recommendations provided by the worker’s healthcare professionals.

Review progress and function

Persistent pain, weakness or sensory changes require professional follow-up. There is no single recovery duration or adaptation suitable for every case. Check whether changes are used and whether production pressures force workers to abandon them at busy times. Occupational attribution depends on individual assessment and the applicable framework. Exposure can still be improved without anticipating that conclusion or making an unsupported promise about treatment results.

References

  1. INSST — DDC-TME-05 Epitrocleítis, 2022. Official source
  2. Royal Orthopaedic Hospital NHS — medial epicondylitis. Official source
  3. NHS Tayside — tennis and golfer elbow. Official source

Editorial information

Publication date: 2 November 2026.

Editorial responsibility: Sabentis Editorial Team.

Author: Pablo RodríguezLinkedIn

Executive Vice President of the ORP International Foundation and Chief Financial Officer of Sabentis.

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