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Is Pitch Count Actually Protecting My Kid's Arm?

July 29, 2026 · 3 min read · Dr. Tom Grogan

Youth baseball pitcher mid-throw

Roughly one in four pitchers ages 9 to 12 report elbow pain while pitching. Pitch limits help — and so does not pitching year round.

A question we hear from baseball parents all the time: “My child's arm hurts after pitching — should we be worried?”

Often, yes. Studies show roughly one in four pitchers ages 9 to 12 report elbow pain while pitching. Tommy John surgery, once a professional athlete's injury, is now increasingly common in teenagers.

What Actually Helps

  • Adhering to pitch count limits and required rest days between games does make a real difference.
  • So does something that sounds counterintuitive: playing other positions or other sports, instead of specializing in pitching year round.
  • Athletes who diversify tend to see lower injury rates than those who focus on one throwing-heavy position year round.

Takeaway

Arm pain in a young pitcher is never just “part of the game.” It's worth resting and getting checked, before a small issue becomes a season — or a surgery.

Protecting the arm now is what keeps a kid pitching later.

Dr. Tom Grogan, Co-Founder & President of Ortho Care on Demand

Author

Dr. Tom Grogan

Co-Founder & President, Ortho Care on Demand

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