Stephen J. Schueler, M.D.

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Little League Elbow Overview

Another name for Little League Elbow is Medial Epicondylitis.

What is medial epicondylitis?
A person with medial epicondylitis has inflammation of the medial epicondyle. The medial epicondyle is part of the humerus bone, near the elbow. Tendons attach the muscles of the forearm to the medial epicondyle. Strenuous use of the forearm muscles can cause inflammation of the bone where the tendons attach to the medial epicondyle. Most cases of medial epicondylitis resolve over 4-6 weeks with treatment and rest.

What are the symptoms of medial epicondylitis?
Symptoms of medial epicondylitis include elbow pain and tenderness that is located along the inner aspect of the elbow joint. Pain usually worsens with flexing the wrist and grasping with the hand. Some may have numbness in the hand.

How does the doctor treat medial epicondylitis?
The treatment for medial epicondylitis may include rest, cold compresses, and nonsteroidal anti-inflammatory medications for pain. Other measures include elbow splinting, corticosteroids, physical therapy, and stretching exercises.

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Last Updated: Feb 10, 2010 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Little League Elbow References
  1. Ciccotti MC, Schwartz MA, Ciccotti MG. Diagnosis and treatment of medial epicondylitis of the elbow. Clin Sports Med. 2004 Oct;23(4):693-705, xi. [15474230]
  2. Salyapongse A, Hatch JD. Advances in the management of medial elbow pain in baseball pitchers. Curr Sports Med Rep. 2003 Oct;2(5):276-80. [12959710]
  3. Simunovic Z, Trobonjaca T, Trobonjaca Z. Treatment of medial and lateral epicondylitis--tennis and golfer's elbow--with low level laser therapy: a multicenter double blind, placebo-controlled clinical study on 324 patients. J Clin Laser Med Surg. 1998 Jun;16(3):145-51. [9743652]
  4. Stahl S, Kaufman T. The efficacy of an injection of steroids for medial epicondylitis. A prospective study of sixty elbows. J Bone Joint Surg Am. 1997 Nov;79(11):1648-52. [9384424]
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