內側上髁炎，俗稱「高爾夫球肘」，係前臂屈腕同旋前肌嘅肌腱喺手肘內側附著點反覆受拉扯，引起微細撕裂同發炎。

常見原因
– 揮桿、投擲、打球等重複用力動作
– 長時間用滑鼠、打字或扭緊工具
– 健身時過度做屈臂、抓握動作
– 突然增加運動量或工作量

症狀
– 手肘內側疼痛或灼熱感，按壓特別痛
– 屈腕、握拳、拿重物時加劇
– 有時痛楚放射到前臂
– 抓握力度下降，覺得「冇力」

物理治療重點

急性期：減少拉扯、控制發炎
• 避免高負荷抓握同扭轉動作，必要時使用護托。
• 以儀器、冰敷同手法放鬆前臂肌肉。

恢復期：重建肌腱耐力、調整動作
• 以漸進式離心及阻力訓練強化屈腕肌群。
• 檢查揮桿／投擲／工作技術，配合姿勢及器材調整，減低手肘壓力，預防復發。

English

Medial elbow epicondylitis, or golfer’s elbow, is overuse of the wrist-flexor and pronator tendons where they attach to the inner side of the elbow, leading to micro-tears and inflammation.

Common causes
– Repetitive swinging, throwing, or racquet sports
– Prolonged gripping with tools, mouse, or keyboard
– Heavy gym work involving wrist flexion and gripping
– Sudden increase in training or workload

Symptoms
– Pain or burning at the inner elbow, tender to touch
– Pain worsens with gripping, wrist flexion, or lifting objects
– Sometimes radiating discomfort into the forearm
– Reduced grip strength and feeling of weakness

Physiotherapy focus

Acute phase – unload and calm the tendon
• Activity modification to reduce heavy gripping and twisting; temporary bracing if needed.
• Modalities, ice, and manual therapy to ease pain and relax forearm muscles.

Recovery phase – rebuild tendon capacity and technique
• Gradual eccentric and resistance exercises to strengthen the wrist-flexor group.
• Technique review for sport and work tasks, with posture and equipment adjustments to decrease elbow stress and prevent recurrence.