Sleeper stretch

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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  • 3rd time this season he's given up 6+ runs to PIT...only team he's given up 6+ runs to this season.

    7 runs is the most he's given up since august 6th in colorado...in 2014.

    crunch 13 min 46 sec ago view
  • Over 100 pitches, only the 5th.

    Brick 15 min 46 sec ago view
  • coghlan out...got his cleats stuck in the wall attempting a play (failed, but looked great doing it). walking off on his own, precautionary/day-to-day looking stuff...hopefully not worse.

    also, jake arrieta is literally worse than hitler. 1-5, bottom 5. ...make that 1-6, bottom 5. ...make that 1-7, bottom 5.

    crunch 16 min 39 sec ago view
  • Coghlan crashes into wall and comes up limping, looks like left knee or ankle. Leaves game...

    Arrieta inspiring no confidence yet again.

    Rob G. 22 min 44 sec ago view
  • from a sun-times article that I won't link to so you don't have to bear the ad-loading that will crush your browser

    When he left Boston after nine years as general manager, Epstein said he believed in the philosophy espoused by legendary football coach Bill Walsh: essentially that 10 years is a natural shelf life for a high-stress job.

    Rob G. 24 min 47 sec ago view
  • Despite a somewhat slumping September for Bryant (233/310/411), he still leads the NL in WAR by a healthy margin in both fWAR(8.4 vs 7.6 for Seager) and bWAR  (7.6 to 6.5 for Freeman...Seager is tied for 3rd with Arenado at 6.2)

    If you just want to look at offense, Bryant is 4th in the NL in wRC+ behind Votto, Murphy and Freeman with Rizzo in 5th (and possibly ahead after tonight).

    Rob G. 35 min 45 sec ago view
  • hey everyone, this guy...this is the guy we blame.

    have fun in chicago.

    crunch 36 min 30 sec ago view
  • I hate to put the jinx on, but I just bought a plane ticket to Chicago for the last weekend in October. 

    CTSteve 37 min 49 sec ago view
  • Glove-gate? bottom 4th, Rizzo-Zobrist and I don't get it. Is it 3-4 or 3-4 putout. Rizzo gets 2nd base qualification in fantasy leagues?

    Cubster 38 min 4 sec ago view
  • a.rizzo now playing 2nd in a lineup position switch because c.hurdle bitched about rizzo changing gloves and slotting to 2nd on an anticipated bunt play.

    now he's got a PO playing as a 2nd baseman. neat.

    crunch 39 min 9 sec ago view
  • dfa jake arrieta.

    free tim federowicz.

    vaccines kill.

    9/11 was an inside job.

    crunch 43 min 29 sec ago view
  • rizzo #32...ties career high.

    crunch 1 hour 51 min ago view
  • The team, farm and scouting system were barren when they arrive.
    They punted two seasons, third season 73 wins which is what happened about 75% of the time in last 50 years

    jacos 1 hour 56 min ago view
  • OKAY! COOL!

    crunch 3 hours 27 min ago view
  • there was more than one way to get there

    Nope.

    Rob G. 3 hours 32 min ago view
  • supposedly jed "who?" hoyer, too

    crunch 3 hours 35 min ago view