The recovery process for Tommy John Surgery is a long and rigorous one. It takes about 10-12 months for pitchers and about 6 months for position players. Here's what a Tommy John patient can expect:
Week 1: the arm that was operated on gets put into a brace that is much like the one that goes on the knee after ACL surgery, but for the elbow. This brace completely immobilizes the arm at a 90 degree angle. The patient is, however, able to move their hand.
Week 2: the brace is adjusted to extend the arm outward, slowly, day-by-day. The patient may also start to use their arm for every day exercises.
Weeks 3-8: the patient will generally start exercising their range of motion and light dumbbell exercises, and they are usually eligible to be out of the brace at about 4-6 weeks.
Week 10: the patient can start simulating a throwing motion, slowly, and with an empty hand.
Weeks 12-14: the patient can start to swing bats and golf clubs and other things of that sort. They may also start to simulate a throwing motion while holding a 1 pound medicine ball.
Week 16: at week 16, the patient will begin a flat ground soft toss throwing program of two 25 throw sessions at 45 feet, done every other day. The distance and number of throws is increased each week until they can do all of it, pain free, at a distance of 150 feet.
Month 6: if the patient is a position player, then they are ready to return to play. If the patient is a pitcher, they will begin to throw straight fastballs on the mound with a gradual increase in effort.
Month 7: the pitcher will be ready to start throwing breaking balls on flat ground.
Month 8-10: the pitcher is ready to ready to start facing batters and pitching in simulated games.
Month 11-12: the pitcher is ready to return to competitive action.
It is not uncommon for pitchers to return from this surgery throwing harder than they did prior to. This is not because of the surgery itself but instead due to the amount of work and effort put into the recovery process. Their arm is usually stronger than it was before and this results in the increased velocity.
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