Why Does My Arm Hurt When I Throw A Baseball

Arm Soreness for Baseball Pitchers: What Does It Mean?

Despite the fact that the spring baseball season is well underway and a new summer season is just around the horizon, some players are already displaying indications of weariness and arm stiffness despite the fact that there are still many games to play. During this time of year, several questions regarding surviving the season emerge, including the following:

  • What should I do if my arm is in pain
  • If my arm has been painful for a while, when is it safe to throw? How many pitches am I allowed to throw

An overworked or over stressed arm is your body’s way of informing you that it has been overworked or over stressed. To a certain extent, the warning of discomfort is acceptable — as long as you pay attention to it.

What Does It Mean When Your Arm Hurts?

It is not common to experience significant shoulder discomfort or acute aches in the shoulders, neck, or elbow when one has arm soreness. These might be signs of more serious problems and should be checked up by a medical practitioner as soon as possible. In most cases, overstretching the rotator cuff muscles results in this sort of pain following a throw. Pitching is often the position that results in the most amount of stress, owing to the vast number of tosses and the high level of effort associated with each throw.

Why Are Your Arms Sore?

As the ball is propelled forward by the rotator cuff muscles, rotational acceleration (concentric contraction) of the upper arm is produced. They also cause the arm to slow down once the ball is released, resulting in an eccentric contraction during deceleration as a result. It is because of these movements that the muscles get strained and painful. Some believe that this arm pain is produced by micro-tearing of the muscle tissue, and that cooling the arm after throwing is an attempt to minimize the inflammatory process after throwing.

RELATED:Treating Arm and Shoulder Injuries in Throwing Athletes

After being under stress, your arm requires relaxation. Putting an end to the acts that caused the discomfort, such as throwing, allows the body to recover over time. Continuing to toss just exacerbates the situation, and:

  • Muscle and joint injuries become more likely as a result of this. Power production is reduced, and performance is limited.

How much rest for pitchers?

Consider the following scenario: if you completed a marathon on Monday, would you want to run another one on Tuesday? There is no magic number that indicates when it is OK to begin throwing again. Everyone has a distinct threshold for accepting something. The quantity of rest time required is determined by the amount of tension that was created and the resistance of the muscles to the stress. Resistance to throwing may be changed by improving the strength and endurance of the individual muscles that are involved in the throwing motion.

How many pitches?

A number of organizations, such as the National Little League®, have established pitch count regulations for different age levels. A pitcher must rest a certain length of time after each pitch, and there are limits on how many pitches may be thrown in a certain amount of time. However, while this is a reasonable safety precaution, it does not take into consideration athletes that engage in various leagues. The finest piece of advise is to pay attention to your body. If you’re sore, don’t push yourself too hard.

RELATED:Common Sports Injuries: Baseball

  • Train. A baseball-specific training program in the off-season, along with a maintenance program throughout the season, can assist you in maintaining your strength and stamina. Before tossing, make sure you’re completely warmed up. Make certain that the throwing method is correct. Make sure you’re throwing with your entire body when you do. Take use of the fact that your legs and core have far greater power and stamina than your arm
  • Make use of ice. Icing might be beneficial immediately following a bout of severe tossing. Pay attention to your body. Achy muscles and joints are your body’s way of informing you that it needs time to recuperate.

Are you interested in learning more about how to improve your baseball performance?

Visit the UPMC Sports Medicine website for more information.

What To Do When Your Arm Hurts After Baseball or Softball — Complete Game Physical Therapy

Spring has finally here, believe it or not! Coaches and parents of baseball and softball players hear the phrase “My arm hurts” over and over again during the season. To avoid arm injuries in throwing sports and the perils of trying to play through discomfort, it’s a good idea to educate yourself on the subject. The following are some pointers to assist you in distinguishing between pain and soreness, as well as some reasons why it is crucial to avoid playing through discomfort and some suggestions for dealing with arm soreness.

After throwing, it is not uncommon for athletes to have stiffness in their shoulders or elbows.

Ideally, before a coach suspends a player’s pitching or a parent seeks medical attention for their child, they should speak with the athlete about the symptoms they are experiencing.

  • A sense of fatigue or tightness in the muscles
  • Soreness that subsides with modest stretching or exertion
  • Achy joints
  • Injuries sustained during the first few throws of the spring season

The following are indications that the ache may be caused by something more serious: Do not continue to play if you are in pain. Pain has a profound effect on one’s life. There are two basic reasons why playing through pain is not a good idea: first, it is dangerous. For starters, pain is frequently a warning that something major is wrong. Acute pain in the arm might signal a damage to structures such as the UCL (the Tommy John ligament) in the elbow, the rotator cuff of the shoulder, or growth plates in the bones of the elbow or shoulder.

It will cause a loss in awareness of one’s own body posture, which can result in not only lower performance, but also compensatory movements that can lead to harm in other areas.

