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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  • Unbeleivable Dodgers:
    I just noticed the Dodger's payroll today. It is just absurd. $300,000,000+!!
    Here is where just some of their money is for 2015:

    Some "Highlights"
    Carl Crawford $20MM
    Brandon McCarthy $17MM
    Bronson Arroyo $3.5MM
    Darwin B $2.2MM
    Dan Haren $10MM
    Matt Kemp $18MM
    Brian Wilson $10MM
    Ryan Webb $2.2MM
    Dee Gordon $2.5MM

  • So I think tomorrow will be the most important test of how far we can go. We can win it all with two pitchers since Arietta has shown he can carry over his success to the post season. If Lester can be dominant also then I think we can go far no matter how Hendricks or Hammel do.


    And in terms of pitching just went through to see how we could maximize Lester and Arietta and came up with this (Lester would be going on 4 days rest three times and Arietta twice):

  • i still can't believe that crawford contract (7/142). all that loot and years for a LF'r who's entire hitting game revolves around his legs and line-drive power. those triples that raised his value are deceptive as hell to his true power, but it helped him get paid.

    there's also pause about a guy who's ob% is almost totally driven by hits rather than walks. BOS got lucky unloading that crap deal.

  • I think the Cubs take Berry and Soler off playoff roster and add Hammel & Ramirez. Believe Maddon will find Denorfia & Jackson defense too hard to lose.

  • O & B: I like the one-game Wild Card heart attack game, but I'd actually like to see a best two-out-of-three LDS played in the home parks of the two division winners with the best records, and then the LCS as a best two-out-of-three in the home park of the division winner left standing with the best record, and then let's get to the World Series already. 

  • I...don't know. If chanting would help the Cubs beat the Cardinals in the next series or ultimately the World Series I think I'd be ok with it lol. I'm not supportive of saying insulting things to opposing fans or throwing things but loud noise and chanting seems appropriate to me.

    I also grew up in France though and that kind of thing is par for the course at soccer and rugby matches and I love it. I find crowds too passive here.

  • Er, they won the first one. My bad. Carry on.

  • With last night's win in Pittsburgh, the Cubs have tied the Pirates with 98 wins, and are only 2-1/2 games behind the Cardinals. No reason why the Cubs can't finish the post-season with the best winning percentage in baseball (regular season & post-season combined). 

  • BOB: I doubt very much that Matt Szczur will be on the Cubs LDS roster.

    If he wasn't on the Wild Card roster (when the Cubs went with 15 position players), he won't be on the LDS roster (when the Cubs will go with 13 or 14 position players).

    As it is, at least one of the three RH hitting outfielders who were on the Cubs WC roster (Denorfia, Jackson, and Soler) could get bumped off the LDS roster (probably Soler).

  • I want my baseball team to win by playing better baseball. I don't want umps, fields, or fans to have anything to do with it.

  • Just with the chanting thing it worked to rattle Cueto last year where he dropped a ball and gave up a HR next pitch so you can't really hate on the fans for trying it again in this important of a game.

    Arietta though.

  • I felt the same way, too, but...

    I was very disappointed with Pittsburgh fans. At Wrigley a few weeks ago, they were very obnoxious guests, the cockiness on Twitter, and what's the deal with chanting Arrieta's name during the game? Very bush league. Add that up with Rodriguez's poor sportsmanship and you quickly have a team that you don't mind beating 4-0 in a do or die game.

  • Absolutely-It was tense. And when the Pirates couldn't push any runs across, you could see the frustration boil over.

  • I meant December.