Little League Elbow (medial epicondyle apophysitis)

Protecting Young Arms Through Education, Movement & Support

Is your young athlete complaining of elbow pain after throwing?

If your child is involved in baseball, softball, or other overhead sports and has developed inner elbow pain, they may be experiencing Little League Elbow—a condition caused by stress on a growing joint. At Rehab Chamber, we provide assessments and conservative management strategies to help young athletes recover while protecting long-term joint health.

What is Little League Elbow?

Little League Elbow is an overuse injury that affects the growth plate (apophysis) on the inner part of the elbow. It typically occurs in children and adolescents involved in repetitive throwing, especially in sports like baseball or softball.

Because growing bones are more vulnerable to stress, repeated forceful throwing can cause irritation or inflammation in this area, leading to pain and dysfunction.

Common signs and symptoms include:

  • Pain on the inside (medial side) of the elbow, especially during or after throwing

  • Decreased throwing speed or control

  • Swelling or tenderness around the elbow

  • Pain with resisted wrist flexion or forearm pronation

  • Difficulty straightening the elbow in some cases

⚠️ Why It Happens

  • Repetitive overhead throwing (especially pitchers and catchers)

  • Poor throwing mechanics

  • Inadequate rest or recovery between games/practices

  • Year-round play without off-seasons

  • Rapid growth phases, when growth plates are more vulnerable

What Causes Tennis Elbow?

  • Repetitive movements like typing, lifting, or using hand tools

  • Improper lifting technique or poor grip mechanics

  • Overuse in sports or the gym (weightlifting, tennis, pickleball, etc.)

  • Sudden increase in activity level without proper conditioning

  • Underlying postural or movement imbalances

Elbow Pain can be persistent if not managed properly

At Rehab Chamber, we take a developmentally appropriate and sport-specific approach to managing overuse injuries in young athletes. Our goal is to reduce stress on the joint, restore strength and control, and educate families and coaches on injury prevention.

Our Integrated Program IncludeS:

  • Hands-on manual therapy to reduce tension and improve mobility

  • Chiropractic care for joint function and overall mechanics

  • Myofascial release and Dry Needling/Acupuncture

  • Targeted Physical Therapy to strengthen the forearm and correct movement patterns

  • Progressive exercise rehab to rebuild strength and prevent recurrence

  • Ergonomic and activity modification coaching

Frequently Asked Questions

Little League Elbow (medial epicondyle apophysitis) Treatment in Downtown Toronto

Does my child need to stop playing sports completely?

In most cases, temporary rest from throwing is needed. Our team will guide you on safe activity modifications so your child can stay active while reducing stress on the elbow.

No—when caught early and managed properly, most kids recover fully. However, if left untreated, it can lead to longer-term joint problems.

Is Little League Elbow permanent?

Do we need imaging or X-rays?

Not always. A clinical assessment can often identify this condition. If symptoms persist or worsen, your provider may recommend imaging.

Recovery varies based on severity and how early care begins. Mild cases may recover in a few weeks; more involved cases may take longer. Consistent rehab and rest are key.

How long is the recovery period?

Yes, especially if proper throwing mechanics, rest schedules, and strength aren’t maintained. That’s why education and prevention planning are essential parts of care.

Can this condition return?