Tommy john surgery is the repair of ulnar collateral ligament of elbow. It is named after the pitcher from LA dodgers to get this surgery done in 1974 for the first time. 

This is a very big topic with lot of myths like after surgery you could throw even faster and harder which has been proven completely wrong. 

 

Recently as the need for speed has risen among young athletes these surgeries are becoming more common. 

 

Not only the need for throwing hard but also doing so without proper mechanics, without proper warm up and proper conditioning is also a contributing factor.

We always get patients in the clinic who c/o finger getting stuck in bent position and when patient pushes hard it snaps into extension as if trigger is released.  In worst cases finger gets stuck in bent position and patient has to use the other hand to extend the finger back. 

Often times it starts without pain and slowly gets very painful. Especially, when patients think that this is due to weakness in hand and they either buy some kind of gadget to improve grip strength which often backfires heavy gripping worsens the symptoms.

Carpal tunnel syndromeis caused by pressure on the median nerve, it is the nerve in the wrist that supplies feeling and movement to parts of the hand especially thumb, index , middle and partial ring finger. 

It usually characterized by numbness, tingling, weakness, or muscle damage (long term) in the hand and fingers.

1. Associated with repetitive work causing compression on the wrist i.e sewing, assembly line, vibratory tools, certain medical instruments etc.

2. certain metabolic disorders or conditions;