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.

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  • Thank you PHIL.

    Glad you avoided temps in the 100s.

    I remember you mentioning Dewees needng plenty of work in th IF. How are his OF instincts?

    Also, did see much of Satchel McElroy? Only Satchel I have heard about other than the "orignal" and one of Woody Allen's kids.

    The E-Man 2 hours 12 min ago view
  • Hate to give the Mets credit, but they did everything right tonight in what had to be a very tough game for them to play. As Hollandsworth said on the Cubs post-game -- if you watched the game, you saw Mets players consoling Marlins players who were in tears during the game. Between that and the way Molina handled the Ross farewell -- maybe the Mets and Cardinal players aren't pure evil. Just the fans.

    billybucks 9 hours 43 min ago view
  • New York Mets @Mets
    Dee Gordon lead-off home run. #AintEvenMad #BiggerThanBaseball 1-0 Miami.
    7:25 PM - 26 Sep 2016

    https://twitter.com/Mets/status/780548827963133953

    crunch 10 hours 20 min ago view
  • Amazing effort by Gordon -- truly remarkable.

    billybucks 10 hours 41 min ago view
  • Cubs get 100, KB gets 100, Hendricks gets below 2.00, Cards get absolutely destroyed by the Reds -- all good, other than some Rondon concern. Hopefully, he can get a few outings in this week and find his groove. Also, I guess Soler is still struggling with his right side. Hmmmm. Too bad Joe didn't let Addy bat with the bases loaded in the 7th -- great RBI opportunity.

    I assume all the relievers are on a set schedule this week, but it seems strange Chapman pitched back-to-back.

    billybucks 10 hours 44 min ago view
  • Barry Rozner article interviewing Greg Maddux (with comments on Kyle Hendricks).

    http://www.dailyherald.com/article/20160925/sports...

    "I like watching him pitch," Maddux said of Hendricks. "I like guys that rely on movement and location. I can relate to him. That's what I had to do. "I'd rather watch him pitch than some lefty throwing 95 mph."

    Cubster 11 hours 5 min ago view
  • cubs win #100. neat.

    crunch 11 hours 13 min ago view
  • Chapman in to stop the bleeding.

    Brick 11 hours 21 min ago view
  • they're falling apart late in WAS...damn.

    crunch 11 hours 51 min ago view
  • Wilson Ramos may be hurt badly. Carried off the field. Looks like the knee.

    John Beasley 11 hours 54 min ago view
  • Hendricks 6 shutout innings, ends night with an ERA of 1.99

    Cubster 12 hours 4 min ago view
  • in case it hasn't been mentioned yet, Twins are hiring Indians 32-year old Derick Falvey from the Cleveland Native Americans organization.

    Suppose McLeod could still be asked by another organization but likely staying put.

    Rob G. 13 hours 3 min ago view
  • Well put, both your remark, and Crunch's.

    Transmission 13 hours 4 min ago view
  • I saw the Gordon HR. It was like a funeral where the mourners were made to play baseball. So sad...

    CTSteve 13 hours 8 min ago view
  • i wanted to watch more of it, but it started to feel like i was going beyond witnessing a human experience that isn't often seen into an uncomfortable voyeurism. these guys are in pain.

    crunch 13 hours 27 min ago view
  • wow I am glad I missed the start of the MIA game.  I would have been sobbing.

    Transmission 13 hours 36 min ago view