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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  • Phil, any updates on eight Oscar de la Cruz or Luis Hernandez?

    azbobbop 7 hours 2 min ago view
  • One miscommunication in outfield and the Cubs would have another no hitter

    jacos 8 hours 13 min ago view
  • Bruce Levine [email protected]

    Sex Fowler out with sore heel

    Pretty epic nickname

    johann 8 hours 45 min ago view
  • Mike Olt lives!

    The E-Man 9 hours 19 min ago view
  • Screw the closer.

    Old and Blue 11 hours 10 min ago view
  • He's had so few save opportunities that it might be difficult for him to get the All Star nod but Rondon has an absolutely ridiculous 1.05 ERA and 1.06 FIP after this game so far (and I think his worst outing was in the 10th inning non save situation) so I do absolutely think he is worth considering.

    johann 11 hours 13 min ago view
  • wood(4)/grimm/strop/rondon combine for 7ip 0h 0bb 8K

    nasty.

    crunch 11 hours 28 min ago view
  • 3ip 0h 0bb 3k for t.wood...nice.

    28 pitches.

    wonder if they'll let him go another.

    4ip 0h 0bb 4k...and probably done f'real this time. 43 pitches and in line for the win.

    crunch 12 hours 16 min ago view
  • And stay off the keyboard too

    Eric S 12 hours 25 min ago view
  • Depends how long he'd be gone but if not too long I would assume they'll use Wood or Cahill and limit them to 4 or 5 innings and call up a reliever to use in the bullpen.

    johann 12 hours 43 min ago view
  • hopefully it's a carlos-zambrano-special and he just needs to drink more water and less coffee+redbull before starts.

    crunch 12 hours 49 min ago view
  • Assuming Hammel needs some DL time for the hammy, who do the Cubs call up: Glasnow or Taillon? Too many starting pitching prospects at Iowa to choose from.

    Eric S 12 hours 52 min ago view
  • "cramping in right hamstring" according to the booth.

    btw, it was his left hamstring that was injured last year.

    crunch 12 hours 53 min ago view
  • hammel is injured and done..."leg cramp" or some other leg issue...was down behind the mound coming back from commercial and seemed to have injured himself warming up on the mound between innings.

    crunch 13 hours 15 min ago view
  • heyward with a bit of starlin castro disease...you're great D dude, but you can't range 200ft in all directions even if you're playing CF.

    that said, he almost had it...though zobrist or baez should have had it if heyward wasn't coming on at 100mph.

    hammel is quite wild today even if he got the first 2 outs on Ks that were result of swinging through stuff not in the zone.

    crunch 13 hours 59 min ago view
  • she did fine, fwiw.

    bombs were bursting in the air...ramparts were watched...all that stuff.

    zoobrest kissed her afterwards and got about 20lbs of the 100lbs of makeup she was wearing on him.

    crunch 14 hours 11 min ago view