Understanding Bicep Tendon Pain in Young Pitchers: What Parents Need to Know

As a parent of a baseball pitcher, watching them suffer from shoulder pain with throwing can be alarming. One of the most common injuries in youth pitchers is bicep tendon pain, which often presents as discomfort at the front of the shoulder. This can be prevalent during layback or even at ball release due to the eccentric contraction of the biceps in this phase. Left untreated, this can impact their ability to pitch effectively or even play catch.

What Causes Bicep Tendon Pain?

Bicep tendon pain usually stems from repetitive stress on the arm, particularly during the throwing motion. When pitchers rotate their arm into full external rotation (or "layback") to throw, the bicep tendon experiences significant tension due to the "peel-back" mechanism. Over time, this tension can cause irritation, inflammation, and even contribute to labrum tears if not properly addressed.

How to Spot Bicep Tendon Issues

Signs of bicep tendon problems often include pain at the front of the shoulder, especially during or after throwing. Your child may also experience discomfort when direct pressure is applied to the tendon, which is a key component of an evaluation process. In younger pitchers, it’s crucial to rule out Little League Shoulder, a condition affecting the growth plates that will result

Treatment for Bicep Tendon Pain

Treatment for bicep tendon issues focuses on rest, scapular stability, and strengthening the rotator cuff. Improving thoracic mobility and evaluating throwing mechanics can also help prevent future injuries. In younger athletes, taking 3-4 weeks off from throwing is often recommended to allow for full recovery.

If your son is experiencing pain, consult with a sports therapist for a personalized treatment plan. Early intervention is key to ensuring a quick recovery and getting them back on the field pain-free.