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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  • Not certain why the site has been slowed. Worked much of Wednesday on it and will continue today. Sorry for the inconvenience. I will probably take it offline for a while, but it will be up before the game against the Mets.

    WebAdmin 5 hours 53 min ago view
  • Mine has been really slow to load -- on different computers from different locations.

    JoePepitone 8 hours 14 min ago view
  • Anybody else have issues accessing the site this afternoon/evening?

    Eric S 9 hours 15 min ago view
  • Boras is 63, maybe he'll be retired or dead by the time Bryant, Russell, Almora, Albertos all hit free agency. Doubt he will be before Jake hits there though.

    cubbies.4ever 12 hours 36 min ago view
  • Interesting choices when guys get healthy.

    LaStella, Fowler & Soler replace Coghlan, Almora and Sczcur? I assume they don't want Almora to sit.

    Despite MIggy's demise, I assume they keep him around to mentor Contreras?

    billybucks 13 hours 49 min ago view
  • I believe Willson now has more CS than MIggy. The kid has an arm. Also, Russell is amazingly good on those plays at 2nd.

    billybucks 15 hours 48 sec ago view
  • oh yeah...thanks joe/billy.

    poor outing, still got the win, go cubs.

    crunch 15 hours 39 min ago view
  • Although it felt like it, Jake didn't lose to them -- he got the W. (Assuming you are referring to Monday's game)

    billybucks 17 hours 19 min ago view
  • Arrieta didn't lose to the Reds. He got the win -- he just didn't pitch like we expect him to.

    JoePepitone 17 hours 20 min ago view
  • almora's 1st HR!

    crunch 17 hours 28 min ago view
  • it's not like this CIN team is lost-cause horrible, but aside from defense and power this is a truly horrible team.

    kinda crazy arrieta lost to them and yesterday's game had to go 15 innings for the cubs win.

    crunch 17 hours 44 min ago view
  • It looked like Hamilton got screened by Duvall and that Duvall just barely deflected the ball off of his glove--redirecting it slightly without taking away much of its momentum.

    At least it didn't turn into a Schwarber/Fowler situation. Hamilton and Duvall are both pretty important youngish players for the Reds.

    Charlie 17 hours 52 min ago view
  • he walked off the field on his own. aside from a concussion watch and some attention to his leg/knee that buckled a bit under him, the biggest thing hurt was probably his pride after the ball knocked off his skull.

    crunch 18 hours 10 min ago view
  • After last night, an inside-the-park HR seems kind of run-of-the-mill somehow.

    Sounds bad for Hamilton. Hope he's okay--listening on the radio.

    Brick 18 hours 27 min ago view
  • SHOW ME THE MONEY: Jose Albertos has signed with Mega-Agent Scott Boras.

    Albertos has already received his signing bonus and won't see any additional significant money until he reaches the big leagues, so this is a long-term investment for the Boras Corporation.  

    Other Cubs represented by Boras include Jake Arrieta, Kris Bryant, Addison Russell, and Albert Almora Jr. 

    Arizona Phil 18 hours 34 min ago view
  • I am glad Joe is managing this team and not Old and Blue!

    Hagsag 20 hours 56 min ago view