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A Pitch Too Many: Little League Elbow

If you have a child or an athlete that has been suffering with elbow pain contact our physical therapy office today at Chicago, North Center, Lincoln Square, Lincoln Park, Roscoe Village, IL. We will set up an evaluation for you so you can get started on your road to recovery. At The Fit Institute (TFI), our physical therapists are dedicated to helping you return to your sport as quickly as possible!

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A Pitch Too Many: Little League Elbow

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  1. A Pitch Too Many: Little League Elbow

  2. Intalkingtofriendsandfamilyaboutmyjob,theyalwaysaskmewhatkindofpatientsthatIsee.Intalkingtofriendsandfamilyaboutmyjob,theyalwaysaskmewhatkindofpatientsthatIsee. Theyareinterestedinthevarietyofdiagnosesthatweseeincludingthecomplexsurgicalandnon surgicalcases.Theyarealwayssurprised,though,whenItellthemtheagesofthepatientsthat come.Theyseemshockedthatsomeofmypatientscanbeasyoungas9to11yearsold. Thesepatientsdopresentwiththecommonfracturesandsprainsfromvarioussportsandjustbeing kids.However,wealsoseeafairamountofpatientsthisagerangethatarehavingproblemsdueto overtrainingandoveruse.Onesportthatwecanseethisinisbaseball. Thereareavarietyofoveruseinjuriesthatoccurinbaseballinvolvingmultiplejoints.TodayIwould liketotalkaboutLittleLeagueElbow. Thereisageneralconsensusthattheinjuryrateinchildrenisincreasing.Ihaveseenthisinmytime asaphysical therapistoverthepast8years.Onereasonthatthishasoccurredismoresport specializationearlieroninachild’sathleticcareer.Thismeansthatinsteadofplayinganywherefrom 2-4differentsportsayear,theyareplayingthesamesport,onmultipleteams,fortheentireyear.This canresultinoveruse,andnotenoughvariabilityinhowachildmovesorstresseshis/herbody.This thencanleadtostressrelatedoveruseinjuries. LittleLeagueelbowdescribesa “lesiontothemedialaspectoftheelbow” (1) andisusuallycaused secondarytoexcessstressplacedacrosstheelbowduringtheearlyphasesofthrowingincluding thecockingphase.Theelbowcanbebothimpactedontheinsideaspectduetoadistractingforce ortheoutsideoftheelbowduetoacompressionforce.Therefore,symptomscanpreventitselfina varietyofways. Anefficientevaluationandexamisrequiredtoensureappropriatediagnosesandimagingisoften performed.Dependingontheathlete’sagetheymaypresentwithapophysitis (inflammationofthe growthplates) oranepicondylaravulsionfracturewheretheligamentpullspartoftheboneaway fromthemainstructure (2)

  3. Wheneverayoungthrowingathletecomplainsofmedialelbowpain,LittleLeagueElbowwillbeWheneverayoungthrowingathletecomplainsofmedialelbowpain,LittleLeagueElbowwillbe consideredmorelikely.Theearlierthisisspottedandaddressed,thebetterthethrowersprognosisis withareducedriskoffunctionallimitationsordamage (1) PhysicaltherapyisaneffectivetoolinrecoveringfromLittleLeagueElbow.Itisimportant,asitisan overuseinjury,toremovetheaggravatingfactor,whichistypicallythrowingforatleast4-6weeks (2). Thegoalofphysicaltherapyistorestorenormalmotion,improvetheathletescoreandshoulder strength,improvethethrowersunderstandingofhowtousemorethanjusttheirarmtothrow,and educatetheparentsandcoachesonhowtopreventthesetypesofinjuries. Howdoesonepreventthesetypesofinjuries?Encouraginggoodthrowingmechanicsatayoung ageisakeypartofreducingthelikelihoodofthesetypesofinjuries (1).Followingaspecificpitch countandnotthrowingfatiguedisalsoanimportantaspectofminimizingtheeffectsofoveruse.The physiciansandphysicaltherapistshouldnotbetheonlyoneresponsibleforthehealthandwell beingoftheseyoungathletes.Coachesandparentsneedtotakeonthisresponsibilityaswelland recognizewhentheirathletesandkidsareshowingsignsofdiscomfort,fatigue,andpoor mechanics. Ifyouhaveachildoranathletethathasbeensufferingwithelbowpaincontactourphysicaltherapy officetodayatChicago,NorthCenter,LincolnSquare,LincolnPark,RoscoeVillage,IL.Wewillsetup anevaluationforyousoyoucangetstartedonyourroadtorecovery.AtTheFitInstitute (TFI),our physicaltherapistsarededicatedtohelpingyoureturntoyoursportasquicklyaspossible! Original Source: https://thefitinstitutechicago.com/a-pitch-too- many-little-league-elbow/

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