Medial Elbow Apophysitis

This injury occurs when repetitive throwing creates an excessively strong pull on the tendons and ligaments of the elbow. The young players may feel pain at the knobby bump on the inside of the elbow.

Signs and symptoms of an Medial Elbow Apophysitis may include:
  • Elbow pain
  • Restricted range of motion
  • Localized swelling and/or redness
  • Locking of the elbow joint

The doctor may recommend resting and icing the elbow as well as modifying activities. Soft tissue massage and stretching the muscles in the forearm may be beneficial.


In most cases, non-steroidal anti-inflammatory drugs are recommended.

Physical Therapy

Physical therapy may be necessary if self-treatment is unsuccessful. Certified Physical Therapists work closely with doctors to create an individualized program to maximize healing and restore function, strength, and mobility. In some cases, physical therapists will analyze the throwing motion for biomechanical deficits and help the thrower modify mechanics.


Corticosteroid injections may be given by your caregiver. These injections should be reserved for the most serious cases, because they may only be given a certain number of times.


Surgery is occasionally necessary, especially in girls older than 12 years and boys older than 14 years. Depending upon a child's injury, surgery may involve removing loose bone fragments, bone grating, or reattaching a ligament back to the bone.