Golfer's elbow (Medial epicondylitis)

• Repetitive wrist flexion or forearm pronation (turning palm down)
• Activities like golf swings, throwing, racket sports, or repetitive gripping
• Overloading or straining the tendons that attach to the medial epicondyle
• Muscle imbalances in the shoulder and cervical region.

• Pain and tenderness on the inside of the elbow
• Pain may radiate down the forearm
• Weak grip strength
• Stiffness in the elbow
• Pain when gripping, lifting, or bending the wrist

MAT addresses the underlying neuromuscular dysfunction that may be contributing to tendon overload.

With golfer’s elbow, overused forearm flexor tendons often compensate for inhibited muscles in the arm, shoulder, or even trunk.
By restoring proper muscle activation, MAT reduces tendon stress and improves joint stability.

• Before MAT:
  • Use Class IV Laser to reduce local inflammation and improve circulation
• After MAT:
  • Use Shockwave Therapy (PiezoWave) to stimulate tendon healing in the medial epicondyle
  • Finish with light stretching and mobility work to reinforce balanced muscle function

Frequency

• MAT: 1–2x/week initially until muscle activation patterns normalize
• Combine with laser and shockwave for 4–6 weeks for optimal tendon healing

Goals:

• Continue tendon repair
• Gradually load the tissue
• Restore normal range of motion
   

Treatment:

• Class IV Laser: 1–2x/week
• Shockwave: 1x/week
• M.AT.: at every session, activate inhibited muscles, reduce tendon stress, and improve joint stability.
• Begin light eccentric wrist flexor exercises (2–3 sets, light weight)
• Soft tissue work/manual therapy
   

Expected Changes:

• Pain reduced 50–70%
• Better grip strength
• Able to do light daily activities without flare-up
   

Goals:

• Improve tendon tolerance to load
• Regain full strength for sports/work
• Prevent re-injury
   

Treatment:

• Class IV Laser: 1x/week (optional for maintenance)
• Shockwave: 1x/week or biweekly as needed
• M.AT.: at every session, activate inhibited muscles, reduce tendon stress, and improve joint stability.
• Progressive strengthening: resistance bands, forearm pronation/supination drills, grip trainers
• Sport-specific or work-specific movement drills
   

Expected Changes:

• Pain reduced 80–100%
• Normal grip and forearm strength
• Able to return to golf, tennis, lifting, or work tasks without symptoms