Shoulder Pain in Baseball: What Every Thrower Must Know

Experiencing Shoulder Pain from Throwing? Here's Why It Happens and What You Can Do About It

Are you feeling shoulder pain every time you throw? You're not alone. The shoulder moves at an astonishing 7,000 degrees per second during a throw—faster than a race car engine. I'm Dr. Kam, a specialist in sports physical therapy, and I promise to guide you through understanding and managing this pain effectively.

Understanding the Thrower's Paradox

Throwing a baseball is among the most strenuous activities your shoulder can endure. It demands a fine balance between laxity and stability in the glenohumeral joint (GHJ). At high speeds, your shoulder and scapular stabilizing structures are at high risk. If this kinetic chain fails, it significantly increases your injury risk. Maintaining this balance is critical for optimal throwing performance.

The Importance of Early Shoulder Pain Detection

Recognizing shoulder pain early is crucial. Establishing a systematic shoulder evaluation with a clinician who understands throwing athletes is vital. Throwing shoulders often develop increased external rotation, which can lead to strength imbalances and movement discrepancies—factors that can exacerbate shoulder issues.

Common Shoulder Injuries in Throwers

1. Rotator Cuff Overload: Subjected to intense loads during overhead throwing, the rotator cuff can suffer from impingement, tendinitis, and tears. Recognizing these symptoms early can lead to effective treatments that may prevent long-term damage.

2. Scapular Dyskinesis: This condition involves malposition and tightness of the scapula, disrupting energy transfer and potentially leading to further impingement.

3. Neurovascular Complications: Conditions like thoracic outlet syndrome present vague symptoms like fatigue and shoulder pain, requiring prompt and restful intervention.

4. Glenohumeral Internal Rotation Deficit (GIRD): Noticing a significant loss of internal rotation can be a sign of capsular contracture, which is treatable through targeted stretching.

5. Capsular Labral Injuries: Rapid shoulder movements can risk labral tears, often necessitating surgical intervention, although conservative management can also be successful.

Preventing and Managing Shoulder Pain

The key to maintaining shoulder health is to stay proactive. Implement systematic evaluations to detect any issues early. Strengthen your rotator cuff and improve scapular coordination with a specialist's help. Maintaining an optimal range of motion is crucial.

Empower Your Shoulder Health

Remember, understanding your shoulder's needs today can prevent pain tomorrow. Stay informed, and don't hesitate to seek professional help at the first sign of discomfort. Knowledge is your power.

Interested in learning more? Check out our other articles on the shoulder, or contact me directly to tailor a program that’s right for you:

1. Fix Shoulder Instability with 3 Easy Exercises
2. How to Tell If You Have a Rotator Cuff Tear or Shoulder Impingement
3. The Complete Guide To Understanding Athlete's Shoulder