  • It is recommended to take one day off and repeat the most recent throwing program workout if you are sore for more than an hour after throwing or the following day.
  • If you are painful during the warm-up, but the soreness subsides within the first 15 throws, resume the prior exercise session. If your shoulder or elbow becomes uncomfortable during this activity, you should stop and take two days off from the gym immediately. Reduce the amount of throws and the intensity of throws when you return to throwing.
  • Throwing should be stopped and two days off if you are painful during warmup and the soreness remains through the first 15 throws. Reduce the amount of throws and the intensity of throws when you return to throwing.

Youth baseball and softball players sometimes complain of shoulder discomfort after playing. Clear communication with the athlete is essential to ensuring that all parties understand exactly what is going on and what efforts should be done to remedy the situation. I hope these suggestions will assist you in keeping your athlete on the field and injury-free. Physical Therapy for the Complete Game We are a sports medicine clinic in Lowell, Massachusetts that specializes in the treatment of athletes and physically active persons of all ages, with a particular emphasis on those who participate in overhead throwing sports.

Shoulder Injuries in the Throwing Athlete – OrthoInfo – AAOS

Overhead throwing puts a tremendous amount of strain on the shoulder, particularly on the anatomy that holds the shoulder in its stable position. Because these high pressures are repeated over and over again in throwing athletes, they can result in a wide variety of overuse injuries. Although throwing injuries to the shoulder are most typically observed in baseball pitchers, they can occur in any athlete who engages in sports that demand repetitive overhead motions, such as volleyball, tennis, and several track and field events, as well as in other sports.

  1. Your shoulder is a ball-and-socket joint (clavicle).
  2. The glenoid is the name given to this socket.
  3. The labrum contributes to the deepening of the socket and the stabilization of the shoulder joint.
  4. The shoulder capsule, a thick band of connective tissue that surrounds the head of the upper arm bone and maintains it oriented in the glenoid socket, serves as the ligament system for the shoulder.
  5. Your shoulder is also supported by strong tendons and muscles, which help to maintain its stability.
  6. Rotator cuff syndrome is caused by four muscles that join together as tendons to produce a covering of tissue that surrounds the head of the humerus, which is known as the glenoid.
  7. The top of the shoulder socket is where the long head is attached (glenoid).
  8. In addition to the ligaments and rotator cuff, the muscles in the upper back play a vital role in maintaining the stability of the shoulder joint.
  9. They have control over the scapula and clavicle bones, which together form the shoulder girdle, which serves as the structural basis for the shoulder joint.

The late cocking and follow-through stages of the pitching action exert the most amount of stress on the shoulder among the five phases that make up the pitching motion.

  • Phase of late cocking. Throwers must raise their arm and hand over their heads and behind their bodies in order to achieve maximum pitch speed. This arm posture with high external rotation aids the thrower in getting the ball to go faster
  • Nevertheless, it presses the head of the humerus forward, putting substantial strain on the ligaments at the front of the shoulder. After some time, the ligaments become more lax, allowing for more external rotation and faster pitching speed, but at the expense of shoulder stability. Phase of implementation and follow-up. As a result of the acceleration, the arm spins fast inside. Follow-through starts once the ball is released, and the ligaments and rotator-cuff muscles at the rear of the shoulder must absorb large loads in order to decelerate the arm and maintain control over its position.

When one component, like as the ligament system, gets weaker as a result of repeated stressors, other structures must step in to take on the additional strain. As a result, the throwing athlete is susceptible to a wide range of shoulder ailments as a result of this. The rotator cuff and labrum are the shoulder components that are most susceptible to injury when throwing a ball.

SLAP Tears (Superior Labrum Anterior to Posterior)

A SLAP injury occurs when the top (superior) section of the labrum is torn or ruptured. This is also the location where the long head of the biceps tendon joins to the labrum at the top of the shoulder. It is possible to have a SLAP rupture at both the front (anterior) and the back (posterior) of this attachment site. The most common symptoms include a catching or locking feeling, as well as discomfort when performing particular shoulder motions. It is also typical to have pain deep within the shoulder or with specific arm postures, such as late-cocking.

Bicep Tendinitis and Tendon Tears

The upper biceps tendon can become inflamed and irritated as a result of repetitive tossing. Biceps tendinitis is the medical term for this condition. Biceps tendinitis is characterized by symptoms such as pain in the front of the shoulder and weakness. A tear can occur as a result of the damage to the tendon induced by tendinitis on rare occasions. A torn biceps tendon can produce a strong discomfort in the upper arm that comes on suddenly. There may be a popping or breaking sound heard as the tendon tears in some persons.

