Little Leaguer’s Elbow

Little Leaguer's Elbow

Explanation of Diagnosis

Little Leaguer’s Elbow is an overuse injury that occurs in young athletes, primarily baseball pitchers, due to repetitive throwing motions. It results from excessive stress on the medial epicondyle (inner elbow), growth plate, and surrounding structures, leading to pain, swelling, and reduced throwing strength. If untreated, it can cause permanent damage to the elbow joint.

Specific Work Modifications

  • If involved in physical work, avoid repetitive throwing, lifting, or forceful arm movements.
  • Modify tasks to limit stress on the elbow (use proper lifting techniques, avoid prolonged gripping).
  • Use an elbow brace or sleeve for support if needed.
  • Take frequent breaks to reduce overuse.

Specific Activity Modifications

  • Stop all throwing activities (pitching, baseball, softball) until pain resolves. Continuing to throw can worsen the injury.
  • Avoid weightlifting or overhead sports that stress the elbow (tennis, gymnastics).
  • Modify training by focusing on lower body conditioning and core strengthening.
  • Gradually return to throwing after pain resolves, starting with low-intensity tossing.

Recommended Supplements

  • Calcium (1000-1200 mg daily) – Supports bone and growth plate health.
  • Vitamin D3 (1000-2000 IU daily) – Enhances calcium absorption.
  • Collagen peptides (10 g daily) – Supports connective tissue repair.
  • Magnesium (300-400 mg daily) – Aids in muscle relaxation and recovery.
  • Omega-3 fatty acids (1000 mg daily) – Reduces inflammation.

Recommended Nutrition and Hydration

Diet Recommendations:

  • Bone-supporting foods: Dairy products, almonds, leafy greens, and fortified cereals for calcium.
  • Anti-inflammatory foods: Salmon, walnuts, turmeric, and berries.
  • Protein-rich foods: Lean meats, eggs, lentils, and dairy to support muscle recovery.
  • Limit processed foods and excess sugar, which can increase inflammation.

Hydration Tips:

  • Drink at least 2–3 liters of water daily for muscle and joint hydration.
  • Avoid sugary sports drinks; use electrolyte drinks only during intense activity.

Home Exercise Prescription

Perform 2-3 times daily to maintain mobility and strengthen the elbow safely:

  1. Wrist Flexor & Extensor Stretch
    • Extend the arm with the palm facing up.
    • Use the opposite hand to gently pull fingers back.
    • Hold 20-30 seconds, repeat 3 times.
  1. Forearm Supination/Pronation Exercise
    • Hold a light weight (1-2 lbs) in the affected hand.
    • Rotate the palm up and down slowly.
    • 10 reps, 2-3 times daily.
  1. Elbow Range of Motion (Flexion & Extension)
    • Slowly bend and straighten your elbow.
    • 10 reps, 2-3 times daily.
  1. Scapular Strengthening (Wall Angels)
    • Stand against a wall and slide arms up and down like making a snow angel.
    • 10 reps, 2-3 times daily.
  1. Core and Lower Body Strengthening (Planks, Squats)
    • Focus on core and leg strength to reduce stress on the arm.

Avoid throwing or weight-bearing exercises on the arm until pain resolves.

Helpful Books

  1. "The Arm: Inside the Billion-Dollar Mystery of the Most Valuable Commodity in Sports" – Jeff Passan
  2. "Pitch Smart: Guidelines for Youth Pitchers to Prevent Injury" – MLB & USA Baseball

Contact the Key West orthopedic clinic or reach out to Dr. Jason Pirozzolo.

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