Golfer's elbow is an overload of the shared tendon attachment on the inner point of the elbow, where the muscles that bend the wrist and close the fingers originate. It is the mirror image of tennis elbow: the pain sits on the inner side rather than the outer. And just as there, most people who develop it never play golf — any job involving repeated gripping, pulling and twisting produces the same result. In Bursa Nilüfer, Fizyoterapist Aydın Ali runs a programme built not on resting the tendon but on raising, in measured steps, the load it can carry.
Fizyoterapist Aydın Ali provides one-to-one care for golfer's elbow at the clinic in Bursa Nilüfer — in Fethiye Mahallesi, on Kelebek Sokak, at a central point of Nilüfer, opposite the Fethiye covered market.
It is a short trip by car or public transport from İhsaniye, Odunluk, Balat, Özlüce, Ataevler, 23 Nisan and the surrounding areas. Every session is one-to-one, assessment-based and tailored to you.
If numbness in the little and ring finger accompanies pain on the inner side of the elbow, the picture isn't explained by the tendon alone: the ulnar nerve runs right behind that area and can come under pressure in a bent-elbow position.
Fizyoterapist Aydın Ali makes this distinction during assessment. For a tendon-origin picture, manual therapy and graded loading are used; if there's a nerve finding, gliding exercises are added, and habits that keep the elbow bent for long periods — talking on the phone, sleeping position — are addressed separately.
Both arise through the same mechanism — a tendon attachment strained by repeated load — but involve different muscle groups. In tennis elbow the pain is on the outside and comes from the muscles that lift the wrist. In golfer's elbow it is on the inside, from the muscles that bend the wrist down and close the fingers.
The treatment logic is similar, but which muscle is trained and which daily movements are adjusted changes. "My elbow hurts" is therefore not enough on its own; which side the pain sits on sets the programme.
The ulnar nerve passes just behind the tendon attachment on the inner elbow. Because of that proximity, golfer's elbow is sometimes accompanied by numbness in the little and ring fingers — and that is no longer a picture explained by tendon alone.
Fizyoterapist Aydın Ali makes this distinction at assessment. Where there is nerve involvement the programme includes gliding exercises, and habits that hold the elbow bent for long periods (phone calls, sleeping position) are addressed separately.
Tendon is tissue that gets stronger through loading. Stopping completely during a painful phase brings short-term relief, but the resting tendon also weakens — so returning to work, the old load now feels heavier. This is the most common reason for the "I thought it had gone, and it started again" cycle.
Rather than removing load, the programme re-scales it: isometric work that reduces pain first, then slow, heavy strengthening that raises the tendon's capacity.
"Feeling better" is not a reliable measure here; symptoms fluctuate through the day and across weeks. Countable measures are tracked instead: grip strength values, pain-free carrying time, and pain level at a defined load.
These are taken at the first assessment and repeated regularly, so progress becomes a comparison rather than a guess.
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Fizyoterapist Aydın Ali · Bursa Nilüfer. Share your complaint; we plan the process together after the assessment.
The name comes from the group in which it was first described. In practice most people who develop it never play golf; any repeated gripping, pulling or twisting task — repairs, kitchen work, heavy carrying, weight training — can create the same overload.
During a painful phase, and in jobs with heavy gripping, it can help by sharing the load. Continuous use on its own is not advised — support does not replace the strengthening programme.
In most cases you do not have to stop. Pulling volume, grip width and load are adjusted so you work below the agreed pain threshold, and volume is opened up as the measurements improve.
Tendon problems require patience. Marked relief usually comes within weeks; grip strength returning to its previous level takes longer. The timeframe depends on how long symptoms have been present and how consistently the programme is followed.
For pain on the outer elbow that flares with gripping: a graded tendon-loading programme that rebuilds grip strength.
Mobilisation of soft tissue with stainless-steel instruments, carried out together with exercise.
For night-time hand numbness and dropping objects: nerve gliding, splinting and load management without surgery.
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