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Rotator Cuff Tendinitis and Tears

It is possible for a muscle or tendon to become inflamed when it has been overused. Throwers typically have irritation of the rotator cuff, which results in tendinitis. Pain radiating from the front of the shoulder to the side of the arm is one of the first signs of the condition. Pain may be experienced when throwing or participating in other activities, as well as during rest. As the condition advances, the athlete may begin to endure nighttime discomfort as well as a loss of strength and range of movement.

  1. As the deterioration progresses, the tendon may begin to rupture.
  2. The supraspinatus tendon is where the majority of tears occur in throwing athletes.
  3. Between the rotator cuff and the bone on the top of your shoulder lies a lubricating sac known as a bursa, which helps to reduce friction and irritation (acromion).
  4. When the rotator cuff tendons are torn or damaged, this bursa can become inflamed and uncomfortable as a result of the injury or damage.

Internal Impingement

Overhand throws can result in pinched rotator cuff tendons at the rear of the shoulder due to the interaction of the humeral head and the glenoid during the cocking phase of the throw. Internal impingement is the term used to describe this condition, which can result in a partial tearing of the rotator cuff tendon.

Internal impingement can also cause injury to the labrum, resulting in a portion of it peeling away from the glenoid bone. Internal impingement may be caused by a combination of looseness in the structures at the front of the joint and tightness in the structures at the rear of the joint.


When the head of the humerus slides out of the shoulder socket, this is referred to as shoulder instability (dislocation). Chronic shoulder instability is defined as a condition in which the shoulder is loose and slips out of position on a regular basis. In throwers, instability develops gradually over time as a result of years of continuous throwing that strains the ligaments and causes increasing laxity in the joint capsule (looseness). Subluxation occurs when the shoulder moves slightly off-center (subluxation) during the throwing action because the rotator cuff structures are unable to maintain control over the laxity.

On rare occasions, the thrower may notice that his or her arm has “gone lifeless.” Many years ago, the phrase “dead arm syndrome” was used to describe a state of instability.

Glenohumeral Internal Rotation Deficit (GIRD)

For the same reasons as previously stated, the severe external rotation necessary to throw at high speeds often causes stretching and loosening of the ligaments near the front of the shoulder. It is a normal and common consequence of this to have tightening of the soft tissues at the rear of the shoulder, which results in loss of internal rotation. Throwers are more susceptible to labral and rotator cuff injuries as a result of this reduction in internal rotation.

Scapular Rotation Dysfunction (SICK Scapula)

Durable and accurate movement and rotation of the scapula above and below the chest wall are critical components of the throwing action. Aside from the clavicle, the scapula (shoulder blade) is connected to just one other bone: the humerus. As a result, the scapula is supported by many muscles in the upper back in order to maintain its proper posture and allow for normal shoulder mobility. If you throw often, you will notice changes in your scapular muscles, which will alter how the scapula is held in place and raise your risk of shoulder injury.

Pain at the front of the shoulder, around the collarbone, is the most prevalent sign of this condition.

Lifting heavy weights and performing chest strengthening workouts might exacerbate this issue further.

Medical History and Physical Examination

Discussions regarding your general medical condition, symptoms and when they first appeared, and the kind and frequency of sports involvement are all part of the initial doctor visit’s medical history element, which takes place at the first appointment. During the physical examination, your doctor will examine your shoulder to determine its range of motion, strength, and stability, among other things.

In some cases, they may do particular tests on you, such as putting your arm in various positions to simulate your symptoms. The findings of these tests assist the clinician in determining whether or not more testing or imaging of the shoulder is required.

Imaging Tests

Your doctor may request tests to confirm your diagnosis and rule out any underlying issues that may be present. X-rays. Due to the fact that X-rays provide clear images of dense materials such as bone, they will be able to detect any issues inside the bones of your shoulder, such as arthritis or fractures. Magnetic resonance imaging (MRI) is a type of imaging that uses radio waves to create a magnetic field (MRI). An MRI provides more accurate pictures of soft tissues than an X-ray does. It may aid your doctor in the identification of damage to the labrum, ligaments, and tendons that surround your shoulder joint, among other things.

A CT scan is a type of imaging procedure that combines X-rays with computer technology to provide a highly detailed image of the bones in the shoulder region.

Real-time pictures of muscles, tendons, ligaments, joints, and soft tissues may be obtained using ultrasound technology.

Throwing injuries to the shoulder, if left untreated, can develop into more severe disorders.

