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My cousin's son is 17, 6'1", 200 lbs, RHP. He is QB for his football team. He has an 85-87 FB and a knee buckling curve. Some guy convinced his mom and dad to let him play fall, showcase baseball. During his first outing a couple of weeks ago, he noticed a (in his own words) pulling sensation in his right elbow. He has visited an orthopedic doctor in his hometown. The doctor advised him to get a really good pitching coach, cause he knows my cousin's son throws across his body a little bit. An MRI came up negative. The doctor told him to continue throwing lightly, and that he could pitch on weekends if he wanted to.

This is really curious to me? He is throwing a football (75-100 times a day) using arm motion #1, then throwing a baseball using arm motion #2. He called me to ask my advice. I told him to shut it down for the fall, baseball pitching that is. I told his dad/mom to get a second opinion from another doctor.

How do you feel about my advice? Am I being to precautionary? How do you feel about QBs throwing baseballs on the weekend?
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Larry

I for one don't like it--- he is not in baseball shape to begin with--he is in football shape--- part of the elbow pain problem is probably the result of not throwing a baseball all week-- you cannot play QB and then step on the mound on Saturday or Sunday especially if he played football Friday nite, and as a QB to boot--they get hit on nearly every play
Your title is "Pitcher's elbow?". If he really has pitcher's elbow, medial epicondylitis, then he needs to shut down for a while to let it heal and then come back gradually. He'll also need to avoid any types of lifting that cause pain at the medial epicondyle with that arm.

Pitcher's elbow heals very slowly because the muscles/tendons in that area don't get much blood flow at all and it is very easy to reinjure it.

Although pitcher's elbow is basically a repetitive motion injury it often occurs when coming back after a layoff because the scar tissue that has formed during the layoff causes tightness and results in injury from the same motions that were acceptable before the layoff. That is why one needs to come back quite gradually from pitcher's elbow.
cadad,
good points. swimming may be a exercise/activity that may help in increasing blood flow to that area. also electric stim is a good thing. we have a portable cheap electric stim. that our pitchers use after they throw (usually the next day) to help icrease blood flow to the elbow to get rid of lactic acid etc.
ps. let him play football and not worry about baseball. our football guys do not play for our fall teams.

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