Rehab After Tommy John Surgery: Optimizing Return to
Throwing (Recorded Webinar)
Presented by Lenny Macrina
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This course is a recording of a previously hosted live webinar event. Polling and question submission features are not available for this recording. Format and structure may differ from those of standard Medbridge courses.
Step up your game in sports rehab with this high-impact webinar on UCL reconstruction—better known as Tommy John surgery. Designed for physical therapists and athletic trainers, this webinar dives deep into the biomechanics of overhead throwing and the latest surgical approaches to UCL repair. You’ll gain actionable, evidence-based rehab strategies for every phase of recovery, from immediate post-op to elite return-to-sport programming. Learn how to navigate key milestones, manage complications, and confidently guide progression using objective testing and real-world protocols. Packed with case studies and clinical insights, this webinar is a must for anyone working with baseball players or overhead athletes aiming to get back in the game stronger than ever.
Learning Objectives
- Examine the anatomical structures and biomechanics involved in UCL injuries
- Categorize key surgical techniques and their implications for postoperative rehab
- Construct a phase-based rehabilitation plan for athletes post Tommy John surgery
- Apply evidence-based criteria to progress patients through each stage of rehab
- Determine return-to-throwing readiness using functional and objective measures
- Prioritize intervention strategies by analyzing common complications and tailoring care to individual patient needs in post-UCL reconstruction rehab
Meet your instructor
Lenny Macrina
Leonard (Lenny) Macrina is the cofounder and director of physical therapy at Champion Physical Therapy and Performance in Waltham, Massachusetts. He received his master’s degree in physical therapy from Boston University. He has been teaching continuing education courses on shoulder rehabilitation and presenting at…
Chapters & learning objectives
1. Introduction
This chapter introduces the foundational concepts surrounding ulnar collateral ligament (UCL) injuries in overhead athletes. Learners will explore the anatomy, biomechanics, and common mechanisms of injury that lead to Tommy John surgery, setting the stage for understanding the rehabilitation process.
2. Common Surgical Techniques
This chapter reviews the surgical techniques used in UCL reconstruction, commonly known as Tommy John surgery. It covers graft selection, surgical approaches, and factors that influence postoperative healing and rehabilitation planning.
3. Rehabilitation Following UCL Surgery
This chapter outlines the evidence-based rehabilitation process following Tommy John surgery, emphasizing a phased approach from immediate post-op care to return to sport. Key topics include range-of-motion progression, strength development, neuromuscular control, and throwing program integration.
4. Question and Answer Session
This chapter is a viewer-submitted question and answer session facilitated by Lenny Macrina.