Nonsurgical Treatment

In many situations, nonsurgical therapy is the first line of defense against a throwing injury to the shoulder. Treatment options may include the following:

  • Activity modification. In the beginning, your doctor may recommend simply altering your daily routine and avoiding activities that aggravate your symptoms
  • For example, ice. In order to reduce any swelling, ice packs should be applied to the shoulder. Nonsteroidal anti-inflammatory medications (NSAIDs) (NSAIDs). Pain and inflammation can be relieved with anti-inflammatory medications such as aspirin, ibuprofen, and naproxen. Alternatively, they can be obtained without a prescription or purchased over-the-counter. Physical therapy. Your doctor may prescribe specific exercises to help you improve the range of motion in your shoulder and strengthen the muscles that support the joint, according to your needs. Physical therapy can focus on muscles and ligament stiffness in the rear of the shoulder and aid to strengthen the structures in the front of the shoulder. This can relieve some stress on any injured structures, such as the labrum or rotator cuff tendon
  • Change of position. Body positioning that places an excessive amount of stress on injured shoulder structures can be evaluated in order to improve throwing mechanics. Although a change of position or even a change in sport can eliminate repetitive stresses on the shoulder and provide lasting relief, this is often undesirable, especially in high level athletes
  • s Cortisone injection. If rest, medications, and physical therapy do not relieve your pain, an injection of a local anesthetic and a cortisone preparation may be helpful. Cortisone is a very effective anti-inflammatory medicine. Injecting it into the bursa beneath the acromion can provide pain relief for tears or other structural damage

In some cases, your doctor may prescribe surgery based on the information you provide during your history, physical examination, and imaging exams, or if nonsurgical therapy does not alleviate your symptoms. The sort of surgery that is performed will be determined by a number of criteria, including your injuries, age, and anatomical structure. Your orthopaedic surgeon will consult with you to choose the most appropriate technique for your specific health needs. Arthroscopy. Fortunately, arthroscopic surgery may be used to treat the vast majority of throwing injuries.

  • The images captured by the camera are shown on a television screen, and the surgeon utilizes these images to guide small surgical tools during surgery.
  • During an arthroscopy procedure, your doctor can repair damage to soft tissues, such as the labrum, ligaments, or rotator cuff, that have occurred in the shoulder.
  • It is possible that a standard open surgical incision (a few millimeters long) will be necessary to treat the damage.
  • Rehabilitation.
  • For a short length of time, you will most likely need to wear a sling to restrict your arm from moving around.
  • Your doctor may decide to remove the sling as soon as you are comfortable doing so in order to begin a physical therapy program.
  • Gentle shoulder stretches will help to enhance your range of motion and avoid stiffness in your shoulder joint.
  • This usually occurs 4 to 6 weeks after the procedure has taken place.
  • Your doctor or physical therapist will take you through a rehabilitation regimen that involves a gradual return to throwing if your objective is to resume overhead sports activities.
  • In recent years, there has been a greater emphasis placed on avoiding shoulder injuries sustained during throwing.
  • By performing adequate stretching and strengthening exercises for the upper back and torso (core), throwers may help to keep their shoulder girdle in excellent working order.

Pitching standards for younger athletes, including pitch count limitations and minimum rest suggestions, have been devised in order to save youngsters from becoming hurt.

Managing Arm Pain While Throwing

It is not true that “no pain, no gain” holds true in baseball or softball, particularly in Little League or Travel Club Ball. In addition, because young athletes have not yet reached full skeletal maturity, their growth plates and soft tissue (e.g., tendons, ligaments, muscle, etc.) are not strong enough to handle excessive stress. The amount of force that the shoulder and elbow are subjected to during each pitch has the potential to be sufficient to cause damage. If a single pitch has the ability to achieve that, imagine tossing 3-4 innings.

  • When releasing the ball, you must use your complete kinetic chain, from your big toe to the final piece of your finger on your index finger.
  • If there is a weak link in the chain, the chain will “break,” and harm is likely to result.
  • Some tissue is facing stress that it is unable to cope with on its own.
  • Pay attention to it.
  • Despite the fact that it may appear that way at first, the pain is not restricted to your arm.
  • This is not confined to baseball pitchers.
  • A catcher is a person who catches something.
  • Softball, volleyball, and tennis are additional overhead sports that same characteristics apply to as well.
  • If soreness/pain does not reduce or decrease in 48 to 72 hours, get care from asports medicine medical professional(MD, PT, ATC) (MD, PT, ATC).
  • Consider having a throwing analysis performed if you’re suffering recurrent injuries in the same or different regions of the kinetic chain.
  • Identifying and addressing these constraints should enhance those “weak links”, strengthen the chain as a whole, and encourage improved performance while limiting risk of damage.
  • It is not advisable to play despite discomfort (shoulder, elbow, or anywhere). If the discomfort becomes severe, lasts longer than 48-72 hours, or is recurring, you should seek medical attention. Comply with the required rest and pitch/innings totals. Participate in a variety of sports to reduce the likelihood of overusing the same muscles and joints. Make sure you take three months off from throwing every year to enable your muscles and joints to recuperate.
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A Board Certified Clinical Specialist in Sports Physical Therapy and a Certified McKenzie Practitioner, Patrick Vignona holds a Masters in Physical Therapy from the University of Southern California. Mr. Benson works as an Advanced Clinician at the James M. Benson Sports Rehabilitation Center at the Hospital for Special Surgery in Boston, Massachusetts. Patrick has more than ten years of expertise in the field of sports medicine and physical rehabilitation. In addition to the Overhead Athlete, Hip Arthroscopy, Ligamentous Knee Injuries, and Return to Play for the upper and lower extremities, his key research interests include: He has played Division 1 Soccer and is an active runner/triathlete, and is co-author on numerous baseball mechanics research studies.

