Factors associated with a increased risk of elbow pain:
(1) overuse ( >= 600 pitches per season, play in recreational league as well as formal league)
(2) older age (>= 11 years of age)
(3) poor satisfaction with pitching performance
(4) weight lifting
(5) arm stiffness in the previous game
(6) arm fatigue while pitching
(7) weight > 86 pounds (this may reflect a greater age)
(8) poor biomechanical throwing technique
(9) throwing sliders before age 16
(10) throwing split finger pitches
Factors associated with a decreased risk of elbow pain:
(1) throwing 300-599 pitches per season
(2) throwing change up pitches
(3) observing pitching and rest limits between games
(4) learning proper throwing techniques