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Arm Care for the Throwing Athlete

Josh Krueger • Jul 27, 2021

How can we Help?


First and foremost, we have to understand Why All The Injuries?


One reason could simply be due to the fact that the athlete is throwing way too much. In baseball for example, they are either exceeding recommended pitch counts or throwing all year round which is 3-4 more months than advised. Poor throwing mechanics is also a possible explanation to include improper breaking of the hands, arm slot, release point or lower half mechanics to name a few. Another possible cause that often gets overlooked is muscle imbalance.


Why the imbalance?


This problem exists in part due to the tremendous force that is placed on the body when throwing. For example, it can take up to 1.5x body weight of eccentric muscle force to slow the arm down during the baseball throw. This can undoubtedly place excessive stress to the tissue ultimately leading to injury. Adding to this is the fact that throwing is highly repetitive, using the same muscles throw after throw which can contribute to imbalance in mobility and strength.


Why Does the Imbalance Matter?


Multiple studies have shown a direct correlation between this imbalance (loss of motion/strength) and increased injury risk for throwers. One study of 23 high school pitchers demonstrated that of the 12 who experienced pain, ALL had significantly decreased strength of the scapular muscles and rotator cuff. Another study of pro pitchers indicated a loss of only 5 degrees of external rotation range of motion was associated with a 200% increased chance of shoulder injury!


The Good News!


Early detection of these imbalances/deficits can help prevent more serious injuries from occurring.  Even Better News…  At RCPT, we would love to help with this detection by offering Free Arm Care Consults. We will provide a 15 minute screen to assess strength and mobility to determine if there are any deficits that may be concerning.  We can then discuss if specific exercises or a comprehensive program is advised.


More Good News… There are some great comprehensive arm care programs backed by leading PTs in the field that have been shown to reduce injury risk for the throwing athlete. We are excited to be able to provide such an arm care program that would be uniquely tailored to the individual if indicated by the free arm care consult and desired by the athlete.


If this topic hits home with you as an athlete or for your son or daughter, we at RCPT would love to help! If you have any questions or would like to schedule a Free Arm Care Consult, please contact us right away! 319-295-8899


Consults Performed By: Justin Wagner, PT, MPT



Justin is originally from Marion and was an All-State Baseball player at Linn-Mar High School. Justin went on to play baseball at St. Ambrose University where he earned his Bachelor’s degrees in Biology and Masters in Physical Therapy. His passion for baseball as a player and coach has led him to a special interest in properly training the throwing athlete. His 20 plus years of experience as a physical therapist in combination with performing numerous youth, high school and collegiate arm care consults has made him an expert in the mechanics/assessment of the throwing athlete.

08 Dec, 2022
Keeping up with physical therapy during the holidays is tough. There are so many other things to do - cooking, parties, shopping, travel, and visiting with family and friends. But if you're in physical therapy over the holidays, there's a reason. You're having pain, or not moving as well as you want to. These issues place limitations on your life, which are going to affect your ability to do things - like cooking, partying, shopping, traveling, or enjoying time with friends and family. So even though keeping up with your PT this time of year is tough, it's important. That's why we're going to give you our best tips to help you through the holidays. Plan Some of what makes the holidays challenging is the crazy schedule. To survive this, you're going to have to plan ahead. We're not just talking about appointments on your calendar, either (although those are important). Here are some things to think about planning ahead: Your PT appointments Your schedule is busy during the holidays. So is your PT's. Plan and schedule your appointments in advance. You'll get the times and days that work best for you, and you'll already have your PT appointments in your calendar to plan other things around. Your exercise Hopefully you have a regular time to exercise. With the holiday mania about to shake up your routine, that time may no longer work. Think about when you're going to exercise ahead of time and you'll stay consistent. Your diet Healthy eating often gets derailed during the holidays. Putting low quality fuel into your body won't help you feel better. Think about planning what you're going to eat ahead of time. We're not saying to skip every holiday treat offered to you, but maybe think about which ones you really need to have, and which ones you can skip in advance. It makes saying "no thanks" to that third slice of fruitcake easier. Modify We're realistic. We understand that life isn't the same during the holidays as it is during the rest of the year. That's part of what makes this time of year special! With that in mind, our next set of tips focuses on making modifications to help you get through the holidays successfully. Your PT Plan When you planned your PT appointments out well in advance, you might have run into some challenges. Talk to your therapist about how you might be able to modify your plan of care through the holidays to make it all work. Maybe you're going to PT three times a week and you can only come twice a week for a week or two. Plan this sort of thing in advance with your PT and you can work together to come up with the best plan. Your exercise Exercise is so important, it made our list twice. Now that you know when you'll exercise, you might have to modify your routine to make it fit. Again, we recommend talking with your PT to see what you can do. Maybe your home exercise program can be modified so you can do everything in the kitchen during downtime when you're cooking up your holiday feast. Maybe you can reduce the number of exercises to focus on maintaining the gains you've made until things settle down. Your schedule In your planning in advance (see how important it is?) you might have found that your normal routine wasn't going to work. If your PT appointments or exercise time is usually right after work and you've now got commitments during that time, maybe you can move them to the morning before work. If you've been exercising outside, the shortened days may move you into the gym. Be flexible and consider temporarily modifying your schedule and your routine to make it work better during the holiday season. You can always go back to your previous routine after. The holidays are a special time of year. Keeping up with your health and your physical therapy can be challenging during this time. But you don't have to fall behind. With some planning and flexibility, you can stay healthy, survive the holidays and head into next year with good momentum!
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