Shoulder Pain When Throwing

In order to throw the ball properly, it must travel in a coordinated and stable pattern throughout the whole shoulder joint. A healthy functioning shoulder is required for this action, and it must move in this pattern in order to be successful. Because of this intricacy, even the smallest anomalies can cause shoulder pain and discomfort in certain people. Photograph by Jose Luis Pelaez / Getty Images

The Motion of Throwing

The throwing action may be divided into four separate stages, as follows: The rotator cuff and other shoulder muscles must lead these motions in a sequential manner in order to have successful throwing mechanics. The labrum is responsible for stabilizing the ball in the socket of the shoulder joint. In order to maintain mobility, the shoulder blade rotation must be coordinated with the arm rotation. Abnormalities in any of these processes can result in discomfort and possibly permanent harm to the shoulder’s internal structures.

  • The shoulder blade
  • The shoulder joint (cartilage and labrum)
  • The rotator cuff muscles and tendons
  • The nerves that govern the activity of the muscles
  • And the rotator cuff muscles and tendons

It is possible to tailor therapy to the specific spot of discomfort after the source of discomfort has been identified. The function of the shoulder blade, which contains the socket of the ball-and-socket shoulder joint, is an important part of shoulder mobility that is sometimes overlooked. To ensure the function of the ball and socket joint, it is necessary for the shoulder blade to be in good condition. Ligaments, muscles, and tendons connect the shoulder blade to the chest wall, allowing it to move freely.

As a result, while dealing with shoulder joint disorders, physical therapists frequently emphasize scapular mobility as a key factor.


The throwing action generates extremely strong torque and acceleration forces, which operate on the shoulder joint as well as the muscles, ligaments, and tendons that surround the joint during the throwing motion. Shoulder-function problems can cause severe discomfort, whether you’re a professional baseball pitcher or simply playing catch with your youngster in the yard. Some of the signs and symptoms of a shoulder issue are as follows:

  • Aching discomfort: This ache is usually deep in the shoulder or extends down the upper arm
  • “Dead Arm” refers to a lack of power in the throwing action. Night Pain: While the pain isn’t too intense when throwing, it might cause you to wake up from your sleep.


When you see your doctor regarding shoulder pain when throwing, the doctor will need to know exactly where the anomaly is in the throwing action in order to treat you. It is vital to locate a healthcare physician that is knowledgeable with the mechanics of throwing. Shoulder pain tests are useful in diagnosing the condition, but only when they are used in conjunction with the symptoms you are experiencing. An MRI may reveal anomalies in the shoulder joints of young athletes and weekend warriors, although they may or may not be the reason of the shoulder pain in these individuals.


The majority of persons who suffer the sudden onset of discomfort when throwing will benefit from non-surgical therapy.

Resting the joint and lowering inflammation are two of the most important aspects of therapy in the early stages. Treatments may include the following:

  • Ice, anti-inflammatory medicines, and cortisone injections are all options.

Once the acute symptoms of inflammation have faded, a therapist can assist you in returning to full shoulder mobility and strength. The most prevalent anomaly is tightness of the posterior shoulder capsule, which results in a loss of normal internal rotation of the shoulder (patients may notice that when they reach behind their back, they are unable to reach as high on the side with the discomfort). Stretching to restore internal rotation or any other lost motion can assist in restoring a more normal throwing motion to the throwing action.

In addition, the periscapular muscles (muscles that connect to the scapula bone) are critical in ensuring that the scapular motions are synchronized with the throwing action during the throwing motion itself.

For example, a middle-aged individual who does not usually throw may have pain after engaging in an exceptional quantity of throwing for leisure sports or while teaching a children’s program, among other things.

In these situations, following a planned shoulder stretching and strengthening program usually invariably relieves the discomfort.

A Word From Verywell

The throwing motion is a complicated shoulder movement that necessitates the proper mechanics of interrelated muscles, tendons, ligaments, bones, and joints in order to be successful. If there is a problem with any portion of this complicated relationship, it might result in shoulder dysfunction and, ultimately, shoulder discomfort during throwing. When the mechanics of the throwing action are disrupted, inflammation is frequently the outcome, and pain is a common sign of the condition. The good news is that noninvasive therapies to enhance the mechanics of the shoulder joint are frequently beneficial in alleviating the symptoms of shoulder discomfort during throwing, which is particularly frustrating for athletes.

