Baseball’s Second Chance
Tommy John – The Surgery That Has Given
Baseball Players a Second Chance
Imagine hearing
the news that you might not be able to ever play the game that you love again.
That is the feeling that goes through every baseball player’s head that has
been told they are going to need Tommy John Surgery. Every player that is told
they need that surgery has to come to the realization that they might never be
able to play the game of baseball like they did before.
Life as an
athlete can be very fragile – one minute you’re flying high, feeling great –
and then one ache or pain that doesn’t go away can turn your whole career
around. Baseball players know this feeling all too well. Part of the job
description as a baseball player is to throw a baseball. And when your elbow
hurts, that can get a little hard to do. So when your elbow is sending shooting
pains up your arm every time you let go of a ball, you know something is not
right.
The Injury
Tommy John
surgery is the most common surgery in the game of baseball. A player needs this
surgery when they tear a very small ligament in their elbow called an, “Ulnar
Collateral Ligament” – or their “UCL.” Very similar to similar to a football
player or basketball player tearing the ACL in their knee, a UCL is the most
important thing to a baseball player because it affects the throwing motion if it
is hurt. If you try to throw a baseball with even a slight tear in your UCL,
you will feel a great deal of pain in your elbow. See, throwing a baseball is
not a natural motion, our arms are not meant to travel over our heads at such a
high rate of speed. So when the arm travels at that high rate of speed when
throwing, it puts a lot of pressure on the elbow. When that pressure is too
much, the UCL can be compromised and begin to tear.
The Surgery Itself
It is fascinating
to see what the human body and technology is capable of. The actual surgery of
Tommy John is quiet complex, but it is the most common injury in baseball so
the surgery is very regular. In this procedure, the hurt UCL needs to be
replaced by another tendon inside the body. So the injured player either gets a
tendon taken from their wrist, or a tendon from their hamstring to replace to
torn ligament in the elbow. “Also known as ulnar
collateral ligament (UCL) reconstruction, this procedure involves replacing the
ligament that joins the humerus (the long bone in the upper arm) to the ulna
(the heavier of the two long bones in the forearm) with a ligament or tendon taken
from another location in the patient's body.” (The Gale Encyclopedia of Medicine)
Post Surgery
Now
this is the hardest part about the whole process of Tommy John – after the
surgery. The rehab process for this surgery will take anywhere from twelve to
eighteen months to fully comeback from the surgery. In saying that, a player
that gets this surgery has to understand that it will be a year – at the minimum
– for them to play again. After the surgery is performed, its all about getting
to work with your rehab. The road back from this surgery is broken down in
these ways:
- · Rehabilitation Process
- · Throwing Program
- · Lifestyle Changes and Training
The
rehab process following the surgery is really the most important part of the
whole journey. There is a saying that goes, “You get in what you put out” and
nothing rings more true then the rehab of Tommy John Surgery. For the first 10
days after surgery, you are in a hard cast that stabilizes your arm. After
those 10 days, the hard cast is removed and physical therapy begins. For the
fist 6 weeks of rehab, all you are doing is is range of motion exercises with
an elbow brace on for support.
The
Rehab process of Tommy John surgery is extremely mundane and boring. As an
athlete, you are used to training at high pace and high volume, but initially
coming back from surgery you are doing exercises that are extremely easy but necessary
for the health of your arm. After the first 2 months of rehab, you are slowly
able to do more things with your arm. You are able to start working out at a
higher pace but you still have to be cautious. When you are about five months
into the rehab process, you should have full range of motion back in your
elbow. At that point in the rehab process you are almost working out regularly,
but you are doing everything in light weights not to put any extra stress on
the elbow.
Throwing Program
Once
a person recovering from Tommy John is six months post surgery, and they have
fully regained the range of motion in their elbow, it is time to start throwing
baseballs again. Beginning to throw again is extremely critical time in the
rehab process. The athlete is extremely hesitant when throwing because it will
be the first time throwing a ball since the injury. It is important to take
things slow, not to rush anything, but also to keep a good pace with the
throwing program.
In
the very early stages of the throwing program it has to be extremely light. The
very first day of throwing, all you do is throw the baseball twenty times from
fifty feet and then stop. From six months post surgery till a year post surgery
the throwing program consistently progresses. As the program progresses, the
farther you start to throw. Eventually near the eleven month range you start to
throw off the pitchers mound again and get ready to start pitching in games.
Lifestyle Changes and Training
If
a person is willing to go through and get this surgery, they must be willing to
everything it takes to come back healthy and it great shape ready to perform. Through
the entire rehab process, you must consume foods that are going to you recover.
It also important to sleep as much as possible at night, because when you sleep
you recover. Everything you do when you are rehabbing from Tommy John has to
be, “How is this going to help me get my body better?” To truly reach the best
results from getting this surgery you have to be willing to sacrifice, in these
ways:
- · Eating Healthy
- · Sleeping extremely well
- · Training your body physically and mentally
- · Follow your physical therapy precisely
Misconceptions
With
this surgery, there are many misconceptions out there about it. Some people
think that if you get this surgery, you’re automatically going to come back
from the surgery better than before. And that conversation is so wrong, because
you are only going to be as good as the work you are willing to put in. “Questionnaires were
completed by 189 players, 15 coaches, and 31 parents. Data were calculated and
statistical analysis was performed. Thirty percent of coaches, 37% of parents,
51% of high school athletes, and 26% of collegiate athletes believed that Tommy
John surgery should be performed on players without elbow injury to enhance
performance.” (The Physician and
sportsmedicine)
Work Cited
Ahmad, Christopher S., W. Grantham Jeffrey, and R. Greiwe
Michael. "Public Perceptions of Tommy John Surgery." The Physician
and Sportsmedicine 40.2 (2012): 64-72. Web. 29 Sept. 2016.
Frey, Rebecca J. "Tommy John Surgery." The Gale
Encyclopedia of Medicine. Ed. Jacqueline L. Longe. 5th ed. Vol. 8.
Farmington Hills, MI: Gale, 2015. 5037-040. Gale Virtual Reference Library.
Web. 29 Sept. 2016
"Pitch
Smart." Major League Baseball. N.p., n.d. Web. 29 Sept. 2016.
Stein,
Jeannine. "Players, Coaches and Parents May Be in the Dark about Tommy
John Surgery." Los Angeles Times. Los Angeles Times, 22 Feb. 2011.
Web. 29 Sept. 2016.



