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Can you still pitch after Tommy John surgery?

Author

Emily Ross

Published Jan 11, 2026

Compared to before surgery, the pitchers decreased fastball velocity (91.3 mph vs. 90.6 mph) and threw fastballs less frequently (65% vs. 60% of pitches) after surgery. However, pitchers experienced no changes in velocity with other pitch types.

When can I pitch after Tommy John?

An elbow injury used to mean a lost season for baseball pitchers. Ulnar collateral ligament (UCL) replacement - or the Tommy John Surgery - can take up to 18 months before a return to the pitch. Orthopedic surgeon Dr.

Can you still play baseball after Tommy John surgery?

Benefits of the Surgery

In a study of 179 Major League Baseball pitchers who suffered UCL tears and had Tommy John Surgery, 148 players, or 83%, were able to return to play in the Major League. Additionally, 174 pitchers could return to play in the major and minor leagues combined.

Are pitchers as good after Tommy John?

It can be true that the surgery doesn't return a pitcher to his peak success, and also that the surgery does make the pitcher better than he was immediately before the surgery. All the studies indicate that greater than 80 percent of MLB pitchers return to the majors after Tommy John surgery.

Can you pitch with a torn UCL?

If you have a complete rupture or “disintegration” of the UCL in your elbow, and you are going to continue to play baseball, surgery is likely the way back. However, you can pitch without a UCL.

19 related questions found

Can a partially torn UCL heal itself?

Minor ulnar collateral ligament (UCL) injury can heal itself with nonsurgical treatments. However, if you want to perform any strenuous overhead or throwing activity or if the ligament has an advanced grade tear, then your doctor may recommend surgical repair for the torn UCL.

What does UCL tear feel like?

Pain on the inner side of the elbow is the most common symptom of a UCL injury. A UCL tear may sometimes feel like a “pop” after throwing followed by intense pain. UCL injuries are diagnosed by physical examination and a valgus stress test to assess instability of the elbow.

Do pitchers throw harder after Tommy John surgery?

More and more pitchers at all levels are undergoing UCL reconstruction, but post-surgical results can mean reduced velocity and a change in pitching style. The UCL is a thick, triangular ligament in the elbow joint, and it is put under stress with repeated overhead throwing motions.

Did Mariano Rivera have Tommy John surgery?

Mariano Rivera, 56.6 bWAR career

Contrary to since-debunked reports, Rivera did not have Tommy John surgery in the minor leagues. However, he did have elbow surgery performed by Jobe on Aug. 27, 1992 that cleaned up a frayed, but not torn, UCL in his pitching elbow.

What is Tommy John disease?

Tommy John surgery is another term for ulnar collateral ligament (UCL) reconstruction. It's a procedure to treat an elbow injury that tends to occur among throwing athletes, such as baseball pitchers. Tommy John was a long-time Major League Baseball pitcher, and he was the first to have this now-common surgery.

Can you be born without a UCL?

Well, one pitcher was born without a UCL. Yet that pitcher, R.A. Dickey, is still going strong today at the age of 35. In 1996, Dickey was living the dream. He was part of the 1996 US Olympic Baseball team that won bronze in the Games.

Where is Tommy John pain?

A Tommy John injury is an injury to the ligament on the medial (inside) part of the elbow. It most commonly occurs in overhead throwing athletes such as baseball pitchers and quarterbacks but can also occur in other sports such as gymnastics, javelin throwing, tennis, volleyball, and softball.

Can you golf after Tommy John surgery?

In general, avoid any valgus stress during the rehabilitation period until actual pitching starts. Many athletes wish to resume playing golf during their rehabilitation period but valgus forces are not permitted. Putting is allowed, as is chipping, as advised by your physician. No drives are allowed for six months.

Is the UCL stronger after Tommy John surgery?

Dr. Leland co-authored a study, published in the American Journal of Sports Medicine in February 2014, which found no significant difference in pitch velocity between players who underwent Tommy John surgery after a UCL injury and those who were never injured during the same time period.

Can someone have Tommy John surgery twice?

Frank Jobe, then a Los Angeles Dodgers team physician. The surgery is named after Tommy John, the first recipient of the surgery. John won 288 games in his career–124 before the surgery and 164 after. Many players have subsequently undergone the surgery, some more than once.

How often do pitchers suffer another arm injury after having Tommy John surgery?

Suffering another arm injury after having Tommy John Surgery is common. In one study within Major League Baseball, 28-37% of pitchers who underwent Tommy John surgery had another injury to their arm later in their career.

How long is Tommy John recovery?

Rehabilitation from Tommy John surgery usually takes about a year. In some cases, up to 2 years are needed for athletes to return to their previous level of ability. Other types of UCL surgery may not need this much rehabilitation.

How old was Tommy John when he had his surgery?

That he was a better pitcher now, at age 34 and after radical elbow surgery, was evident not only in his contributing to the Dodgers' return to the World Series, but also by his second-place finish to Steve Carlton in Cy Young Award balloting. Over the next three seasons John remained at the top of his game.

What is Tommy John surgery named after?

The goal of the surgery is to stabilize the elbow, reduce or eliminate pain and restore stability and range of motion. This procedure was introduced and first performed by Frank Jobe, M.D., on baseball pitcher Tommy John in 1974—hence the colloquial name Tommy John surgery.

Where does Tommy elbow hurt?

While there are a number of ligaments around the elbow that provide stability, the most commonly injured is the medial ulnar collateral ligament (UCL or Tommy John ligament). This ligament is on the inside (medial) part of the elbow that is closest to the body.

Which band of the UCL is most commonly torn?

During the late cocking and early acceleration phases, the medial elbow experiences significant force—approximately 64 N•m—and the UCL is most vulnerable to injury. Because the elbow is usually at 90° to 100° of flexion, the posterior band of the anterior bundle of the UCL is the most critical stabilizer.

What is the most common pitching injury?

Damage or tear to the ulnar collateral ligament (UCL) is the most common injury suffered and is often caused by pitchers throwing too much. This ligament is the main stabilizer of the elbow for the motions of pitching.

How can you tell if you tore your UCL?

If you experience any of the following symptoms, you may have a UCL injury:

  1. Clumsiness and weakness of hand grip.
  2. Elbow pain and stiffness.
  3. Loss of function in the elbow and arm.
  4. Numbness or tingling in the ring and little fingers and hand.
  5. Swelling and bruising.

What does a torn UCL look like on MRI?

Acute tears of the anterior bundle of the UCL can be directly visualized on high quality MR images. Edema, abnormal laxity, and discontinuity of the ligament are all signs of UCL disruption.