Little League Elbow

Little League elbow is a group of injuries caused by repetitive throwing in young athletes. The most common form involves irritation or avulsion of the medial epicondyle growth plate.

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Typical Recovery Time

6-12 weeks

Symptoms

•Inner elbow pain during or after throwing
•Decreased throwing velocity
•Loss of full elbow extension
•Tenderness on the inner elbow

Common Causes

•Repetitive overhead throwing
•Poor pitching mechanics
•Excessive pitch counts
•Throwing curve balls at a young age

Treatment Options

1Rest from throwing

2Physical therapy

3Throwing mechanics evaluation

4Gradual return to throwing program

5Surgery in cases of fracture or loose bodies

When to See a Doctor

If pain is sudden and severe, you heard a pop, or there is significant swelling.

Frequently Asked Questions

What is Little League elbow?

Little League elbow is an overuse injury in young throwing athletes. It affects the growth plate or structures on the inside of the elbow. It can cause pain during throwing and reduced performance.

What causes Little League elbow?

It is caused by repetitive throwing stress, especially with high pitch counts or inadequate rest. Poor mechanics and year-round throwing can increase risk. Growth plates in young athletes are more vulnerable to stress.

What are the symptoms?

Symptoms include pain on the inside of the elbow during or after throwing. Athletes may notice decreased velocity, accuracy, or endurance. Swelling or limited motion can also occur.

How is Little League elbow treated?

Treatment usually includes rest from throwing, physical therapy, and correction of throwing mechanics. Return to throwing should follow a structured progression. Ignoring symptoms can lead to more serious injury.

When can my child return to throwing?

Return depends on pain-free motion, strength, and healing. Many athletes need several weeks to months away from throwing. Pitch count rules and rest days are important to prevent recurrence.

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