Outside elbow pain


#1

I threw a pen with my friend today. Now that I pitched, I have a pain in the outside of my elbow, at certain times.

I feel pain at 2 times. When;

  • If my elbow is a shoulder height and bent 90 degrees and I quickly internal and externally rotate the elbow, with my palm facing forward. I feel it when it is externally rotated.

  • when my arm is at my side, bent at the elbow and I try to internally rotate against resistance applied from my other arm.

Considering the similarity to the throwing motion, I immediately thought “overuse?”. However, I do not think this will be the case. I just started throwing again a couple weeks ago, and have thrown 3 bull pens - all off proper rest.
First pen - 40 pitches, 4 days rest
Second pen - 75 pitches, 4 days rest
Third pen - 45 pitches

I’m looking for any ideas to research, particularly involving the ulnar nerve - I had done nerve gliding exercises prior to pitching, as I’ve had an ROM issue from that for the past couple months - it appears it’s out of place, and the glide exercises are supposed to bring it back.

From what I have read about tennis elbow, the symptoms do not match up with me.


#2

After your rest period, when you started throwing again, did you do sufficient throwing and conditioning before starting to throw bullpens? Inadequate throwing and condition before starting bullpens after a rest period is an injury risk factor. MLB Pitch Smart has come out with a preseason throwing program, here. That said, go see a sports orthopedic doctor.


#3

Agree with South Paw re: pre-throwing conditioning. Def need to condition the arm with proper throwing before getting into pens, and def should not be throwing 100% out of the gate. Pens are the last step of a proper return to throwing program.

Forget about the Ulnar nerve on the lateral elbow…its on the other/medial side.

Without knowing which spot on your lateral elbow, it could the lower Tricep attachment, or less likely compression of the bones/crack/fracture on the lateral elbow (radial head and capitellum of the humerus), or even less likely a tear of the lateral elbow ligament (Radial Collateral Ligament)–all possible but not likely.

What makes you believe it’s not tennis elbow/lateral epicondylitis?