Care began with a comprehensive examination performed by KIRO’s team of doctors. The evaluation revealed localized tenderness at the medial epicondyle (the inside of the elbow), pain reproduced with wrist flexion and gripping, and reduced tolerance to repetitive motions involving flexion of the wrist and elbow. Mild tightness and weakness were also noted throughout the forearm and shoulder, both of which play a role in tendon loading at the elbow.

To further assess how the irritation was affecting arm function, our doctors performed a baseline nervous system scan. The scan showed elevated tension patterns through the upper and mid back on the right hand side, suggesting compensation patterns in the spinal musculature to deload the arm.

Based on these findings, the doctors developed a personalized care plan focused on reducing tendon irritation, restoring proper mechanics, and rebuilding strength to safely return Jonathan to baseball. Care began with twice-weekly visits that included gentle chiropractic adjustments to the full spine, as well as the elbow, wrist, and shoulder paired with soft tissue therapy to the forearm to reduce strain on the irritated tendon attachment.

At the five-week reassessment, the doctors repeated the nervous system scan and re-evaluated pain levels, grip strength, and tolerance to throwing. The scan demonstrated reduced tension through the mid back, and Jonathan reported improved grip strength and less pain during daily activities and light throwing. With these improvements, care transitioned from twice-weekly visits to once per week.

Over the following six to eight weeks, treatment consisted of correctional and progressive strengthening exercises for the forearm and shoulder, nerve-gliding techniques, and movement retraining to reduce stress on the inner elbow during throwing and gripping. Activity modifications and technique guidance were also provided to support tendon healing and prevent re-irritation as Jonathan gradually returned to full play.