My son is a 17yo LHP. Since late March he is having pain in his left arm just above the elbow on the inside. Had a MRA and all structures were strong and smooth. Dr said its more muscular than anything. Has no pain while throwing or after. Only has pain when he takes his left arm and pushes against his left knee with his hand. That's when in the elbow. Works out and does benching and pushups with no pain. Any ideas of what it may be.
Post by Glenn Fleisig, Ph.D. on May 22, 2018 12:49:41 GMT -6
Your posting was nice and short, too the point. There is a lot to cover here.
First of all, the doctor may be correct that it is a muscle problem. The fact that it hurts when he flexes (bends) or extends (straightens) his elbow - and not when he throws - usually means a muscle problem. However only a sports medicine physician who examines your son in person can make this diagnosis. Was the physician a sports medicine physician or a primary care doctor? You can click on my name and send me the doctor's name and location, if you want me to comment on the doc's qualifications. I think it's important for a sports medicine doctor to make the diagnosis for you.
Assuming it is a biceps and/or triceps muscle problem, I question if your son is doing exercises that are counter-productive for a pitcher. Was his exercise program designed by a school strength coach, a private instructor, or by your son himself? If a strength coach, does this coach also train other sports like football? In general bench presses are questionable at best for baseball pitchers.
Post by Glenn Fleisig, Ph.D. on May 23, 2018 8:30:19 GMT -6
I read your private message. I think the solution is for your doctors to get your son's arm healthy (rest, rehab) and then change his exercise routine. Your son's private instructor certainly has experience as a long-time successful professional pitcher, but you might seek a baseball strength & conditioning specialist instead for setting the exercise program.
The other issues are proper mechanics and rest. From your message, it sounds like those two aspects are in good shape.