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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  • Totally independent of the Cubs winning or losing today, Dan Haren came into today's game having earned $2M of his potential $3M in performance bonuses for 2015. 

    By making the start (his 32nd start of the season) he picked up $500K, and he'll get the remaining $500K if he can throw at least 8.2 IP in the game (he was at 181.1 IP coming into the game, and he needs to reach 190 IP to get the remaining $500K), 

    It's a bit like the old "Bowling for Dollars" TV show, but of course Haren is actually "Pitching for Dollars."

  • holy crap, MIL is just...awful.

  • i think he's currently playing for the Santo Domingo Meths. he's an Adderall-Star player there.

  • I'm longing for a Neifi sighting.

  • if you have stable/fast internet you can stream with and you don't mind giving up $20 a month check out "sling tv".

    TBS, TNT, ESPN 1+2, etc...100% legal.


  • 68 pitches (50 strikes)

    love seeing that...especially with the batters doing very little with it.

  • Yeah, keep him off the playoff roster.

  • Or, he's looked exactly like Ted Williams.

  • Lately he hasn't looked like Ted Williams...

  • Reading between the lines on some of his comments he seems to know his longish swing doesn't play well with a man on third and two outs, and two strikes on him. I doubt a playoff adjustment is happening, just something he'll need to figure out next year. I have this odd feeling he will.

  • Mark Gonzales ‏@MDGonzales 4m4 minutes ago
    Bryant leads NL rookies in HRs (26), RBIs (99), 2B (31) and runs (86). Last rookie to reach 26 HR, 99 RBI, 31 2bs, 86 runs and 74 BBs?

    Mark Gonzales ‏@MDGonzales 4m4 minutes ago
    Boston’s Ted Williams in 1939

  • Surprised and bummed that Mark Buehrle is retiring. One of my all-time favorite pitchers. I think he could pitch for 5 more years.

  • Probably going to a bar/restaurant with TBS. Cord-cutting is so over-rated.

  • Thanks for the update on Underwood.

  • I know, man. What a season. 3rd best record in all of baseball, good enough to have won any division other than the one there in.

    With a win tomorrow, the Cubs will match their 2008 record. Bad omen, I know. If they do win, the most recent year in which the Cubs will have won more games would be 1945 (98-56), the last time they went to the World Series.

    I'll take that omen instead...