Understanding UCL Tears in the Elbow: Causes, Symptoms, and Treatment Options

Causes of UCL Tears:

UCL tears are often associated with repetitive stress and overuse, particularly in athletes who engage in overhead throwing sports like baseball, softball, and javelin. The constant strain placed on the elbow during these activities can gradually wear down the ligament. Traumatic injuries, such as a fall or a direct blow to the elbow, can also result in UCL tears.

Common Symptoms:

• Pain: Persistent pain on the inner side of the elbow is a hallmark symptom of UCL tears. This pain can range from mild discomfort to severe, making it challenging to perform simple tasks.
• Swelling: Inflammation in the affected area can lead to noticeable swelling around the elbow.
• Weakness: Reduced grip strength and a sense of instability in the elbow are common, especially during activities that require forceful movements.

Treatment Options:

• Rest and Physical Therapy: In mild cases, rest and physical therapy can help heal the UCL tear. Physical therapists can guide patients through exercises that strengthen the surrounding muscles and improve joint stability. 
• Bracing: Wearing a brace or splint can provide support and alleviate stress on the UCL during daily activities or sports.
• Medication: Nonsteroidal anti-inflammatory drugs (NSAIDs) can help reduce pain and inflammation.
• Platelet-Rich Plasma (PRP) Therapy: PRP injections can promote healing by providing growth factors to the injured ligament.
• Surgery: In severe cases, surgical intervention may be necessary. Tommy John surgery, named after the famous baseball player who underwent the procedure, involves reconstructing the UCL using a tendon from elsewhere in the body.

In conclusion, UCL tears in the elbow can be a challenging and painful condition, especially for athletes. Early diagnosis and appropriate treatment are essential for a full recovery. Whether through conservative methods or surgery, the goal is to restore the elbow's function and get individuals back to their active lifestyles. If you suspect a UCL tear, consult a healthcare professional for a proper evaluation and personalized treatment plan.

Dr. Weber and his team treat many Los Angeles athletes and weekend warriors with elbow UCL tears each year. We provide personalized treatment for all elbow injuries including physical therapy, injections, and surgery such as UCL repair or Tommy John. We treat all patients including professional athletes to high school recreational players to weekend warriors. If you are a patient with an elbow injury in Los Angeles, please reach out. We can see you within 24 hours.