Inner Elbow douleur : Causes, traitement et conseils de bien-être pour le Golfer's Elbow
Découvrez la douleur au coude interne, ses causes et ses symptômes. Découvrez un traitement efficace pour soulager la gêne et améliorer la mobilité.
Le sommaire
Si vous vous êtes déjà cogné l'os drôle ou foulé le coude, vous savez à quel point c'est douloureux. L'inconfort dans cette même zone, même si vous ne vous êtes pas cogné, porte un nom : l'épicondylite médiale, ou douleur à l'intérieur du coude. Elle est relativement rare - elle touche moins deun pour cent de la population - mais elle peut rendre plus difficile toute activité, qu'il s'agisse de faire du sport, de taper sur votre ordinateur ou de cuisiner.
La bonne nouvelle, c'est que la plupart du temps, la douleur du coude interne répond à des traitements simples comme des exercices d'étirement et de renforcement.
Lisez la suite pour en savoir plus sur la douleur au coude, ce qui la cause et comment la traiter, notamment grâce aux conseils et aux exercices de Hinge Health physiothérapeute.
Nos experts de Hinge Health
Jillian Aeder, PT, DPT
Jonathan Lee, MD, MBA
Dylan Peterson, PT, DPT
Qu'est-ce que la douleur au coude interne ou coude du golfeur?
La douleur au coude interne, également appelée coude du golfeur, est souvent confondue avec le tennis elbow. Mais les deux sont très différents. Votre coude possède deux épicondyles, qui sont des protubérances osseuses que vous pouvez sentir de chaque côté de votre coude. Vos tendons et autres tissus conjonctifs s'y attachent.
Lorsque vous souffrez d'une douleur à l'intérieur du coude, le tendon situé à l'intérieur du coude est irrité. Dans le cas du tennis elbow, c'est le tendon situé près de la bosse à l'extérieur du coude qui s'aggrave, explique le Dr Aeder.
La douleur au coude interne survient généralement chez les personnes âgées de 40 à 50 ans, mais elle peut survenir à tout âge et touche aussi bien les hommes que les femmes. Elle se produit généralement dans votre bras dominant.
Symptômes de la douleur au coude interne
La douleur au coude se développe souvent lentement au fil du temps. Elle peut survenir à la suite d'une augmentation soudaine d'une certaine activité (par exemple, pelleter beaucoup de neige pendant une grosse tempête d'hiver). Parfois, la douleur du coude interne se manifeste simplement - la douleur apparaît un jour et persiste, s'aggravant souvent avec certaines activités, comme le fait de soulever plus de poids que ce que votre corps est prêt à supporter à ce moment-là. En général, les symptômes de la douleur au coude interne sont les suivants :
douleur qui part du coude et irradie dans le avant-bras. « En général, c'est le principal symptôme », explique le Dr Aeder.
Difficulté à saisir ou à soulever des objets.
Picotements aigus de douleur lors d'activités impliquant un mouvement du coude.
douleur pendant ou après des activités impliquant votre poignet.
Engourdissement ou picotement dans les doigts.
Douleur sourde dans le coude au repos.
Faiblesse générale ou raideur du coude.
What Causes Inner Elbow Pain?
Inner elbow pain usually occurs when you do more than what your body is ready for. “It tends to be caused by any sort of activity that involves repetitive gripping,” explains Dr. Aeder. Here are some common causes of inner elbow pain:
Certain sports. You can experience inner elbow pain from golf because it requires you to grip the clubs so tightly. But other activities can contribute to it, too. These include tennis (gripping the tennis racquet very hard), or even throwing sports such as baseball, softball, or football.
Weight training. Certain movements during strength training can contribute to inner elbow pain — such as curling your wrists during a biceps exercise — if your body isn't used to these motions. Doing exercise therapy to stretch and strengthen your arms and wrists (see some moves below) can help you adapt.
Your job. If you’re on your computer all day, you can develop inner elbow pain simply by gripping your mouse tightly, says Dr. Aeder. Manual labor that requires forceful, repetitive movements like construction, plumbing, and carpentry can also cause it.
Physical therapy (PT) is for more than just recovering from surgery or injury. It’s one of the top treatments for joint and muscle pain. It helps build strength, improve mobility, and reduce pain. And it doesn't always need to be in person.
Hinge Health members can conveniently access customized plans or chat with their care team at home or on the go — and experience an average 68% reduction in pain* within the first 12 weeks of their program. Learn more*.
Exercices contre la douleur au coude interne
Get 100+ similar exercises for free →- Wrist Flexor
- Wrist Bends
- Seated Wrist Pronation
- Seated Wrist Supination
- Towel Squeeze
- Elbow Curl
These inner elbow pain exercises are recommended by Hinge Health therapists to alleviate pain and strengthen the muscles in your wrists and arms, to keep the pain from coming back. This way you’ll be able to keep up with all the activities you enjoy, like golf and tennis, with less pain and discomfort.
The information contained in these videos is intended to be used for educational purposes only and does not constitute medical advice or treatment for any specific condition. Hinge Health is not your healthcare provider and is not responsible for any injury sustained or exacerbated by your use of or participation in these exercises. Please consult with your healthcare provider with any questions you may have about your medical condition or treatment.
