Rehabilitation of Medial Elbow Pain in a Recreational Player

A 30-year-old recreational badminton player reports gradual onset of medial elbow pain. Pain increases during gripping and wrist flexion.

No trauma is reported.

Clinical Assessment

Subjective Findings

Pain during gripping
Pain with resisted wrist flexion
No numbness or tingling

Objective Findings

Tenderness over medial epicondyle
Pain on resisted wrist flexion
Mild grip weakness

These findings suggest medial elbow tendinopathy.

Rehabilitation Plan

Phase 1: Load Modification

Reduce aggravating activities
Avoid repetitive gripping
Educate about tendon load

Phase 2: Isometric Strengthening

Isometric wrist flexion exercises reduce pain sensitivity.

Phase 3: Progressive Loading

Introduce:

Eccentric wrist flexor exercises
Gradual resistance progression
Grip strengthening

Phase 4: Functional Return

Sport-specific drills
Gradual return to play
Endurance training

Prevention Strategy

Warm-up before play
Monitor training load
Maintain forearm strength

Conclusion

Rehabilitation of medial elbow pain requires structured loading, gradual progression, and patient education. Proper tendon rehabilitation restores strength and reduces recurrence.