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Read about oureditorial process to discover more about how we fact-check our information and ensure that it is accurate, dependable, and trustworthy.

  1. A resource for orthopaedic information from the American Academy of Orthopaedic Surgeons. Shoulder Injuries in Throwing Athletes are a common occurrence. OrthoInfo is provided by the American Academy of Orthopaedic Surgeons and was last revised in March 2013. Shoulder Impingement/Tendinitis of the Rotator Cuff. The most recent evaluation was conducted in February 2011.

supplementary readings

  • P. Edwards, J. Ebert, B. Joss, G. Bhabra, T. Ackland, and A. Wang. A review of the literature on exercise rehabilitation in the non-operative therapy of rotator cuff injuries. International Journal of Sports Physical Therapy, 2016
  • 11(2):279-301
  • Tonino, P.M., and colleagues Shoulder Disorders of the Complex Type: Evaluation and Treatment Journal of the American Academy of Orthopaedic Surgery, March 2009, 17:125-136.

Six Common Baseball Injuries: The Impact on a Pitcher’s Anatomy

Overuse injuries become a very real part of life for baseball players of all ages who participate frequently and at high levels of competition. Moreover, while a few particular disorders do tend to manifest themselves in hitters, the majority of baseball injuries occur in pitchers.

Throughout this post, we’ll go through the six most commonly seen ailments among baseball pitchers and provide you with some suggestions on how to avoid and manage baseball injuries.

Six Common Baseball Injuries in Pitchers:

1. Oblique Muscular Strains: In recent years, Major League Baseball has had as many as 20+ players placed on the disabled list due to oblique muscle strains, which are a type of hamstring strain. Because the ability to spin the body abruptly and swiftly is a critical and repetitive component of a pitcher’s profession, this occurs frequently in the case of pitchers. 2. Labral tear: A labral tear is a shoulder injury that develops when the ring of fibrocartilage that surrounds the shoulder socket is ripped or ruptured.

  • Many pitchers experience a “grabbing” sensation in the shoulder joint when the labrum loosens and the entire joint becomes unstable as a result of the loosening.
  • Injuries to the rotator cuff: The rotator cuff is a collection of four muscles that work together to control the movement of the shoulder.
  • Eventually, this disease, which is one of the most prevalent baseball injuries, can evolve to more serious tendonitis, which can necessitate a period of rest ranging from a few weeks to several months in most cases.
  • 4.Shoulder instability: A pitcher may have what is referred to as “dead arm” from time to time.
  • It is no longer possible to function normally when the muscles grow exhausted and the joint becomes unstable, which causes the shoulder to become dysfunctional.
  • It is possible for the shoulder to dislocate or partially dislocate if the shoulder instability gets severe enough.
  • 5.
  • This ligament can get stretched as a result of repetitive use or as a result of a physical injury to the elbow joint.
  • Injuries to the anterior cruciate ligament (UCL) are among the most prevalent elbow baseball injuries that plague competitive pitchers.
  • The damage can be treated with a method known as “Tommy John” surgery, which stands for Tommy John surgery.
  • The discomfort is felt on the inside of the elbow and generally develops gradually as a result of misuse of the arm.

If any of the above-described ailments seem familiar to you, you should seek cautious therapy under the supervision of a sports medicine specialist to begin with. If the following therapies prove to be ineffective, speak with your doctor about more advanced treatment options for your condition.

Conservative Treatment for Common Baseball Injuries

  • Aid in the stabilization of the damaged region by applying a support or splint to it Consider taking a break from playing or practicing for a specific length of time. Using ice to relieve pain might be helpful when an injury is acute. Using an elastic bandage, provide compression to the injured area as soon as possible after the incident. The act of elevating the afflicted area can aid to reduce swelling, which in turn can help to alleviate discomfort.

Take a few minutes to go over this useful resource from the American Orthopaedic Society for Sports Medicine, which will allow you to address some of the often asked questions:

  • An elbow or shoulder injury is diagnosed in the following ways: What can be done to prevent and cure overuse injuries
  • And The maximum pitch counts and rest intervals that are reasonable for each age group
  • What are the suggested ages for players to begin using different types of fields
  • And

You may learn more about the sports medicine services offered at Rothman Orthopaedic Institute by visiting our website or calling us at 1-800-321-9999.

Arm Pain in Young Baseball Players is Common, Preventable

Thinkstock is credited with this image. THE CITY OF NEW YORK, N.Y. (November 6, 2014)— According to the most comprehensive poll of its type, arm discomfort is prevalent among purportedly healthy young baseball players, and over half of those surveyed have been urged to continue playing despite the pain. It is suggested by the data that more extensive and tailored screening is required in order to prevent overuse injuries in young baseball players. Research from Columbia University Medical Center (CUMC) was published this week in the online version of the American Journal of Sports Medicine, which was conducted under the supervision of the researchers.

