Little League Elbow in Baseball: The Solution


Little League Elbow in Baseball: The Solution. One common injury seen among young baseball players is little league elbow. In this blog post, we will explore what little league elbow is, its causes, and the role of performance physical therapy in helping young athletes recover and prevent further injury.

Understanding Little League Elbow:

Little league elbow, also known as medial apophysitis, is a condition that affects the elbow joint in young baseball players, typically between the ages of 8 and 15. It occurs when the repetitive throwing motion puts excessive stress on the growth plate, causing inflammation and pain. The condition is named after its prevalence in youth baseball, particularly in those participating in little league games. Little league elbow can be a growth plate fracture.


Causes of Little League Elbow:

Several factors contribute to the development of little league elbow. One primary cause is overuse, as young players often participate in multiple games, practices, and tournaments without sufficient rest periods. Additionally, poor throwing mechanics, such as incorrect arm positioning and inadequate follow-through, can increase the strain on the elbow joint. Lack of conditioning and inadequate warm-up exercises further contribute to the risk of injury.

The Role of Performance Physical Therapy:

Performance physical therapy plays a vital role in the management and prevention of little league elbow in young baseball players. By employing a multifaceted approach, physical therapists aim to address the underlying causes, alleviate pain, and promote healing. Here are some key ways in which performance physical therapy can help:

  1. Comprehensive Evaluation: Physical therapists conduct a thorough assessment of the athlete’s condition, including evaluating throwing mechanics, range of motion, muscle strength, and joint stability. This evaluation helps identify any deficiencies or imbalances that may contribute to the injury.
  2. Pain Management: Physical therapists employ various techniques such as soft tissue work, mobility, and strength training for pain modulation.
  3. Rehabilitation Exercises: Performance physical therapy focuses on strengthening the muscles around the elbow joint, improving flexibility, and correcting any muscle imbalances. Therapists design individualized exercise programs that gradually progress to help athletes regain full range of motion, stability, and strength.
  4. Education and Injury Prevention: Physical therapists educate young athletes about proper throwing mechanics, the importance of rest and recovery, and the significance of adequate warm-up and cool-down exercises. By instilling good habits early on, physical therapists help prevent future injuries and promote long-term athletic development.
  5. Return-to-Sport Training: Once the athlete has recovered, physical therapists provide guidance on gradually reintroducing throwing activities, ensuring a safe transition back to the sport. They focus on maintaining proper mechanics, monitoring workload, and offering ongoing support to prevent re-injury.


Please listen to your kids and ask them if they are having pain before it is too late. Finding a medical provider that understands baseball throwing mechanics, rehab, and strength and conditioning is crucial in helping athletes return from injury or possibly prevent it in the future. Pain with throwing is NOT NORMAL.

Comeback Performance helps baseball athletes eliminate pain, optimize throwing mechanics, and maximize potential. Comeback Performance is unlike any other physical therapy practice and specializes in the transition from traditional physical therapy to the playing field, by bridging the gap between rehab and performance. “The Comeback is Always Stronger Than the Setback.”

Schedule a free discovery call with Dr. Joey, Brighton Physical Therapist, and we can set up a plan to schedule a throwing or performance evaluation and discover the WHY behind the injury in the first place and improve throwing mechanics, improve baseball performance and keep baseball athletes healthy long term.

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