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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  • "Like the Chapman deal for Cubs from on-field POV, wish I didn't now have to feel lousy following an otherwise likable Cubs team." @jonahkeri

    pretty much sums up my feelings

    Rob G. 4 hours 55 min ago view
  • You mean Yankees?

    QuietMan 4 hours 59 min ago view
  • Cards lose!

    billybucks 5 hours 6 min ago view
  • You do have a point. The TheoJed certainly would need to address this in a transparent way. Milton Bradley was no help to the team.

    The E-Man 5 hours 18 min ago view
  • FWIW, the Cubs would get a compensation draft pick between the 1st & 2nd rounds (around #35) if they extend a Qualifying Offer to Chapman post-2016 (probably about $17M), Chapman declines, and then he signs with another MLB club before next year's draft. 

    Arizona Phil 5 hours 24 min ago view
  • This all assumes Chapman doesn't want to be a free agent and possibly sign a $20MM+/year deal. We all know free agents get overpaid, sometimes dramatically (Hello, JayHey!). Not sure why Chapman would agree to the extension. If i'm is agent, I would tell him I could get I'm a $100M deal as a FA.

    billybucks 5 hours 31 min ago view
  • I'll root for the uniform and imagine it's left-handed Rod Beck or Randy Myers out there I suppose.

    Rob G. 5 hours 55 min ago view
  • Amen to this. I guess it's gonna happen and I'm gonna have to suck it up but I really despise domestic abusers with every bone in my body and cannot stand them on any team I root for.

    johann 6 hours 4 min ago view
  • I just prefer they don't  acquire players that choke their wives/girlfriends.

    Rob G. 6 hours 7 min ago view
  • So you'd rather go with Blown Save guy, when you can trade a prospect who is blocked for one piece that could get you over the top to the Big Dance? That is pretty old thinking. This is not a move that they cannot recover from if it goes south. But the upside is potentially historic.

    The E-Man 6 hours 17 min ago view
  • I'd prefer it not happen too.

    Rob G. 6 hours 43 min ago view
  • it's a hell of a blockbuster, but it's for a guy who pitches 1/3rd of a season at an extreme premium considering the guy being traded and if the early extension $$$ rumors are true.

    it's one of those things that is bringing a guy at the top his game, but something is nagging me that this trade piece could have been put to better use.

    a huge part of me is all "hell yeah, top of the line producer"...another part of me is "hmm, that for that?"

    crunch 6 hours 47 min ago view
  • Still don't want. Kinda hope they can't work out the extension.

    Charlie 6 hours 59 min ago view
  • obviously not, and I'm sure they did their homework...just hope they have some better answers than the Yankees

    Rob G. 6 hours 59 min ago view
  • Chapman 12+ Career WAR. Currently 4.7:1 k-BB. With Rondon/Chapman/Strop/Nathan/Montgomery/Wood...Its the best pen I can recall other than Sutter or Lee Smith handling things themselves.

    Its gonna suck if he gets injured, and it appears he's not the greatest of characters.

    But, he'll have another Cuban to hang out with on the team.

    The E-Man 7 hours 20 min ago view
  • I agree with the names you mention but there are lots of names being tossed around still and there's that small matter of Chapman agreeing to the extension.

    Old and Blue 7 hours 26 min ago view