  1. Ahmad, MD, chief of sports medicine and professor of orthopedic surgery at NewYork-Presbyterian/Columbia University Medical Center and head team physician for the New York Yankees.
  2. Consequently, it is critical that we create better methods for coaches, parents and physicians to identify athletes who are at risk in order to avert permanent damage and season-ending surgery.” Dr.
  3. It was completed by 203 players between the ages of 8 and 18 from New York and New Jersey, who were divided into two groups.
  4. In the survey’s findings, it was discovered that 74 percent of players had arm discomfort when throwing (with responses indicating that they “often,” “often,” “sometimes,” or “rarely” suffered arm pain).
  5. In addition, the study discovered that:
  • Arm discomfort and tiredness were noted by 80 percent of participants the day after throwing
  • 82 percent experienced arm fatigue while participating in a game or practice
  • And 54 percent said that arm pain reduced the number of innings they were able to play. 75 percent of those polled said that arm soreness restricted their ability to throw forcefully.
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Pitchers, as opposed to infielders and outfielders, were more likely than the other players to have played through pain. The day after pitching, one-quarter of pitchers said that they had “often” or “always” felt soreness in their arm. “These pitchers are likely to be among the higher-risk categories for developing an overuse injury in the future, and as a result, they should be subjected to intensive monitoring,” Dr. Ahmad explained. Almost half of the participants (47 percent) stated that they have been urged to continue participating in a practice or game despite experiencing discomfort.

Most participants stated that arm soreness reduced their pleasure of the game and was a factor in their inability to improve their skills as a result.

Ahmad put it, “it’s frightening that so many young baseball players are pushed to play through discomfort.” “In football, we saw something similar years ago, previous to the implementation of concussion guidelines, when players who had sustained a concussion were frequently returned to the game after’recovering’ for a few minutes.

  1. We’re seeing a similar situation in baseball, where players who are experiencing arm pain are putting themselves at risk for more catastrophic injuries.” “Tommy John” procedures among collegiate and professional baseball players, according to Dr.
  2. The term “Tommy John” surgery is used to refer to the reconstruction of the ulnar collateral ligament in the elbow joint.
  3. The present safeguards and recommendations for preventing harm, according to Dr.
  4. In his opinion, “it is not sufficient to establish pitch counts in accordance with a player’s age.” The skeletal structure of some 14-year-olds is already extremely developed, while the skeletal structure of others hasn’t yet begun to mature as a result of their growth spurt.
  5. Ahmad is now researching the use of ultrasonography to determine whether or not there is tissue damage in the arm.
  6. CUMC researchers Eric C.
  7. Morrow, Timothy J.

Mishra-Kalyani, Anthony P.

Lee are among the others who have contributed to this work, all of whom are from CUMC.

Ahmad discloses the following possible conflicts of interest or sources of funding: Acumed (consultant), Arthrex (consultant, research support), Stryker (research support), Major League Baseball (consultant, research assistance) (research support).

Makhni is also a non-salaried half owner of a wellness firm that does not pay him (Physalife).

It is also a leader in medical and health-related education and patient care.

They are educated and trained at the College of Physicians and Surgeons, the Mailman School of Public Health, the College of Dental Medicine, the School of Nursing, the biomedical departments of the Graduate School of Arts & Sciences, as well as allied research centers and institutions.

In addition to being home to the biggest medical research enterprise in New York City and State, Columbia University Medical Center also has one of the largest faculty medical practices in the Northeast. For further information, please see www.cumc.columbia.edu or www.columbiadoctors.org/.

Is Your Arm Sore, or Hurt?

If you find it difficult to distinguish between your arm aching and simply being sore, you may be suffering from a sensory processing disorder. Here’s how you’ll find out. If you’re not sure, it tells me that you’re not throwing the baseball in the proper manner. Make yourself the type of man that no one wants to pitch with. Intense and stressful competition increases the intensity and tension on the arm when pitching! Only by developing a solid throwing basis can one prepare their arm for pitching success.

  • It appears to be straightforward, doesn’t it?
  • Continue reading to find out how that will change today.
  • But that’s where the majority of pitchers go wrong: they never compel the adjustments to take place because of misinformation and the old “wives stories.” Pitchers are more likely to be injured if they are not properly prepared than if they are overused, in my opinion.
  • Because he has not prepared himself over the week, we cannot expect the pitcher to go out on game day and perform at an elite level while also throwing an arbitrary number of pitching strikes.
  • Pitchers will benefit from this since it will lower their chance of injury, shorten their recovery time, and improve their overall performance.
  • It’s preferable if the arm has already been there.
  • Pitchers must apply regulated stress to their arms and bodies on a regular basis in order to be effective.
  • It’s the sense that the arm has “been there” before that’s important.
  • Weighted balls, medicine balls, surgical tubing, and the Throwing Program are all options.

