Condition

Thrower's elbow

Thrower's elbow encompasses a spectrum of injuries common in overhead athletes — particularly baseball pitchers — including ulnar collateral ligament (UCL) tears, valgus extension overload, and osteochondral lesions. These injuries result from the repetitive high forces generated during the throwing motion.

Common Symptoms

1 Pain on the inside of the elbow during or after throwing
2 Decreased throwing velocity or accuracy
3 Feeling of instability or "giving way" when throwing
4 Numbness or tingling in the ring and small fingers
5 Pain that persists with rest

Overview

What Is Thrower's Elbow?

Thrower's elbow encompasses a spectrum of injuries common in overhead athletes — particularly baseball pitchers — including ulnar collateral ligament (UCL) tears, valgus extension overload, and osteochondral lesions. These injuries result from the repetitive high forces generated during the throwing motion.

Dr. Jay Levin at Duke Health in Durham, NC, specializes in the evaluation and treatment of thrower's elbow, serving athletes from across North Carolina who depend on their arm for their sport.

Treatment Options

Frequently Asked Questions

What is an ulnar collateral ligament (UCL) tear?
The UCL is the main stabilizer on the inside of the elbow, preventing the joint from opening during the throwing motion. Repetitive throwing can stretch or tear this ligament, causing pain and instability. Dr. Levin at Duke Health in Durham evaluates overhead athletes with advanced imaging and physical examination to determine the extent of injury.
Does every UCL tear require Tommy John surgery?
No. Partial tears and some complete tears may heal with a period of rest and rehabilitation. Surgery (UCL reconstruction, or "Tommy John" surgery) is typically recommended for complete tears in athletes who wish to return to competitive throwing. Dr. Levin discusses the options and expected outcomes with each patient.
When can an athlete return to throwing after UCL surgery?
Return to competitive throwing typically takes 12–18 months after UCL reconstruction. The rehabilitation protocol is gradual and sport-specific, progressing from range of motion to strengthening to a structured throwing program. Dr. Levin works closely with physical therapists and athletic trainers to support a safe return.

Not Sure What's Causing Your Pain?

Schedule an evaluation with Dr. Levin.

Request an Evaluation Call 919-613-7797