Since little league elbow is a bone-related injury, rest is needed to allow the injury to heal. After the bone injury is healed, the athlete works on strengthening the shoulder and back muscles. This will help increase the shoulder’s ability to withstand the strain placed through the arm during the throwing motion.
Throwing and pitching are total body activities, and weakness in one area will increase the stress through others. An athlete will need to work on strengthening core muscles, as well as the legs and hips. Video analysis of the athlete throwing may help find any mechanical faults that increase the stress in the elbow or shoulder.
A return-to-throwing program is developed once the athlete is cleared to return to throwing. This allows the athlete to slowly increase the forces and demands through the arm that are necessary for return to full competitive play.