Targeted soft tissue treatment for medial elbow pain at Beverley Road, New Malden KT3 4AW. BTEC Level 5, 66 five-star reviews. First session £80.
Golfer’s elbow (medial epicondylitis) is pain on the inside of the elbow caused by overloading the forearm flexor and pronator muscles at their attachment to the medial epicondyle. Despite the name, golf accounts for a small minority of cases. Climbers, manual tradespeople, gym-goers and desk workers are all commonly affected: anyone who performs repetitive gripping, pulling or wrist flexion in their work or sport.
Pain on the inner elbow typically worsens with gripping, carrying, shaking hands or flexing the wrist against resistance. It can radiate down the forearm toward the wrist, and in some cases is accompanied by tingling in the ring and little finger, a sign that the ulnar nerve, which runs close to the medial epicondyle, is also involved. Left untreated, the tendon attachment becomes increasingly sensitised. For the companion condition on the outer elbow, see tennis elbow.
The two primary drivers in most cases. Pronator teres is particularly important and often overlooked: it attaches at the medial epicondyle and becomes chronically tight with repeated gripping and forearm rotation.
The shared tendon of the forearm flexor muscles attaches at the medial epicondyle. Deep transverse friction here reduces chronic sensitisation and promotes tissue remodelling, essential for lasting resolution.
The ulnar nerve runs through the cubital tunnel at the medial epicondyle, and in some presentations it becomes compressed or irritated alongside the tendon, producing tingling in the ring and little finger. The hands-on assessment establishes whether the nerve is involved before treatment begins.
Flexor carpi ulnaris, palmaris longus and flexor digitorum contribute to loading at the medial epicondyle. Treating the whole forearm flexor group rather than just the tendon attachment site produces more complete and lasting results.
The golf swing loads the medial epicondyle at impact, particularly in players who grip tightly or have a strong wrist-flexion move through the ball. Most common in the lead arm (the left for right-handed golfers).
Sustained and repeated finger and forearm flexion on the wall creates chronic overload through the common flexor tendon. This is the most common chronic overuse injury in regular climbers, where the flexor load is constant and high intensity.
Plumbers, electricians and carpenters perform repetitive gripping, torquing and pulling movements. The medial side is loaded more heavily in pulling and rotation tasks, the opposite loading pattern to tennis elbow, which dominates in pushing and gripping.
Sustained mouse use and typing, particularly with the forearm pronated on a hard desk surface, loads pronator teres continuously. Nick treated office professionals at Google HQ, where medial forearm tightness was a regular complaint in heavy keyboard users.
The session starts with a conversation about your sport, work and how the pain behaves, followed by hands-on assessment of the forearm flexors, pronator teres and the area around the medial epicondyle, including whether the ulnar nerve is contributing. Treatment then releases the flexor and pronator group with sustained work plus deep transverse friction at the tendon attachment.
First session £80 (usually £100) · view all rates · 🏛️ MSMA member; private health insurance may cover sessions, receipt provided on request.
"Very knowledgeable and professional. Nick made me feel completely comfortable throughout and you can tell he genuinely knows his stuff. Great experience every time."
AshleySoftball Player · Google Review"I went in with a really tight neck and some lingering wrist pain, and he quickly pinpointed the problem areas. The treatment was thorough but still relaxing, and he explained what he was doing along the way. After the session, my neck felt noticeably looser and the wrist pain had eased a lot."
TomaszClient · Google Review"Nick is extremely friendly which helped ensure I was completely relaxed. He delivers with professionalism, answers any questions I have, and always provides advice for my wellbeing."
JoelClient · Google ReviewRead all 66 reviews on the reviews page.
Yes. Medial epicondylitis responds well to targeted release of the forearm flexor and pronator muscles combined with deep transverse friction at the medial epicondyle tendon attachment. This reduces load through the tendon and promotes tissue remodelling. Most clients notice clear improvement within 2 to 3 sessions.
Golfer’s elbow affects the inside of the elbow (the medial epicondyle) where the forearm flexor and pronator muscles attach. Tennis elbow affects the outside (the lateral epicondyle) where the forearm extensor muscles attach. Both are tendinopathies from overuse; the treatment approach targets different muscle groups. Some clients have both simultaneously, particularly manual workers and racket sports players.
Most clients see clear improvement within 2 to 3 sessions. Full resolution typically takes 4 to 8 weeks depending on how long the condition has been present and the ongoing loading demands of your work or sport. For longstanding cases, allow longer. You will get an honest assessment after the first session.
Yes, in most cases. The goal is load management: reducing the specific gripping and wrist flexion movements that are irritating the tendon, not stopping all activity. Complete rest is rarely necessary. Nick will advise on which specific movements to modify during recovery.
The ulnar nerve runs close to the medial epicondyle and can become compressed or irritated in the same area. Symptoms of ulnar nerve compression, tingling or numbness in the ring and little finger, can occur alongside medial elbow pain. If nerve symptoms are present, treatment takes this into account and Nick will advise whether further assessment is appropriate.
First session £80 (usually £100): assessment and treatment in the same appointment at Beverley Road, New Malden KT3 4AW.