It’s almost that time of year again—kids are getting ready to hit the field and play baseball. As one of the most popular youth sports in the U.S. and around the world, it’s a great way for kids to stay active. But like all sports, there’s a risk of injury if young athletes aren’t careful.
Every year, preventable injuries sideline hundreds of Little Leaguers. The most common problems involve the shoulders and elbows due to repetitive throwing, but other injuries can occur as well. Here’s how parents and coaches can help keep players injury-free.
Protecting Young Shoulders and Elbows
Shoulder and elbow injuries are by far the most common Little League-related issues. Throwing a baseball places significant strain on these joints, which can lead to muscle strains, ligament tears, and in severe cases, surgeries.
The key factor in preventing these injuries is preparation. Just like in any sport, youth baseball players need regular stretching and strengthening exercises to prepare their arms for the demands of throwing. Warm-ups should be part of every practice and game.
Poor coaching habits—such as not monitoring pitch counts—also contribute to injury risk. Recommended pitch count limits per week are:
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Ages 8–10: 75 pitches
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Ages 11–12: 100 pitches
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Ages 13–14: 125 pitches
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Ages 15–18: Limit to two games per week
Pitch type should also match age:
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Age 8: Fastball
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Age 10: Changeup
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Age 14: Curveball
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Age 16: Slider
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Age 17: Screwball
Talented players often face extra pressure to pitch more frequently. Parents should ensure their child’s abilities aren’t being pushed beyond safe limits.
Arms Aren’t the Only Problem
While throwing injuries get most of the attention, impact injuries and leg injuries are also common. Being struck by a ball or sliding improperly can cause bruises, sprains, or fractures.
To reduce these risks:
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Always wear helmets and protective padding (especially catchers)
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Ensure proper fencing around dugouts and spectator areas
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Teach players to slide feet-first into bases with proper form
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Provide proper footwear to prevent slips and strains
How to Prevent Season-Ending Injuries
Following these injury prevention tips can help keep young athletes in the game:
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Stretch and Warm Up: Include full-body stretching and arm strengthening before every practice and game.
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Switch Positions: Avoid over-specialization. Rotate positions to vary movements and reduce overuse injuries.
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Don’t Play Through Pain: If a player reports pain, stop activity. Rest the affected area and see a doctor if pain persists.
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Schedule Rest Days: Allow at least one day of rest between pitching games.
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Avoid Year-Round Play: Limit baseball to no more than eight months per year and encourage other sports for balanced development.
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Use Proper Form: Teach correct technique for pitching, running, and sliding.
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Check Equipment: Ensure helmets, pads, and shoes fit correctly and are in good condition.
If There Is Pain…
If your young athlete experiences an injury or ongoing pain, don’t wait. Early evaluation can prevent long-term issues and help them get back to the field quickly. Contact us today to schedule an appointment and discuss the best treatment options.
Sources Cited:
https://orthoinfo.aaos.org/en/staying-healthy/sports-injury-prevention
https://www.hopkinsmedicine.org/health/wellness-and-prevention/little-league-elbow
https://www.cdc.gov/safechild/youth_sports_injuries.html
Dr. David Nielsen, D.O. is a board-certified orthopedic surgeon with over 20 years of experience in hand, upper extremity, and shoulder surgery. He trained at Kirksville College of Osteopathic Medicine and the University of South Florida. He brings over two decades of surgical experience and a deep commitment to patient-centered care as the founder of Charlottesville Orthopaedic Center.
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