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Hi All

Given the range of experience here — figure I’d see if anyone has any experience with the following situation.  Last night, 20-year-old son was pitching in Great Lakes game and during warm-ups at start of 3rd inning said he felt some pain in his forearm and felt a slight pop.  Fifteen pitches later, he pulled himself out of the game as the pain reached a 7-8/10.  

So far this summer he has thrown 35 innings…. during spring season he threw approximately 30 innings.  He has taken really good care of his arm — lifts regularly, bands, etc.  This was his sixth or seventh start of the summer and has had 5 days off between games.  Has told me his arm has felt great all summer.  No issues at all.  In fact other than some bicep tendinitis that sprung up during junior year of high school when he was on the summer ball/showcase circuit — he has been fine.

Trainer on the summer team obviously checked him out.  He had pain radiating into his elbow but not originating there.  This morning after a regimen of ice and elevation — no instability, no tingling in fingers, can put his arm over his head, is able to straighten his arm fully and can pick up a pair of running shoes.  No bruising and only minor swelling.  His arm is super tight especially when he slowly goes through the pitching motion but the pain doesn’t increase.  Overall the pain is more of a 4-5 this morning and it no longer is radiating into his elbow.  He said it is a dull ache now.

Obviously going to get him checked out — hard part is he is currently living 1750 miles away in southern Ohio so trying to decode what has happened from my living room over the phone.

Two questions:  

1.  Anyone have a recommendation of a good orthopedic doctor in the Dayton/Cincinnati area who knows elbows and pitchers REALLY well?

2. Any thoughts on the diagnosis?  UCL?  Forearm strain?  Muscle tear?  I have Googled but most results only point to UCL and given above data I am left wondering/worrying/stressing… as is my son.

Thanks in advance…

 

Last edited by MAM
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I think Dr Krimcheck (? Spelling)is in that area. I think he is team MD for Reds??  He is one of the best with pitchers. Very difficult to diagnose over phone. Could be simply inflammation, but with the limited number of innings thrown, it could also be UCL. Hope for the best but definitely get it checked out by a MD familiar with UCL injuries and pitchers in general. 

As a few said, Dr Kremceck is the best. Could be several things (UCL tear, nerve impingments, or simply a muscle strain in the flexor mass all come to mind quickly as my son had TJS and the strain, his teammate and friend had the impingment)  but he will be able to diagnose and give you straight answers. 

I live in SW Ohio and if he needs anything, PM me and I'd be glad to help

If you're based on the west coast and it's serious, you might consider flying him home and  getting him evaluated by the best .

The two best arm Orthopedic Surgeons/ Baseball arm specialists are Neal ElAttrache and James Andrews

It just so happens that ElAttrache is based on the west coast in Los Angeles

https://kerlanjobe.org/physici...eal-s-elattrache-md/

Andrews is in Alabama

https://www.andrewssportsmedic...s/james-r-andrews-md

Thanks again everyone.  Quick update after Ryan’s appointment with Dr Timothy Kremchek today .  After X-rays, CT scan and a contrast MRI — there is no tear in the UCL.  He has a sprain and will need to take 4 weeks off from throwing, daily PT and exercises,  followed by a 4-week gradual return back to throwing.  Doctor told said he should be ready to return to competitive throwing off the mound by October 1st.  

HUGE sigh of relief.  

Thanks again for everyone’s concerns, prayers and advice/suggestions.

 

StrainedOblique posted:

If you're based on the west coast and it's serious, you might consider flying him home and  getting him evaluated by the best .

The two best arm Orthopedic Surgeons/ Baseball arm specialists are Neal ElAttrache and James Andrews

It just so happens that ElAttrache is based on the west coast in Los Angeles

https://kerlanjobe.org/physici...eal-s-elattrache-md/

Andrews is in Alabama

https://www.andrewssportsmedic...s/james-r-andrews-md

Glad everything turned out well.  I can personally vouch for Dr. El-Attrache.  He is the LA Dodgers & Anaheim Angels orthopedic.  Evaluated and treated my son, no surgery was needed.  Great bedside manners, shows a genuine interest in the athlete.

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