Little League Elbowenparents League elbow is an overuse injury to the elbow caused by repetitive throwing. Most cases happen in pitchers, but any young athlete who throws a lot can get the condition.Little League elbow, medial epicondyle apophysitis, overuse injury, elbow, repetitive throwing, pitchers, young athlete, pain on the inner part of their elbow, elbow pain, elbow hurts, painful elbow, joint pain, repetitive stress injury, repetitive stress injuries, repetitive stress, RSI, growth plate, sports injuries, physical therapy, PT, coaches, exercise program, growing bones, bone growth, bone injuries, medial epicondyle apophysis, traction stress, skeletal maturity, medial, 12/09/201912/10/201912/10/2019Cassidy Foley Davelaar, DO11/30/2019cf36e5d8-daae-43fc-a071-261cc9beff7c<h3>What Is Little League Elbow?</h3> <p>Little League elbow is an <a href="">overuse injury</a> to the elbow caused by repetitive throwing. Most cases happen in pitchers, but any young athlete who throws a lot can get the condition.</p> <h3>What Are the Signs &amp; Symptoms of Little League Elbow?</h3> <p>Kids with Little League elbow have pain on the inner part of their elbow. At first, the elbow may hurt only during or right after throwing. But without treatment, the elbow can start hurting all the time. The pain usually starts gradually, but can happen after one throw if the athlete has been making the same motions often.</p> <h3>What Causes Little League Elbow?</h3> <p>Little League elbow is an overuse injury (also called a repetitive stress injury). Overuse injuries happen because the same motion is repeated over and over again.</p> <p>In Little League elbow, repeated throwing injures a <a href="">growth plate</a> in the elbow. A growth plate is a layer of cartilage near the end of a bone where most of the bone's growth happens. It's weaker and more at risk for injury than the rest of the bone.</p> <h3>Who Gets Little League Elbow?</h3> <p>Little League elbow happens most often in pitchers. But anyone who throws a lot, including catchers, infielders, and outfielders, can get it.</p> <p>Most cases are in kids and teens 8&ndash;15 years old. They're still growing, so their bones still have growth plates. Bones that are done growing don't have growth plates. Elbow pain after this age likely is not Little League elbow.</p> <p><img class="center_this" title="Little League elbow affects growth plates near the elbow" src="" alt="Medial Epicondyle Apophysitis illustration" /></p> <h3>How Is Little League Elbow Diagnosed?</h3> <p>Health care providers diagnose Little League elbow by:&nbsp;</p> <ul> <li>asking about sports and activities</li> <li>doing an exam of the elbow, observing range of motion and doing strength tests</li> <li>getting <a href="">X-rays</a> (X-rays can be normal in Little League elbow but can show other problems in the elbow)</li> <li>comparing the affected elbow with the unaffected elbow</li> </ul> <h3>How Is Little League Elbow Treated?</h3> <p>Kids with Little League elbow must take a break from all throwing for about 6 weeks. For pain and swelling, they can:</p> <ul class="kh_longline_list"> <li>Put ice or a cold pack on the elbow every 1&ndash;2 hours for 20 minutes at a time. Put a thin towel between the ice and the skin to protect it from the cold.&nbsp;</li> <li>Take <a href="">ibuprofen</a> (Advil, Motrin, or store brand) or naproxen (Aleve, Naprosyn, or store brand) if the health care provider says it's OK. Follow the package directions for how much to give and how often to give it. Kids should always take the medicines with food.</li> </ul> <p>When pain and swelling ease, health care providers usually recommend <a href="">physical therapy</a> or another exercise program. Before returning to play, it might help some kids to work on how they throw with a pitching coach or physical therapist.</p> <h3>When Can Kids With Little League Elbow Go Back to Throwing?