By Steve Eagerton, Pitcher & Tommy John Patient @ Jacksonville University
The most painful part of coming back from my experience with Tommy John was restoring my range of motion. I was removed from a semi hard cast at two weeks post op., and the next day I started range of motion exercises. It took me about 5 weeks to get full range of motion with my therapist moving my arm and almost 8 weeks to get full range of motion on my own. I literally thought my elbow would explode some days- it hurt so bad. Of all the people I know who underwent Tommy John, I seem to have had the most pain. I think maybe it was because I had a lot of scar tissue, or maybe I am just a sissy (just kidding!).
Full range of motion for me, using my left arm as a guide, was 0-147 degrees. I think the first day I reached 20-88°. We tried to increase the ROM about 10° a week. I got full extension pretty quick, within about 3 weeks, but I made shorter strides in gaining flexion.
For TJ patients, I recommend making sure you keep it moving outside of rehab because if not you won’t progress as quickly. For the first week or two I was so sore that I would just keep my arm immobile on non-rehab days. Eventually I realized I needed to move it, even if just a little, to keep it from stiffening up.
I just want those who think they are hurting a lot while trying to reach full ROM just to know you aren’t the only one, and to grind it out.