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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  • 5 HR in his last 5 games (3, 1 run...1, 2 run)

    sure, 3 HR were in colorado, but 2 were in night games in SD. that evens out somehow.

    crunch 15 min 57 sec ago view
  • Good work!

    John Beasley 1 hour 49 min ago view
  • crunch 8 hours 26 min ago view
  • My guy Addy

    jacos 8 hours 27 min ago view
  • oh, another a.russell HR...whatever.

    crunch 8 hours 41 min ago view
  • Dylan Cease throwing gas tonight for the Emeralds. In first three innings, has hit 100 mph six times, averaging 98 mph

    Eric S 9 hours 16 sec ago view
  • Can I get a gif of Joe West's jowls waving as he chews gum?

    /Asking for a friend

    jacos 9 hours 23 min ago view
  • my gawd...that castillo-to-bryant pickoff was a thing of beauty. the knock on him in the minors being slow out of the crouch is looking less like a thing.

    crunch 9 hours 36 min ago view
  • bless your heart. *pinches cheeks*

    crunch 14 hours 32 min ago view
  • real shame I missed this week's episode of The Crunch Reporter.

    It's highly unusual.

    It does matter a little.

    It matters much less than you think.

     

     

    Rob G. 14 hours 34 min ago view
  • four winds field is awesome. it's crazy how minor league parks have "grown up" since the 80s/90s and that park was one of the late-80s models that showed a low-capacity ballpark could look like you're at something other than a highschool baseball game.

    crunch 15 hours 40 min ago view
  • On another topic....I returned to South Bend last night for the 2nd time this season (still haven't tried either the deep-fried mac & cheese sandwich nor "The Porknado", as the drive home is over an hour and that could get ugly), and was pleasantly surprised to find D. Underwood pitching in a rehab start. He looked good -- although, to be fair, these are low-A hitters -- fastball consistently at 94-95 (if the SB scoreboard is to be believed -- several pitches were clocked in the 30s...) and with good location.

    billybucks 16 hours 48 min ago view
  • he gains nothing, no advantage, no saving of resources, nothing...there is not a cost/benefit tradeoff...him letting the running game go on around him for others to control isn't gaining him an advantage elsewhere. it's putting him at a disadvantage even if it's not cashed in with a run.

    crunch 19 hours 28 min ago view
  • And out of respect for the rest of TCR, I'm done on this. I'm sure I'm not the only one in the other camp, but time to let it go. (Until the next Lester start. I kid.)

    #baseballtalk

    Tito 19 hours 32 min ago view
  • He is putting himself at a disadvanage. But how much of one relative to the rest of his game? He's not Justin Germano -- he's inarguably one of the best SPs in baseball, issue or not. It would be more of thing to discuss ad nauseum if it constantly caused him to give up runs and lose games. But it doesn't.

    #baseballtalk

    Tito 19 hours 41 min ago view
  • shouting down my points about lester with "well, it didn't hurt" is like saying it doesn't matter if a guy starts out walking 3 guys every inning as long it's followed by a K and a double play.

    it's like elevating ERA and wins to a high level while ignoring what it took to get there.

    crunch 19 hours 47 min ago view