GIRD

Stretching: The Truth

I'm planning on a series of articles to update our readers on some of the current concepts in pitcher related injuries and diagnoses that most fans have not heard much about.

We've all had our fill of reading about pitchers with rotator cuff and glenoid labrum tears. There are some interesting trends in sportsmedicine that have lead to changes in exercise programs throughout the majors and minors in an attempt to protect pitchers from a cascade of preventable injuries most fans don't know about.

Diagnoses such as:

GIRD: (Glenohumeral Internal Rotation Deficit...not to be confused with the stomach malady also known as GERD which Cubs fans get from watching too many losses). Pitching (both cocking phase and deceleration phase) leading to a tight or thickened posterior shoulder capsular ligament plus a loose anterior capsule and loss of internal rotation of the shoulder. Extra external rotation of the shoulder develops at the expense of internal rotation.

Scapular Dyskinesia: Shoulder blade weakness with altered kinematics.

Internal Impingement: Thought to be related to posterior shoulder contracture from GIRD with subsequent instability of the shoulder as the humeral head (ball of the shoulder joint) which shifts back/posteriorly and upward/superiorly). This is a different entity from subacromial or rotator cuff impingement which is more common and typically occurs from friction outside the shoulder joint.

...and finally connecting the dots, sorting out how the the injured or weakened shoulder (scapula) leads to severe strain on the elbow and tearing of the Ulnar Collateral Ligament (aka the Tommy John injury).

My attention to this topic started last summer, when  I heard a remarkable interview on XM radio with renown Orthopedic Surgeon, Dr. Craig D. Morgan with hosts Jim Memolo and Rob Dibble. The focus of the interview was Stephen Strasburg's shoulder tightness and the subsequent ulnar collateral ligament elbow injury that lead to "Tommy John" reconstruction of that ligament last summer. Dr. Morgan said that he had predicted elbow problems in Strasburg by watching the way he held his shoulder.

More on how the arm bone is connected to the...after the jump.

Recent comments

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  • If you look at the FIP and xFIP numbers, the Hendricks vs. Ross matchup doesn't look so bad for the Cubs.

  • Yeah, Baez got Maddon wanting that D.

  • That is a fair point. Man this team has crazy depth.

  • 26-0

    Da Cubs

  • Man, with a 20-6 record, it doesn't seem right to complain about any aspect of this team. What are you expecting? A 26-0 record? I'm not saying that the Cubs are above critique, but I am saying any problems that might exist don't appear to be a major hindrance at the moment. To quote a great philosopher "numbers don't lie, check the scoreboard."

  • I also recall Joe talking about he liked the way Hendricks matches up on paper against Washington. Assuming it was Joe's doing his Jedi mind tricks thing.

  • Sergio Mitre??!! LOVE IT!

    FREE MATT CLEMENT!

  • Imagine if Lester would just pitch nine innings every start.

  • Now that's funny coming from the board martyr.

    You made a comment about Lester not pitching deep enough into games, Rob and others dispute it, and then it devolves into more of you acting like you're being unfairly singled out.

    Classic Crunch.

  • "Therefore, the Cubs have not had ONE pitcher in the last five years that is a TOR starter waiting in the wings ..."

    It's a little scary, especially when you look over at the Mets, the one team around the league that worries me, maybe because I have clear recollections of 1969.

    Actually, the only Cub draftee since 2012 when McLeod and the new FO took over the draft who has thrown a pitch in the majors is Zack Godley. So it's not just TOR starters that we're not seeing.

  • We've got a David-Goliath type situation tonight, but you never know. In matchups like this, I always remember that Sergio Mitre v. Roy Halladay game the Cubs won at home several years ago.

  • I am going tonight, so I am not ok with that.

    But, maybe Hendrix will give his patented solid 5 before Richard or Wood comes in...

    One can hope.

  • if you save the lumber from your constant trips to the cross you can build your very own safe space to view my posts.

  • @billybucks you speak the truth and it's precisely what me and others have been saying for over a year. It's an unfortunate hitch in his game, one that seems correctable, but so far has not been corrected. Also a hitch that is going over 3 seasons now and no one has been able to truly exploit in any meaningful way (except sort of the Royals in that Wild Card game although they stole plenty of bases off the other pitchers in that game and the rest of the playoff teams the rest of that run).

  • AZBOBBOP: Nothing new on Oscar de la Cruz. Still shut down with elbow issues.