Why Does My Arm Hurt After Throwing 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.

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.

  • As the deterioration progresses, the tendon may begin to rupture.
  • The supraspinatus tendon is where the majority of tears occur in throwing athletes.
  • 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).
  • When the rotator cuff tendons are torn or damaged, this bursa can become inflamed and uncomfortable as a result of the injury or damage.
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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)

As discussed above, the severe external rotation necessary to throw at high speeds often causes the ligaments at the front of the shoulder to stretch and relax. 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:

  • Modification of one’s activity. In the beginning, your doctor may prescribe just altering your daily routine and avoiding things that aggravate your symptoms
  • For example, ice. In order to minimize any swelling, ice packs should be applied to the shoulder. Nonsteroidal anti-inflammatory medications (NSAIDs) (NSAIDs). Pain and inflammation can be relieved using anti-inflammatory medications such as aspirin, ibuprofen, and naproxen. Alternatively, they can be obtained without a prescription or purchased over-the-counter. Physical therapy is a type of treatment that involves the movement of the body. Your doctor may prescribe particular exercises to help you increase the range of motion in your shoulder and strengthen the muscles that support the joint, according to your needs. Physical therapy can be used to target muscle and ligament stiffness in the rear of the shoulder and to assist strengthen the structures in the front of the shoulder, according to the American Physical Therapy Association. If you have a damaged structure, such as the labrum or rotator cuff tendon, this can help ease some of the load on it. Position has been switched. Body posture that places an excessive amount of stress on damaged shoulder components might be assessed in order to improve throwing mechanics. A change in posture or even a change in sport might alleviate recurrent strains on the shoulder and give long-term comfort, although it’s not always desired, especially in high-level players
  • Cortisone shot If rest, drugs, and physical therapy are ineffective in relieving your pain, an injection of a local anesthetic and a cortisone preparation may be administered to you. Cortisone is a powerful anti-inflammatory medication that has been used for centuries. Injecting it into the bursa beneath the acromion can give pain relief for tears or other structural damage
  • However, this is not recommended.

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.

  1. 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.
  2. If there is a weak link in the chain, the chain will “break,” and harm is likely to result.
  3. Some tissue is facing stress that it is unable to cope with on its own.
  4. Pay attention to it.
  5. Despite the fact that it may appear that way at first, the pain is not restricted to your arm.
  6. Baseball pitchers are not the only ones that suffer from this.
  7. A catcher is a person who catches something.
  8. Baseball, softball, volleyball, and tennis are examples of other overhead sports to which these ideas might be used.
  9. If the soreness/pain does not subside or reduce within 48 to 72 hours, get medical assistance from an asports medicine medical specialist immediately (MD, PT, ATC).
  10. Consider having a throwing analysis performed if you’re suffering recurrent injuries in the same or different regions of the kinetic chain.
  11. Identifying and addressing these restrictions should help to strengthen the “weak links” in the chain as a whole, as well as encourage improved performance while reducing the risk of damage to participants.
  • 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.

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: The author of multiple studies on baseball mechanics research has previously played Division 1 soccer, is an ardent runner/triathlete, and has co-authored several baseball mechanics research articles.

Arm Pain after Pitching: Causes & Tips for Relief

The Major League Baseball season has officially begun! In the coming months, whether you are a baseball fan, a parent or grandparent of a player, or even a professional, you may find yourself throwing a baseball around. While we may not all be pitching for nine innings in a row, arm soreness may strike you the morning after you finish your game. Here’s how to cope with soreness after throwing so that you can return to the game as early as possible this season.

Common Causes for Soreness

Pitching Elbow, sometimes known as Pitcher’s Arm, is a kind of elbow and shoulder pain that can occur for a variety of reasons, even among professional pitchers. When throwing for extended lengths of time, most baseball players experience pain the morning after, or more particularly 12-24 hours following. For example, a lack of leg strength, a bad arm path, or the weight of the baseballs are all easy reasons you can be hurting after throwing a game. A lack of sleep, which promotes exhaustion, a poor diet (which is required to repair soft tissue injury), or a lack of anaerobic power conditioning are all complex reasons for weariness (leg and core strength).

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Tips for Relief

Rest, Ice, Compression, and Elevation (R.I.C.E.) is a good rule of thumb to remember for soreness and inflammation caused by activities such as pitching. R.I.C.E stands for Rest, Ice, Compression, and Elevation. However, something that has been used by baseball players for more than a century is Absorbine Jr. Thousands of baseball players and other athletes have relied on this topical pain reliever since 1911 to provide rapid relief from soreness and inflammation following exhausting games.

What’s the Secret?

Absorbine Jr.*, in contrast to other pain medications, is administered directly to the area of discomfort and promptly absorbed into the skin. The mixture stimulates blood flow to pain receptor neurons that are now cold and stiff, allowing natural pain-relieving compounds to be released into the body. As the blood flow rises, nutrients and oxygen are sent to the painful area, aiding in the healing process of the discomfort that occurs after pitching a baseball. Find out which Absorbine Jr. product is the greatest fit for you right now!

should be taken exactly as prescribed.

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).

