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Do you throw harder after Tommy John surgery?

Author

William Rodriguez

Published Jan 15, 2026

“The surgery may help you throw better than you did with a damaged UCL, but it isn't a performance enhancement,” he says. “Tommy John surgery is not an elective surgery for ball players trying to improve their ability. It should be performed only when necessary.”

Do you throw harder after Tommy Johns?

After surgery, a pitcher's workload typically decreased without a change in their performance per inning. Hence, pitchers do not perform worse after UCL reconstruction, but they do pitch less after surgery.

Can you still throw after Tommy John surgery?

About 4 or 5 months after surgery, athletes may toss a ball without a wind-up motion. After 6 months, athletes may start to use an easy wind-up when throwing. After 7 months, baseball pitchers may return to the mound.

What does UCL pain 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. An MRI scan or may also be taken.

Why is Tommy John recovery so long?

Take time to recover

Athletes need a longer recovery and rehab period for Tommy John Surgery than nonathletes due to the high stresses that throwing creates. So the time to return to baseball activities will be about 12 months.

29 related questions found

How long did Tommy John pitch after surgery?

Dr. Jobe gave Tommy John a 1-in-100 chance of pitching again after the surgery, and John took it. Not only did he pitch again, he pitched for more than a decade. John won 164 games over 14 seasons after undergoing his eponymous surgery.

Is Tommy John surgery painful?

After your surgery, you will have some pain. However, you can take over-the-counter pain and anti-inflammatory medications, to keep the swelling down. You should also have your elbow in an elevated position. During your physical therapy is when you'll experience the most pain.

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.

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.

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.

Are players who throw harder more susceptible to UCL injuries?

(2016) found that MLB pitchers who needed UCL surgery did not pitch at higher velocities than matched controls. Instead, the researchers found that pitchers who threw a higher percentage of fastballs were at heightened risk for injury.

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.

Why is Tommy John surgery so common?

According to Dr. Erickson's study, more than 56% of the pitchers surveyed who had Tommy John surgery grew up in warm weather climates. Many of them played year-round as a result of the climate instead of only playing seven or eight months a year.

What percentage of pitchers have Tommy John surgery?

More than 25 percent of the league's pitchers in 2018 have undergone Tommy John surgery at some point in time. That's a surprisingly high figure, demonstrating how common the procedure is, as well as how pitchers have been successfully able to pitch in the majors after the surgery.

What is the average age for Tommy John surgery?

The American Journal of Sports Medicine reports that nearly 57% of all Tommy John surgeries from 2007 to 2011 were performed on 15- to 19-year-olds. Additionally, adolescent pitchers, ages 14 to 20, who had the operation were 36 times more likely to have repeatedly pitched while experiencing arm fatigue.

Did Nolan Ryan have Tommy John surgery?

Former major-league pitcher Tommy John first had the surgery, which now bears his name. In 1986, Dr. Frank Jobe thought Ryan had torn the ligament and recommended surgery. Ryan decided against surgery "because I was too old" and was able to resume his career with Houston the next season.

What ligament is used for Tommy John surgery?

Tommy John Surgery, more formally known as ulnar collateral ligament (UCL) reconstruction, is used to repair a torn ulnar collateral ligament inside the elbow.

What two bones does the UCL connect?

The ulnar collateral ligament (UCL) holds the humerus bone (upper arm bone) and the ulna bone (one of two bones in the forearm) together. It provides stability of the elbow joint during throwing motions. Injuries to this ligament can range from a sprain to a tear and are classified by severity.

How long does Tommy John surgery last?

Tommy John surgery typically takes about 45 minutes to perform. It can sometimes take longer if there are other injuries that need to be addressed at the time of surgery. The surgeon will make this decision based upon the patient's history and physical examination.

Do pitchers throw as hard as they can?

But there's a problem as the sport's velocity obsession grows. Pitchers are getting hurt more than ever, with the latest research indicating that this trend is a primary culprit. And it turns out that throwing as hard as you can may not even be the most effective way to pitch.

How can I throw harder?

Use your full body to get power into your throws.

  1. Plant your left foot in front of your body.
  2. Point your shoulders in line with the target.
  3. Bring the ball behind you.
  4. Push off the back foot as you start to throw.
  5. Rotate your hips and shoulders towards the target.
  6. Release as the ball passes your head.

Does driveline increase velocity?

Among athletes with at least one training block at Driveline, 52% gained more than 1 mph in their retest, 27% maintained about the same velo (+/- 1 mph), and 21% lost velocity in the last mocap retest of their stay.

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.

Can you still throw with a torn UCL?

Your elbow may feel weak and unstable, and you may not be able to throw as fast as you like. If you tear the UCL, you may feel a pop when it happens. This is painful. It prevents you from throwing.

Why is the UCL so important for throwing?

The UCL is on the medial (inner) side of the elbow, and it helps to provide stability to the joint. When throwing, significant stress is placed on the UCL, and it can be injured or torn. Injuries to the UCL can sometimes be treated with a procedure that's often called Tommy John surgery.