The goal is to recognize the distinction between throwing and pitching techniques. ‘You have to throw in order to pitch. But you don’t have toss in order to pitch,’Paul Nymansaid. Paul Nyman is a composer from New York City. As coaches and parents, we must communicate to our athletes that discomfort is to be anticipated and that being sore does not imply that they have been hurt. There is a distinction between the two. “How can you tell the difference between being painful and being hurt?” you might wonder.

Muscle soreness and stiffness are inevitable after engaging in any physical activity or participating in a sport.

Baseball follows the same rules as other sports. It’s something I tell my boys all the time: we will invite discomfort, in fact, we will promote soreness. That undoubtedly seems odd to the majority of people who are reading this, but I want my soldiers to do the following:

  • Be able to detect their own potential for soreness and their own knowledge of being painful
  • Understand what it is to be sore
  • Recognize that being painful does not equate to being injured. Make the decision to aggressively address the areas that are causing you pain in order to alleviate your discomfort. Recognize the location of their normal discomfort
  • Identify and appreciate the significance of Managed Stress

A lot of discomfort occurs throughout the early phases of the football and basketball seasons. Is your child scheduled to practice the following day? It is true that he arrives and battles through the initial few minutes of discomfort before eventually beginning to feel better. The following are the reasons why the discomfort subsides:

  • Using an active warm-up and stretching program, the muscles that were constricted or shortened (causing discomfort) are extended as a result of the activities. Blood flow is directed towards the affected location, and the body begins to relieve itself of the pressure.

When players toss on a regular basis, they will begin to realize the difference and will grow more familiar with their arms and routines as a result. They will be able to tell straight away if they should continue with the activities or call a halt to them for the day. If they have never experienced discomfort or if they are afraid of being sore, they will feel uncomfortable and maybe a bit frightening. Thus, they never develop more endurance or strength, nor do they become more conscious of how their bodies function and respond.

What I want you to do is as follows.

2.Look at the Top 15 Best of the Best Video Lessons and choose the one that pertains to you the most.

The Disabled Throwing Shoulder- The “Dead Arm”

“Dead Arm” is a phrase that is commonly heard among athletes who compete in sports that require precise pitching, such as baseball. The phrase “dead arm” refers to any pathological shoulder ailment in which the thrower is unable to throw with the same velocity and control as before the injury as a result of discomfort. Dead arm is most commonly encountered during the acceleration phase. This occurs when the athlete’s arm is going forward and the athlete experiences immediate discomfort. The arm becomes “dead,” and the player is no longer able to throw the ball with the same velocity as before.

What Are The Causes?

It is classified as a condition with a variety of possible causes, known as the “Dead Arm” phenomena. Psychological factors, calcification in the ball and socket joint, and bone spurs in the acromion are just a few of the reasons that contribute to this condition. A “dead arm” can be caused by impingement of the shoulder ligaments, rotator cuff issues, bicep tendonitis, micro-instability, internal impingement, and a SLAP lesion, among other things.

What Happens In The “Dead Arm”?

It has been previously postulated that the pain in the throwing athletes’ shoulders is caused by the shoulder capsule in the front being over stretched as a result of the repetitive arm position being turned out backwards as far as possible (external rotation) to generate potential energy during the wind up phase prior to the forward acceleration phase. When the capsule becomes overly stretched, it causes the “ball” of the shoulder to slide forward, resulting in an impingement of the tissues in front of the shoulder joint, resulting in discomfort and the inability to throw.

According to certain studies, the term “dead arm” is most frequently connected with Type 2SLAP (Superior Labral Tear from Anterior to Posterior) lesions of the shoulder.

Type 2 SLAP lesion arises as a result of a tight posterior capsule capsule.

The ball of the shoulder is forced upwards and backwards into the shoulder joint as a result of the tight capsule. A rip in the labrum is the outcome of this. This stiffness of the capsular ligament is shown as a lack of forward rotation (internal rotation) of the shoulder joint on the outside.

How Do I Know If I Have A “Dead Arm”?

Physiotherapist evaluating a paralyzed arm The following is a test to determine the range of forwards rotational motion. To begin, lie down and position your arm such that it is 90 degrees relative to your torso, with the elbow held at the same angle as the arm. Allowing the forearm to drop forward as much as possible while maintaining stability in the shoulder and preventing the shoulder blade from sliding up. In an ideal situation, you should be able to travel ahead approximately 90′. Everyone is unique in their own way.

According to one study, participants who had a loss of range of motion and performed stretching to the capsule experienced a 38 percent reduction in the occurrence of shoulder disorders.

The allowable loss of advancing rotation range, according to the researchers, is 20 degrees.

Are you suffering from arm pain?

Burkhart, S.

D., and Kibler, W.


The Journal of ARthoscopic and Related Surgery, Volume 19, Number 4, April 2003, Pages 404-420

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