If you’re reading this, you probably already know the stats. So the obvious question among pitchers is this: how can pitchers prevent arm injuries in the first place?
You might be thinking it’s:
Even though we do plenty of that with pitchers at PRO Athlete Physical Therapy in Denver, none of those are the answer in isolation. After spending years as a physical therapist with the Minnesota Twins, my answer is clear: start with the basics.
I’ve seen it time after time - athletes who focused on the basics performed the best and stayed the healthiest. Does that mean focusing on the fundamentals prevents injuries 100% of the time? Of course not. However, it's the best place to start.
So what are the basics?
In this 3 part series, we’ll take a deep dive in this order:
Here’s the truth: unless you’re a top prospect or big league pitcher already (spoiler, if you’re reading this, you probably ain’t that guy yet, pal) these are the principles you should adhere to to prevent arm injuries. Don’t reinvent the wheel. This isn’t Instagram.
There’s a concept in psychology called Maslow’s Hierarchy of Needs which lays out all of the basic needs humans require to survive and thrive. After years of rehabbing and maintaining pitchers’ injuries and healthy arms, I’ve adapted the hierarchy of needs and apply it with athletes here at PRO Athlete PT:
Other healthcare providers can (and likely will) pick knits at this “model” but you’ll have a hard time convincing me that following scientific principles doesn’t help prevent pitchers from sustaining arm injuries.
You’re probably wondering when I’ll get into fancy exercises and cutting edge maintenance programs. That will come. But I can't emphasize enough how often I see pro athletes who need a crash course on this stuff first. Let’s dive in.
These needs are the building blocks to preventing injuries in pitchers (and every athlete, really).
Disclaimer: Nutrition is a topic that can depend on many factors. If you’re reading this, please check with your doctor before applying these principles.
When it comes to nutrition and hydration, the principles are straight forward. While training, a general recommendation for athletes is to eat between 1.5 and 2 grams of protein per kilogram of body weight. Carbohydrates and fats in things like whole grains/vegetables and nuts/avocados are important as well. However protein is paramount to development and growth.
Here’s an example for a 19 year old pitcher who weighs 160 lbs and training regularly:
→ 160lbs/2.2 = 73 kilograms
→ 73x1.5 = 110 grams of protein per day
As far as hydration goes, the general rule of thumb for water is to drink at least 1 cup for every 20 minutes of exercise. Also make sure to eat plenty of fruits and vegetables and a well balanced diet to maintain electrolyte balance. Generally speaking, drinks like gatorade and electrolyte supplements can be reserved for extreme heat training and/or training sessions longer than 90 minutes.
For more absolutely killer (and FREE) nutrition advice, I recommend Wendi Irlbeck who is a Registered Dietician and certified sports nutritionist. Below is an example of her advice.
Here are the scientific facts:
Here’s what to do. Track your sleep for a period of a week and change nothing else about your training or habits. Journal it. At the end of the week rate how rested you feel on a scale from 1-6 with 6 being very rested. Then rate how satisfied you are from 1-10 with 10 being very satisfied and adjust from there.
The biggest competitive edge almost no athlete is exploiting is sleep. Want to prevent injury? The answer isn’t just in foam rolling, postural exercises or massage. Those things have a place but a good night’s sleep is absolutely essential for any of your training to matter. Just ask Usain Bolt.
Here’s the bottom line: If the grind doesn't stop, neither does your brain.
Mental health is a vague buzzword but the reality for athletes is that facing adversity in sport becomes way harder when your nervous system is overloaded before you step foot in the gym or on the field/court. Things like family troubles, financial stress, making the roster and other life stressors are going to happen.
But the goal is not and should not be to eliminate these completely. Instead, finding healthy coping strategies and communicating with your coaches/support staff is absolutely key. If there are enough stressors in your life that sports aren’t in the cards at this moment, that’s okay. Find a trained mental health professional that can help you come to that conclusion.
Contact: 988 if you’re in crisis.
Want 2 truths about performance and preventing arm injuries as a pitcher?
The best way to drive this section home is with a story.
During my time in pro ball, I helped rehab a pitcher after Tommy John Surgery. We spent a ton of time together and he eventually confessed to me that his elbow didn’t feel right…for months.
Then he blew out.
He had been feeling pain and tightness after every outing. Did he communicate with his athletic trainer about this?
Not once.
Now, could this have saved him from a year plus of rehab? It’s impossible to say. But the bottom line is that despite having every resource at his fingertips to stay healthy and give himself a fighting chance, it didn’t happen. Why?
Because closed mouths don’t get fed.
Don’t wait until you’re in pain. Talk to your athletic trainer and/or a physical therapist you trust. Communicate to your skill coaches how much you think you can do. Talk to your S&C coaches about modifications. Take initiative and understand you need to have the long game in mind.
In this 3 part series on preventing arm injuries as a pitcher, I can’t emphasize enough how important sleep and nutrition are as a foundation. Even pro athletes need this education at times. So if you aren’t a professional pitcher yet, congratulations! You’re already ahead of the game.
To prevent arm injuries as a pitcher, here’s where to start:
Remember this is just part 1 of this series. Next week we’ll discuss workloads, how to structure training and why a routine is important. Then in part 3 we’ll finally address mobility and strength and a proper arm care routine to prevent injuries as a pitcher.
In the meantime, stay safe out there.
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