My 17 year old high school junior pitched his first game of the season 3 weeks ago. He pitched 98 pitches. In his last inning he said he felt tingling in his index and middle fingers of his throwing hand. This tingling was present (only when playing catch) for 10 days. On the 14th day after his first start he threw 78 pitches and said he felt the tingling on only one pitch and it was in mid windup and went away when he threw that one pitch. 2 days later and now the tingling is back (only when playing catch). Has anyone experienced this before? Maybe a nerve issue? He had had upper back (lower neck) issues in the past but never tingling fingers.
Post by Matthew Crozier, MD on Mar 26, 2018 15:13:34 GMT -6
It definitely sounds like a nerve issue. The difficult thing is to find out where the nerve is affected. Often pitchers experience ulnar nerve symptoms and this often produces tingling in the ring and small finger. The thumb index and middle finger are innervated by the median nerve, which is affected in carpal tunnel syndrome. However, symptoms in the hand can emanate from the neck. I would recommend an appointment with a physician for a physical exam and imaging to further define where this could be coming from.
Thank you for the responses, I agree it is a nerve issue. I believe we are on the right track. He went to his pitching coach who he had not seen since the beginning of the season. He noticed that Cooper (my son) was wrapping and dragging his arm through his delivery. We got him to get "on top" of the ball and his arm is more in unison with his body. So, much less stress on the arm (elbow) and he is throwing with no tingling. He will make his next start (pitching) on Wednesday and we will know more. Thank you Glenn, Matthew and chastennis. If the tingling comes back I will be messaging you Glenn. Regards, CH
As it turns out this was a C6 nerve issue. Had an appointment with Sports Med yesterday and it was determined that my sons pectoral muscle was very tight and irritating his C6 nerve causing the tingling in his index and middle fingers of his throwing hand. He was given some stretches which he will put in a daily routine and should be good to go.
For the past 2 weeks my son has been performing daily pectoral stretches and an occasional pectoral massage and has made his last 3 outings with minimal tingling in the first 2 and no tingling in his last outing. It appears the doctor "nailed it".