Rest from repetitive activities is recommended until the pain is gone, as movement can worsen the condition.
Cryotherapy or ice packs can be applied to the elbow for 15 to 20 minutes, 3 to 4 times a day for several days. To protect the skin, wrap the ice pack in a thin towel and use it to massage the inner elbow with ice for 5 minutes at a time, 2 to 3 times a day.
The physiotherapist recommends wearing a brace on the affected arm, which might reduce tendon and muscle strain.
Taping has a good effect on pain and enables pain-free grip strength in patients with chronic golfer's elbow. Physiotherapists usually suggest Kinesio tape and exercise, which are found to be very effective.
Manual therapy is a hands-on treatment that involves techniques like mobilization with movement that can reduce pain and facilitate exercise e.g Mulligan's mobilization, etc. Manual therapy uses soft tissue massage and joint mobilization techniques to regain full movement in the affected area. Transverse massage is effective in breaking the adhesions that finally help in pain-free movement.
Ultrasound therapy is found to be effective to relieve pain and spasm.
The TENS unit helps alleviate pain in the golfer's elbow. It is used 2-3 times per day or as needed to reduce pain and inflammation.
Laser with intensity 1-4 joule energy with power 905NM in pulse/continuous with 1 m exposer at each point to the medial epicondyle 3-4 days weekly treatment for 3-4 weeks decreases pain and swelling.
Stretching exercises are considered to be an effective measure for tendon overuse injuries. Stretching can be done on the elbow, forearm, wrist, shoulder, and thoracic spine increasing movement.
Strengthening exercises of the forearm, elbow, and hand are incorporated by using weights and resistance bands to strengthen the weak muscles. Isometric exercises can be used during the acute phase of the golfer's elbow. These exercises generate force without changing the length of the muscle. Eccentric exercises cause muscles to elongate in response to a greater opposing force and build muscle flexibility. These exercises strengthen the muscles, tendons, and ligaments and can help reduce the risk of muscle strains and tears. Eccentric exercises involve progressive loading on the tendon, which helps the tendon gradually adapt to tolerate the demands placed on it.