We see two common “overuse” injuries—meaning there wasn’t a fall or some particular incident that caused the injury, the patient just used the arm too much or in the wrong way. They are both named after the most common sport where they happen: Little League baseball (but they can happen in softball or any other throwing sport).
- "Little League shoulder”—Patients, usually between the ages of 11-16, experience pain at the top of the large upper arm bone, the humerus. Kids have a growing area here that can become injured with too much throwing, or throwing with the wrong technique. They will complain of pain at the top of the arm, near the shoulder, while throwing or pitching. Eventually the arm may hurt all the time, even with just lifting it overhead. Sometimes there can even be a little swelling in the area.
- “Little League elbow”—This is pain over the bump on the middle side of the elbow and most commonly happens between the ages of 8-15. Little league elbow is also pain over another growing area that can cause pain when throwing or pitching. Kids may notice swelling over the bump or trouble fully bending and straightening the elbow.
Treatment for both Little League elbow and shoulder is rest from throwing. The growth plate needs time to heal before it is stressed again with lots of pitching or throwing. This can take anywhere from a few weeks to a few months, depending on the severity of the injury. After resting, your doctor may suggest some physical therapy to strengthen the elbow or shoulder and then a SLOW return to throwing.
As with most “overuse” injuries, prevention is the key! There are many things that parents, athletes and coaches can do to lower the risk of Little League shoulder and elbow.
- Set limits—Kids who love baseball or softball would happily throw every day, every game, all year long. Coaches would also love this! The reality is that kids’ arms aren’t meant to take all of that repetition. Little league baseball has set forth a set of rules in regards to how many pitches, how many games and how many days of rest a pitcher should have. Visit littleleague.org to find these rules. Talk to coaches about how much your child is throwing.
- Develop proper technique—How a child throws or pitches a ball can put unnecessary stress on the shoulder and elbow. Have a skilled coach take a look and correct if needed. Start at a young age so they will always have proper technique.
- Take time off!—In some areas, kids play baseball year-round. Players should take time off between seasons to rest and allow the body to heal. They can try other sports like soccer, football or hockey that use different muscles and don’t involve throwing.
For more topics on rehabilitation of throwing injuries from a pediatric sports physical therapist, visit our Young Athlete Center blog, or call 314-454-KIDS (5378) for more information.
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