Looking for some hope. Daughter is a college softball player with MRI confirmed "suspected full thickness or possibly significant partial thickness tear" of UCL. For variety of reasons, not choosing TJ surgery at this time and hopes to try conservative PT treatment to return to playing. Is there any hope? Has anyone had success for a position player?
Post by Glenn Fleisig, Ph.D. on Jun 13, 2017 9:29:18 GMT -6
It is important to get evaluated by a true expert with elbow injuries. If you want, you can post here or click on my name and send me a private message telling me what city you live near. I may be able to recommend someone for you. You can also tell me the name of the doctor who diagnosed your daughter's injury, and I may me able to give you feedback about that doctor's expertise.
In most situations, PT is the preferred treatment to try first, if possible. If surgery is a consideration, that is a new, more moderate option known as "UCL repair with internal bracing." It's not right for everyone, but it is an attractive option for some.
Post by wrestlersmom on Jun 19, 2017 13:02:35 GMT -6
Looking for answers on this too--- my 13yr old son has a completely torn UCL. The first sports medicine doctor ordered the MRI...stating if it was just a tear they would most likely just let it scare down. If it was completely torn they would do surgery. MRI confirms complete tear....today we see the surgeon and he wants to wait 6 weeks to see if the elbow will become stable on its own. We have talked to 4 wrestlers...2 having just tears and the other 2 had completely blown UCL.... the two with the tear said they had trouble until the elbow was repaired. The other two with complete said they didn't have the option...it was surgery. Should we get a second opinion...the surgeon stated that he was unfamiliar with wrestling and acted like it was a no contact sport. Just don't want to waste 6 weeks of healing time.
How much elbow UCL grade tear do you (or Dr. Andrews) recommend before applying surgery? Does Dr. Andrews ever go in and then change his mind because the tear is to small?
What's your opinion on the new overlay buttressing of a tear where the old UCL is left in to also repair and the new tendon replacement acts as a 2nd UCL. Could we consider this unethical for later competitive performance? Is this not biological building larger than original?
People should understand that the UCL and all other ligaments have no pain receptors with in the body of the ligament and any pain emminates from some other co-contributing effect, normally the flexor tendons that overlay the UCL.
Last Edit: Jun 8, 2018 1:16:55 GMT -6 by dirtberry
If full tear, most likely surgery I would suspect. I know slights tears can be rehabbed and repairs with PT and other forms of treatment but a full tear is different. Blood Flow stimulation wraps can help. Ultrasound, TENS units. A lot of methods. Def worth trying on her own first before considering surgery.