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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  • I think it's probably hard to adjust to an ump's zone mid-game, as least for hitters. Pitchers can locate to an ump's zone, but hitters have minimal time to react.

    But, whatever. Umps are going to miss calls. Let's beat up on the non-Lackey starters.

  • Watched a little of Mets-Dodgers.

    Jason deGrom -- oh, my.

  • Cubs 3-4-5 hitters are 0-21 so far in the post-season.

    Let's change that in a big effin' way tomorrow, boys.

  • Considering how players reacted it seemed pretty accurate high and wide (to righties), but not so accurate low and in. I thought the strike zone by the ump was awful, but it was consistent and the Cubs never adjusted.

    Rizzo and Bryant need to have good at bats. They are really looking outclassed in these two games.

  • that game sounds fun as hell.

  • I was just wondering the same thing. I'd rather not see it at all. If it's inaccurate, it's a bad viewer experience. If it's accurate, it shows some shitty calling by the umpire.

  • TBS' K Zone seems to be more harsh than the others.

    I wonder if MLB will ask the networks to stop using them. They just make the umps, and the game, look bad, and it only pisses off the fans.

  • ...joe.

  • "Strop vs. Cardinals." Seen the movie. Hated it.

    Not all that disappointed -- I didn't think they would beat Lackey in Game 1. Need to get the bats going against the guys with less experience -- and they hit Wacha pretty good.

  • Rizzo has been slumping the last couple weeks of the season. Very disappointed it has continued during his penultimate moment of his career to date.

  • Really doesn't matter, but I was surprised to see Lester pulled and Strop pulled in. Should of left Lester in. oy.

  • Sweet merciful fuck, I hate the Cardinals.

  • *flips table*


  • Really doesn't matter, but I was surprised to see Lester out for the 8th. Down 1-0, at 100 pitches, seemed better to give a very fresh bullpen a little work.

    Oh well...Throw away game, although in a 5 game series there is no luxury afforded to do that.

  • This game is not on Lester - he did his job

  • Had a lot of hope hanging on that deep Fowler fly in the sixth.

    Really despise the Cards