Inner Elbow Pain Treatment
Most people can recover from inner elbow pain within about six to 12 weeks with at-home treatments. Here’s what Hinge Health physical therapists recommend.
Physical therapy. A physical therapist (PT) can recommend stretching and strengthening exercises, like the ones above, to improve elbow and wrist mobility, relieve symptoms, and strengthen surrounding muscles to take pressure off of the elbow. You can see a physical therapist in person or use a program like Hinge Health to access a PT via telehealth/video visit.
Ice. “I always recommend ice cupping, because ice can help relieve inflammation around your elbow bone,” says Dr. Aeder. To make an ice cup, take a small paper cup and fill it three-quarters of the way up with water. Freeze it, then, when you want to use it, peel out a piece from the bottom of the cup so that the ice is exposed. Then apply that to your elbow. (And use a towel to catch any drips from the other end.)
Self-massage. Dr. Aeder recommends that you simply place your thumb over the sore area, and massage it for 10-15 minutes to help increase blood flow and bring in healing nutrients.
Over-the-counter medications. Pain relievers such as ibuprofen (Advil, Motrin), naproxen (Aleve), and acetaminophen (Tylenol) can help with inner elbow pain. Sometimes topical medications such as diclofenac can also make you feel better. It’s important to make sure that you are safely able to take these medications, based on your medical history.
Arm brace. Wearing a brace may reduce pressure on the injured tendon in your elbow. You can use it while you work or play sports. Just make sure to use it so that the brace cushion rests on your forearm muscles (about three to four inches from the tip of your elbow bone).
Check your lifting technique. When lifting heavier objects, try lifting with your palm down (instead of palm up) to shift stress from the inside to the outside of your elbow.
How to Prevent Inner Elbow Pain
Although you can experience inner elbow pain from regular, everyday activities, there are steps you can take to help prevent it from occurring altogether, such as:
Warming up before activity. Dynamic stretches can prepare your wrists, arms, and elbow joints for a more vigorous workout or activity, especially one that involves consistent gripping.
Strengthening and stretching your arm muscles. Arm stretches and strengthening exercises can help take pressure off your elbow joint, reducing your risk of developing inner elbow pain with activity.
Checking your swing. If you golf, consider taking a few lessons from a golf coach to get feedback on your swing and grip. This can help prevent pain from setting in.
Listening to your body. Pain is tricky because it’s not always an accurate indication of damage. You don’t need to drop everything and stop moving at the first sign of a twinge in your inner elbow, but putting heavy loads on an already inflamed joint may make for a longer recovery. If you notice inner elbow pain, it’s okay to scale back to gentle movement to prevent your pain from getting worse.
Increasing exercise gradually. If you’re new to a sport like golf or tennis — or are planning an all-day task like painting your house — aim to start gradually, taking plenty of breaks to give your arms and elbows a rest. If you usually play one round of golf every few weekends, make sure you take breaks as needed or play at a more moderate intensity for part of the round. Over time, you can work up to more time spent playing or increased intensity.
PT Tip: Mix It Up
Mix up your activities throughout the day to prevent inner elbow pain. “It’s all about variety and not doing the same thing,” says Dr. Aeder. That might mean changing your paintbrush grip if you’re a painter, or using your mouse or keyboard differently throughout the day.
How Hinge Health Can Help You
If you have joint or muscle pain that makes it hard to move, you can get the relief you’ve been looking for with Hinge Health’s online exercise therapy program.
The best part: You don’t have to leave your home because our program is digital. That means you can easily get the care you need through our app, when and where it works for you.
Through our program, you’ll have access to therapeutic exercises and stretches for your condition. Additionally, you’ll have a personal care team to guide, support, and tailor our program to you.
See if you qualify for Hinge Health and confirm free coverage through your employer or benefit plan here.
This article and its contents are provided for educational and informational purposes only and do not constitute medical advice or professional services specific to you or your medical condition.
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Références
Maughan, R. J., & Shirreffs, S. M. (2019). Crampes musculaires pendant l'exercice : Causes, solutions et questions en suspens. Médecine du sport. doi:10.1007/s40279-019-01162-1
Pieters, Louise, et al. (2020, mars). Une mise à jour des revues systématiques examinant l'efficacité des interventions conservatrices de physiothérapie pour la douleur sous-acromiale de l'épaule. Journal of Orthopaedic & Sports Physical Therapy. doi:10.2519/jospt.2020.8498.
Alzahrani, Wael M. (2022, août).Injections de plasma riche en plaquettes comme alternative à la chirurgie dans le traitement des patients atteints d'épicondylite médiale : A Systematic Review. Cureus. doi:org/10.7759/cureus.28378.
Tendinopathie du coude (Tennis et Golf Elbow). (2022, octobre). A jour. https:// www.uptodate.com/contents/elbow-tendinopathy-tennis-and-golf-elbow
Coude du golfeur. (2018, mai). Bibliothèque nationale de médecine. https://www.ncbi.nlm.nih.gov/books/NBK507002/