</h3> <p>After a rest period and physical therapy or another exercise program, athletes with Little League elbow can slowly return to pitching if they:</p> <ul> <li>do not have any elbow pain</li> <li>have full strength in their arm</li> <li>can bend and straighten their elbow fully</li> </ul> <p>Athletes with Little League elbow need to work with their health care provider and coach to create a return to pitching program. The program should:</p> <ul> <li>slowly increase the number, distance, and intensity of pitches over 6&ndash;8 weeks</li> <li>say how many pitches can be thrown a day</li> <li>say what distance it is OK to throw</li> </ul> <p>They shouldn't go back to throwing until their health care provider says it's OK. Going back too early can permanently damage the elbow.</p> <h3>Can Little League Elbow Be Prevented?</h3> <p>To help prevent Little League elbow, young athletes should:</p> <ul class="kh_longline_list"> <li>Take a break from throwing for 3&ndash;6 months a year. They can play another sport that doesn't involve throwing, like soccer or swimming.</li> <li>Make sure they throw correctly.</li> </ul> <p>They also should follow pitching guidelines that specify:</p> <ul> <li>how many pitches are OK for each age</li> <li>what kind of pitches are OK for each age</li> <li>how much rest is needed between practices and games</li> </ul> <p>You can find information online about pitching guidelines at:</p> <ul> <li><a href=";section=positionStatement">American Sports Medicine Institute</a></li> <li><a href="">Little League Baseball and Softball</a></li> </ul> <h3>How Can Parents Help?</h3> <p>To help kids with Little League elbow:</p> <ul class="kh_longline_list"> <li>Make sure they follow the health care provider's recommendations for rest and exercises.</li> <li>Make sure they don't go back to throwing until the doctor says it's OK. Throwing too soon can cause permanent elbow damage.</li> <li>When they're back to throwing, be sure the pitching guidelines are followed. Someone from the team should keep track of pitches. If no one does, you may need to do it yourself.</li> <li>Teach your child that if something hurts during training or a game, they should stop playing right away. If the pain continues, your child needs to get checked by a coach, trainer, and health care provider before returning to play.</li> </ul>
Bones, Muscles, and JointsOur bones, muscles, and joints form our musculoskeletal system and enable us to do everyday physical activities.
BursitisBursitis, an irritation of the small fluid sacs that provide cushioning in some joints, is often caused by sports-related injuries or repeated use of a particular joint.
Growth PlatesGrowth plates are the areas of new bone growth, usually near the ends of long bones. A growth plate is weaker than solid bone. This makes it more likely to get injured.
Panner's DiseasePanner's disease is a painful bone condition linked to overuse of the elbow. Kids with Panner's disease need to avoid all activities that cause pain so the bone can heal.
Preventing Children's Sports InjuriesParticipation in sports can teach kids sportsmanship and discipline. But sports also carry the potential for injury. Here's how to protect your kids.
Repetitive Stress Injuries in SportsRepetitive stress injuries (RSIs) happen when movements are repeated over and over, damaging a bone, tendon, or joint.
Safety Tips: BaseballBaseball is by no means a dangerous sport. But it can present a very real risk of injuries from things like wild pitches, batted balls, and collisions in the field. These safety tips can help keep your kids safe on the diamond.
Safety Tips: FootballFootball is a lot of fun, but injuries are common. To keep things as safe as possible on the gridiron, players should follow these tips.
Safety Tips: LacrosseLacrosse is a fast-moving, fun sport to play and watch. But injuries are bound to happen. Here's how to help players avoid them.
Sports PhysicalsJust as professional sports stars need medical care to keep them playing their best, so do student athletes. That's why it's important to make sure that kids and teens get a sports physical.
Sports and Exercise SafetyPlaying hard doesn't have to mean getting hurt. The best way to ensure a long and injury-free athletic career is to play it safe from the start. Find out how.
X-Ray Exam: ElbowAn elbow X-ray can help find the cause of symptoms such as pain, tenderness, swelling, or a deformity. It can also help to detect broken bones or a dislocated joint.
kh:age-allAgesOrAgeAgnostickh:clinicalDesignation-orthopedicsSportsMedkh:genre-articlekh:primaryClinicalDesignation-orthopedicsSportsMedSports Injuries & Muscles