Golfer’s Elbow, or medial epicondylitis, is a common overuse injury that causes pain and inflammation in the tendons on the inside of the elbow. This discomfort results from repetitive strain on the wrist flexor muscles, which attach to the bony bump on the inner elbow. Bracing offers a non-invasive way to manage symptoms by reducing the mechanical strain on these affected tendons, allowing the tissue to rest and begin the healing process. Choosing the correct brace depends on the severity of the condition and the specific activity being performed.
Counterforce Straps
Counterforce straps are the most common and targeted device for managing Golfer’s Elbow pain, designed as a band worn around the forearm. The strap applies localized, compressive pressure to the muscle belly of the wrist flexors. This pressure creates a new anchor point for the muscle, which absorbs and redirects the forces generated by wrist and finger movements. This redistribution of force lessens the pulling tension at the medial epicondyle, the point of irritation at the elbow joint.
For the strap to work effectively, proper placement is paramount. The strap should be positioned on the forearm about one to two inches below the elbow crease, directly over the thickest part of the muscle belly on the inner side of the forearm. When the wrist flexor muscles contract, the strap must be secure enough to prevent their full expansion and force transmission. It should feel snug during activity but must never restrict circulation, which can manifest as numbness or tingling in the hand.
Wrist Splints
Wrist splints focus on temporary immobilization of the wrist joint. Golfer’s Elbow pain is aggravated by forceful wrist flexion and gripping, as these actions engage the irritated flexor tendons. The splint physically restricts these movements, forcing the wrist flexor muscles into a lengthened, resting state. By preventing the muscles from contracting fully, the splint provides mechanical rest for the tendon attachment at the elbow.
Wrist splints are generally designed to hold the wrist in a neutral or slightly extended position, typically between 0 and 15 degrees of extension. This optimal position minimizes the strain on the flexor-pronator mass. Due to their restrictive nature, splints are often reserved for periods of severe pain or recommended for use during sleep to prevent unconscious movements that could disrupt healing. They serve as a temporary solution to calm acute tendon irritation rather than a long-term support for activity.
Compression Sleeves
Compression sleeves provide generalized support. The sleeve is a full-coverage, elastic garment worn over the entire elbow and forearm area. Its primary function is to deliver uniform, circumferential compression, often in the range of 20–30 mmHg. This compression helps to reduce localized swelling and encourages increased blood flow to the joint and surrounding tissues.
The constant light pressure on the joint enhances proprioception. This heightened awareness can lead to more controlled and less jarring movements during activity. Sleeves are most appropriate for mild cases, as an adjunct to a counterforce strap, or for general warmth and recovery following activity.
Choosing the Right Support and Proper Fit
Selecting the appropriate support should be based on the severity and nature of the symptoms. A counterforce strap is the best choice for managing pain during activities involving repetitive wrist and finger movements, such as gripping or lifting. If pain is constant, severe, or interrupts sleep, a wrist splint may be necessary to enforce complete rest for the tendon.
Proper sizing is non-negotiable for all bracing types to ensure both effectiveness and safety. For a counterforce strap, attempt to slide one finger underneath the strap after it is secured; if it is too loose, the force redirection will be inadequate. A compression sleeve requires measuring the circumference of the arm, usually a few inches above the elbow joint, to select the correct size and ensure the compression level is therapeutic and not constrictive.
Users should immediately remove any brace that causes increased pain, skin irritation, or circulatory issues like numbness, coldness, or tingling in the forearm or hand. Using a combination of devices—such as a counterforce strap during the day for activity and a wrist splint at night for passive rest—is often beneficial. If symptoms continue despite consistent bracing and modification of activity, seeking guidance from a physical therapist or doctor is recommended for a comprehensive treatment plan.