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Valgus Extention Overload

Valgus extension overload, also known as valgus extension overload syndrome (VEOS), is a condition that affects the elbow joint. It typically occurs in athletes, especially those involved in throwing sports such as baseball or softball. Valgus refers to the inward angulation of the joint, and extension overload refers to excessive stress placed on the elbow during the extension (straightening) of the arm.

Cause :

In athletes who repeatedly perform overhead throwing motions, such as baseball pitchers, the valgus forces generated during the acceleration phase of the throw can lead to excessive stress on the medial (inner) side of the elbow joint. This can result in a variety of injuries, including:

  1.  Medial epicondylitis: Also known as golfer’s elbow, this is an inflammation of the tendons on the inner side of the elbow that attach to the medial epicondyle, which is a bony prominence on the inner side of the elbow. It can cause pain and tenderness on the inner side of the elbow and may be aggravated by gripping or throwing.
  2.  Ulnar collateral ligament (UCL) injury: The UCL is a band of tissue on the inner side of the elbow that provides stability to the joint. Over time, the repetitive valgus forces can cause the UCL to become stretched or torn, resulting in pain, instability, and reduced throwing performance.
  3. Flexor-pronator muscle strain: The flexor-pronator muscles are responsible for forearm rotation and wrist flexion, and they are also involved in the throwing motion. Overuse of these muscles during repetitive throwing can lead to strain or inflammation, causing pain and weakness in the forearm.
  4. Osteochondritis dissecans: This is a condition where a piece of bone and cartilage breaks off from the joint surface due to repeated trauma, and it can occur in the elbow joint as a result of valgus extension overload. It can cause pain, swelling, and limited range of motion.

Akshar Physical Treatment For Valgus Extension

Akshar Physical Treatment for valgus extension overload typically involves a combination of rest, ice, anti-inflammatory medications, and physical therapy to reduce pain and inflammation, as well as address any muscle imbalances or weaknesses. In some cases, a period of rest from throwing may be necessary to allow the injured tissues to heal. In severe cases or when conservative measures are not effective, surgical intervention may be required, such as UCL reconstruction surgery (commonly known as Tommy John surgery) for UCL tears.

Prevention of valgus extension overload includes proper technique and mechanics during throwing, gradual increase in training intensity, and regular conditioning and strengthening exercises for the muscles involved in throwing. It’s important for athletes to listen to their bodies and seek medical attention if they experience persistent pain or discomfort in the elbow joint, as early diagnosis and treatment can help prevent further damage and promote recovery.