JAVELIN THROWER’S ELBOW
Javelins Thrower’s Elbow is mostly caused by overuse. Javelin throwers elbow is a sprain or injury to the medial ulnar collateral ligament of elbow, which is easily susceptible to injury. As the injury is commonly seen in javelin throwers, it is named as javelin throwers elbow.
Javelin Thrower’s Elbow happens when a player is subjected to valgus force (which is many times bigger than the tensile properties of ulnar collateral ligament) because of improper throwing.
It is also seen in the athletes who play overhead sports. Initially the subject complaints of sharp pain while throwing and aching pain at the medial elbow after a heavy work load which eventually interferes with the performance of the athlete.
SIGNS AND SYMPTOMS
· Swelling around the elbow much to the medial aspect
· Decreased range of motion at elbow due to pain
· Tenderness at the medial aspect of elbow
· Application of elbow sleeve
· Depending upon the extent of injury PRICE or POLICE protocol has to be administered
· Cessation of throwing or valgus force to done for at least 4 to 6 weeks
· Strengthening exercises for elbow flexors, extensors, pronators, supinators, wrist flexors and extensors has to be done.
· Stretching exercises
· Initially strengthening is done by performing isometrics, later on after stability is achieved throwing technique has to be incorporated I.e.by abducting shoulder (120-130deg) so internal rotation of arm brings elbow forward without putting extra strain on UCL.
Physiotherapy rehabilitation has to be continued until the client complaints of zero pain or discomfort
· Medial epicondylitis
· Medial epicondylitis with avulsion fracture
· Ulnar nerve entrapment
· Ulno humeral arthritis.
If Three months of conservative management does not yield the desired results, client is suggested for surgical opinion.