What treatment and opptrening opplegg that is efficient to a golfer’s elbow is affected by the cause of the injury, the origin of the pain/injury, how long the injury has pågått and what phase it is in. In addition can also the distribution of the types of the musculare fibers in the muscle affect what time of opptrening that has the best effect. Due to it is so many factors that influence on the healing of the injury, makes it difficult to komme frem to a specific combination of treatment and opptrening that fits everyone. The treatment and opptrening must therefore be adjusted to each patient.

Cause of injury
The main cause of golfer’s elbow is either acute or long-term overload, but different factors can make one more exposed for golfer’s elbow and similar injuries:

- persons, especially athletes, with high pain threshold can be more exposed for load injuries because that can hold on with a loading activity longer than others

- persons with specific diseases/suffering, for instance rheumatism, is more exposed for inflammation than others

- mailnutrition or lack of minerales/vitaminer can make the body more postponed for inflammation. For instant will lack of magniesium make it difficult for the muscles to relax after a load

- general high level of stress will increase the level of tension in the muscles and they will be more vulnerable for overload because they do not get sufficient rest/restitution

For more through information see the section ”Causes of golfer’s elbow”.

Where the injury, really is, located
Even if the pain is on the inside of the elbow, doesn’t it necessary mean that the main problem is there. The main cause for the pain can come from:

- innside of the elbow where the pain is
- other places in the elbow
- forearm
- wrist
- upper part of the arm
- shoulder
- between the shoulder

Type of injury
Even if the cause and location of the injury is the same, can it still vary what compination of treatment and opptrening that is the best from person to person. This can among several reason be due to:

- how long the injury has been. The longer time the injury has been there, the more thorough it has satt seg and the more difficult it is to get rid of the injury.
- the injury can be in one of three phases. What phases the injury is in is affected by how long time it has been, how large the load has been before the injury occurred and after, and what have been done to improve the injury. The injury can be in three different phases: overload/before inflammation, inflammation and after inflammation

The muscle’s oppbygning/construction/composition
The oppbygningen to the injured muscle can have significant for what type of opptrening that is the most suitable. Usually is it the endurance fibres, type I, that is overloaded at golfer’s/tennis elbow. By mobilising type II-fibres, with weight lifting, can the type I-fibres get avbelastning in addition will the flow of blood through the place of injury increase. This type of opptrening will have positive effect on everyone presumably because some of us have mainly type I-fibres in the muscles and weight lifting will for these only put more strain on the same fibres.