Only 26 percent of those who threw reported having “never” had arm soreness. 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.

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/.

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.

  1. 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.
  2. Injuries to the rotator cuff: The rotator cuff is a collection of four muscles that work together to control the movement of the shoulder.
  3. 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. 4.Shoulder instability: A pitcher may have what is referred to as “dead arm” from time to time.
  5. 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.
  6. It is possible for the shoulder to dislocate or partially dislocate if the shoulder instability gets severe enough.
  7. 5.
  8. This ligament can get stretched as a result of repetitive use or as a result of a physical injury to the elbow joint.
  9. Injuries to the anterior cruciate ligament (UCL) are among the most prevalent elbow baseball injuries that plague competitive pitchers.
  10. The damage can be treated with a method known as “Tommy John” surgery, which stands for Tommy John surgery.
  11. 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.

Pitcher’s Elbow: Symptoms and Treatments

When it comes to baseball pitchers, elbow discomfort is a very prevalent ailment. Pain along the inner area of the elbow, which occurs during or after throwing activity, is the most common symptom of pitcher’s elbow. Injury to the inner elbow tendons and ligaments is most commonly caused by repeated motion and tension at the elbow, which results in the tugging and stretching of the tendons and ligaments. In some cases, it can cause discomfort and swelling inside the elbow, which can restrict one’s range of motion.

  1. When the injury is more severe, it may also compromise the ulnar collateral ligament (UCL), which is responsible for stabilizing the elbow throughout the throwing process.
  2. As a result of the tremendous strains exerted on the elbow during frequent overhand pitching, baseball pitchers are particularly susceptible to elbow damage.
  3. Gregory Gramstad, an orthopedic physician at Rebound who has received fellowship training in shoulder and elbow surgery, explains.
  4. Risk Factors are those that put you at risk.
  5. Some of the risk factors are as follows:
  • The age of the player–Younger players, particularly those between the ages of nine and fourteen, are at a higher risk of permanent damage because their joints, bones, growth plates, and ligaments are still in the process of developing. It is possible for more mature athletes to have a diminished capacity to recover following strenuous exercise, which can lead to overuse injury and discomfort.
  • Pitcher’s elbow can also be caused by overuse if you pitch in too many games. Overuse in baseball has been demonstrated to be a contributing factor to ailments such as pitcher’s elbow, according to research. If you encounter discomfort while playing, it is critical that you stop immediately and seek medical assistance if the pain does not better within a short period of time or if it persists after you resume throwing activity.
  • In addition to increasing the tension on the growth plate, throwing curveballs and breaking pitches can exacerbate the condition of pitcher’s elbow in some cases. It is recommended that these sorts of pitches be restricted, particularly for younger players.
  • Poor Pitching Techniques– Pitcher’s elbow may be caused by poor throwing mechanics as well as other factors. To assist limit the likelihood of injury, proper throwing skills should be taught to young players.
  • While anybody can acquire pitcher’s elbow, people who participate in activities that require repetitive forceful stress to the elbow are at a higher risk of developing the condition. Baseball, softball, golf, tennis, wrestling, football, gymnastics, cheerleading, and javelin are some of the sports that fall under this category.
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Symptoms Pitcher’s elbow is most commonly manifested as pain on the inside of the elbow when the pitcher is throwing. Usually, it develops over time, but in severe injuries, it can manifest itself immediately, sometimes with a popping or tearing feeling. It is also possible to have the sensation that the elbow joint is locked or trapped. Pitcher’s elbow can also restrict one’s range of motion, making it difficult to move one’s arm in certain directions. Any of these symptoms should be reported to your doctor promptly if you observe them.

Conservative therapy options that your doctor may also prescribe include applying ice to the affected area to assist reduce swelling, as well as nonsteroidal anti-inflammatory medicines.

For athletes suffering from more serious injuries, further treatment options may be required to aid in their recuperation and restore them to the field of play. Physical therapy, throwing analysis, and, in certain cases, surgical intervention are among the therapeutic options available.

  • Due to the fact that there are a variety of reasons why someone may acquire a sore elbow when throwing, physical therapy may be utilized to assist restore and increase mobility and strength throughout all of the muscles and joints that are necessary to throw effectively. In addition to treating the pain, another objective is to improve the elbow’s capacity to respond to and recover from stress in order to help prevent the injury from repeating in the future. When it comes time to return to competition, increased strength and mobility will almost always result in better performance.
  • Even when a painful ailment has been successfully treated, repetitive throwing with incorrect mechanics might result in a resurgence of discomfort. Training or therapy professionals with extensive understanding of the throwing motion can employ simulation and video analysis to diagnose and correct throwing motion faults, making recommendations to enhance technique and performance. Surgery– In the most severe situations, surgery may be recommended to treat the condition. In order to treat pitcher’s elbow, the UCL reconstruction procedure, also known as Tommy John Surgery, is performed. Tommy John, a former Los Angeles Dodgers pitcher who originally had this sort of surgery in 1974, is credited with giving the procedure its name. The following physical therapy will be prescribed if surgery is necessary to assist the patient regain mobility, strength, and function after the procedure. It usually takes a year for an athlete to recover and return to competitive throwing after having Tommy John surgery, but in certain situations it might take up to two years for an athlete to return to their prior level of performance. The length of the healing process is determined by the patient’s age and the degree of the damage suffered.

