Golfer Elbow: Why It Happens and What You Can Do About It

Learn why Golfer's Elbow isn't always caused by golf and how mobility, nerve function, movement quality, and brain-based training may help reduce pain and improve function.
By
Jen M
June 10, 2026
Golfer Elbow: Why It Happens and What You Can Do About It

Jen M

   •    

June 10, 2026

You don't have to play golf to get Golfer's Elbow.

In fact, most people I meet who struggle with Golfer's Elbow have never stepped onto a golf course.

The name comes from a movement pattern common in golf, but the same stress shows up in countless everyday activities.

Weight training.

Pickleball.

Gardening.

Using tools.

Typing.

Carrying groceries.

Lifting kids.

All of these activities can place repeated stress on the muscles and tendons attached to the inside of the elbow.

Over time, those tissues can become irritated, leading to pain, weakness, and frustration.

The good news?

The painful area isn't always the whole story.

Why Does Golfer's Elbow Happen?

Traditionally, Golfer's Elbow has been viewed as an overuse injury involving the muscles responsible for:

  • Gripping
  • Wrist flexion
  • Forearm pronation

And while that's partly true, it doesn't explain why some people recover quickly while others seem stuck with it for months.

From a movement perspective, there are usually two factors involved:

1. Reduced Tissue Capacity

Sometimes the tissues simply aren't prepared for the amount of work you're asking them to do.

This often happens after:

  • Increasing training volume
  • Starting a new sport
  • Seasonal yard work
  • Repetitive work tasks
  • Returning to activity after time off

2. Movement Restrictions Elsewhere

Sometimes the elbow is doing extra work because another part of the body isn't moving as well as it should.

This is known as a kinetic chain issue.

The elbow may be where you feel the pain, but it may not be where the problem started.

Thank you to Z-Health who is a leader in nuero-based interventions.

Before You Begin: Create a Baseline Test

Before trying any of the exercises below, identify something that reliably reproduces your symptoms.

Examples:

  • Picking up a coffee mug
  • Opening a jar
  • Gripping a dumbbell
  • Pressing on a tender spot
  • Making a fist

Rate your discomfort on a scale of 0-10.

After each drill, retest.

The goal isn't to blindly do exercises.

The goal is to find out what creates a positive change.

Video 1: Spine Mobility Matters

Video:
https://www.youtube.com/watch?v=e7vgRfOaYrc

Most people don't associate upper back mobility with elbow pain.

But if the thoracic spine becomes stiff, the body often compensates elsewhere.

That compensation frequently shows up in the shoulders, arms, and elbows.

Try:

Standing Flexion and Extension

  • 5-10 reps

Side Bends

  • 5-10 reps each side

Tray Circles

  • 5-10 reps each direction

Thoracic Rotation

  • Rotate left and right
  • Note your range of motion
  • Perform 5-10 reps

Retest your elbow symptoms.

Did your grip improve?

Did your pain decrease?

If yes, your spine may be part of the puzzle.

Progression

Using a strap or rope looped around your arm:

  • Perform rotational isometric holds
  • Hold 6-10 seconds
  • Repeat 5-10 times

Experiment with different arm positions that mimic the demands of your activity or sport.

Retest often.

Video 2: The Hip-Elbow Connection

Video:
https://www.youtube.com/watch?v=GovRMaMrM6Y

This is usually the section that surprises people.

A restriction in the opposite hip can sometimes influence elbow symptoms.

Particularly during activities involving rotation, force transfer, or loading through the body.

Try:

  • Shift weight onto the affected side
  • Rotate through the pelvis
  • Explore internal hip rotation
  • Repeat in different knee positions
  • Add more bodyweight as tolerated

After that:

  • Add spinal rotation
  • Introduce movements that resemble your sport or activity

Retest your elbow symptoms after each variation.

Sometimes the biggest improvement comes from somewhere completely unexpected.

Video 3: Better Shoulders, Better Elbows

Video:
https://www.youtube.com/watch?v=GovRMaMrM6Y

The shoulder and elbow work together.

If the shoulder lacks mobility or stability, the elbow often picks up the slack.

Three movements deserve special attention:

External Rotation

Using a strap loop around the wrists:

  • Elbows tucked at your sides
  • Gentle outward pressure
  • Hold 30-45 seconds
  • Four sets

Abduction

  • Hands overhead
  • Vary wrist positions
  • Hold 30-45 seconds

Extension

Band behind the body.

Try:

  • Palms up
  • Palms facing each other
  • Back of hands up

Notice which position feels most challenging.

Retest your elbow after each variation.

The movement that improves symptoms most often points toward what your body needs.

Video 4: Ulnar Nerve Mobility

Video:
https://www.youtube.com/watch?v=f1xrXCSdwY0

Not all elbow pain is muscular.

Sometimes the nervous system contributes to the problem.

This video focuses on improving mobility of the ulnar nerve.

Guidelines

  • Start with your stronger side
  • Perform gentle nerve flossing
  • Keep discomfort below 3/10
  • Complete 10 repetitions

Then test your symptoms.

As you improve, make the drill slightly more challenging by looking away from your hand during the movement.

Again, the goal isn't stretching.

The goal is improving communication within the nervous system.

Video 5: Soft Tissue Mobilization

Video:
https://www.youtube.com/watch?v=SfoXVcf0M58

This video focuses on helping the brain feel safer around irritated tissues.

Step 1: Compression

Work through the flexor muscles of the forearm while moving the wrist.

Then explore:

  • Triceps attachment work
  • Tender areas around the elbow

Perform 5-15 repetitions.

Retest.

Step 2: Decompression

If compression doesn't help:

  • Gently lift the skin
  • Create a decompression effect
  • Move through the same ranges

Retest again.

The best technique is the one that creates a positive change.

Once you find it, repeat it several times throughout the day.

Video 6: Brain-Based Strengthening

Video:
https://www.youtube.com/watch?v=veSIaoxm_eI

Eventually, we need to rebuild strength.

But strength isn't just about muscles.

It's also about coordination and timing.

This approach uses a metronome to improve motor control while loading the tissues.

Exercise 1: Wrist Flexion and Extension

  • Light weight
  • 3-4 second tempo
  • Follow the rhythm of the metronome
  • 15 repetitions

Exercise 2: Wrist Pronation

Using a light weight or hammer:

  • Controlled tempo
  • Follow the metronome
  • Add a brief hold if tolerated

The number of repetitions is less important than maintaining the rhythm.

Focus on quality movement.

Key Takeaways

✓ You don't have to play golf to develop Golfer's Elbow.

✓ The painful area is often only part of the story.

✓ The spine, hips, shoulders, nerves, and soft tissues can all influence symptoms.

✓ Always test and retest.

✓ Focus on the drills that create meaningful improvements.

✓ Small improvements in movement quality can sometimes create surprisingly large improvements in pain and function.

If you've been battling Golfer's Elbow, don't just chase the painful spot.

Sometimes the fastest path forward starts somewhere else entirely.

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