“The greatest therapy for pitcher’s elbow is to avoid it in the first place. Keeping your flexibility and strength up and running throughout your kinetic chain is essential for avoiding overuse damage. The use of good throwing mechanics, compliance with pitch counts, and the avoidance of off-speed pitches at an early age can all assist to prevent lasting damage in throwers who are still developing their elbows. It is critical to rest the elbow immediately after experiencing sudden or recurrent elbow pain, and to seek medical attention if the pain does not improve quickly or if it returns after a brief period of rest,” advises Dr.

“If you have experienced sudden or recurrent elbow pain, it is important to rest the elbow immediately after experiencing it.” “Before returning to pitching or other sports activity, we urge that you get your condition evaluated by one of our doctors.” Rebound is a renowned orthopedic, sports medicine, and neurosurgical clinic with locations in Portland and Southwest Washington.

Please contact us immediately using our online appointment form or by phone at 1-800-REBOUND for more information about pitcher’s elbow and possible treatments, as well as to schedule a consultation session.


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.

  1. It appears to be straightforward, doesn’t it?
  2. Continue reading to find out how that will change today.
  3. 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.
  4. 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.
  5. Pitchers will benefit from this since it will lower their chance of injury, shorten their recovery time, and improve their overall performance.
  6. It’s preferable if the arm has already been there.
  7. 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. Controlled stress can manifest itself in the following ways:

  • 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.

It’s something I tell my boys all the time: we will invite discomfort, in fact, we will promote soreness.

  • 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.

Why Icing your Arm Does More Harm than Good

Hello, coach. I have a question for you. Billy, your starting pitcher, is 11 years old, to give you an idea of his age. Billy was removed from the game in the top of the fifth inning because his past two innings had been a touch rocky and he had reached his 85-pitch limit. Even while it’s a respectable quantity for a youngster Billy’s age, it’s a significant amount of volume for such a young arm. A) Place Billy on the bench with an ice pack on his shoulder, or B) Encourage Billy to stretch a little before sending him out for a light catch with the utility man?

  1. Since the iconic 1965 Sports Illustrated portrait of Los Angeles Dodgers pitcher Sandy Koufax with his famed left arm buried in a bowl of ice, ice packs have been strapped to the shoulders of Little Leaguers and Major Leaguers equally, regardless of their age or experience.
  2. Science, on the other hand, demonstrates the inverse: Ice can cause extra injury to healthy tissue by delaying healing, increasing edema, and causing it to enlarge.
  3. Please continue to submit your questions: What causes baseball players, particularly pitchers, to become sore?
  4. And it’s not an excessive amount of “inflammation,” since if your arm becomes red, hot, swollen, and sore after throwing, you should seek medical assistance immediately.
  5. “In order to heal micro damage, the body sends cells to the affected location through blood flow.
  6. And if the cavalry is on its way, why would you reply, “Can you just hold off for 20 minutes while I ice?” Simple.
  7. The “RICE protocol,” developed by Dr.

Rest, ice, compression, and elevation are the letters that make up the acronym, but Mirkin, 85, now admits that he was mistaken about rest and ice.

The Illusionary Treatment Option, which is considered to be the bible of the anti-ice movement, is described as follows: “According to new studies, rest and cold actually hinder healing and recovery,” Mirkin explains.

“Ice momentarily soothes pain, leading you to believe that you are recuperating more quickly, but research has proven that you are not.” Inflammation is beneficial.

‘If the congestion is not cleared away, it suffocates normally healthy cells that were not involved in the initial shock, resulting in further harm,’ adds Reinl.

Rather of being transported through the circulatory system by gravity, most of the particles are transported by the lymphatic system, which is passive and completely dependent on muscle activation; movement is required to drive fluid through the channels.

Corey Kluber, a two-time Cy Young Award winner, works his rotator cuff muscles with low tension instead of icing them over the offseason.

In fact, despite pitching more than 200 innings in five of his nine MLB seasons, Kluber hasn’t iced a single time since breaking into the big leagues.

Kluber’s reasoning is followed by a large number of MLB teams.

A player who has been struck directly in the bone by a pitch or foul ball is the only exception, in which case ice is used solely as an analgesic.

However, if you are able to stand on a sprained ankle, go ahead.

A torn meniscus in his son’s left knee was repaired with surgery.

“The next day, he was up and about, lifting weights,” Sullivan recalls of the next day.

According to Soloff, “Medical staffs at the highest levels are thinking more critically about the healing process and how ice slows it down.” When they begin to practice differently, I hope they will feel a responsibility to pass on the information to others who would not otherwise be exposed to this new information.

It’s quite another to never give young athletes ice bags in the first place, thus breaking a half-century-long cycle of reliance on a treatment option that causes more harm than good to their bodies.

So, back to the question about young Billy. The answer is B. Because the meltdown has begun. Lindsay Berra is a former MLB reporter and ESPN the Magazine writer who specializes in fitness.

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