Blog

“Tommy John” Surgery Does Not Make You Throw Better Than You Did Before

We now have a solid understanding of the behaviors that place a thrower at risk for elbow injuries, but making inroads in changing that behavior remains a challenge. For example, 40% of youth pitchers report throwing in chronic elbow pain, and 25% of Major League Baseball pitchershad “Tommy John” surgery at some point in their career.

The reality is that surgery to reconstruct a torn ulnar collateral ligament (UCL) does not make the elbow stronger and better than it was before the injury. Many pitchers do successfully compete again after surgery but it’s likely due to extensive rehabilitation to correct underlying functional issues as much as it is to skillful surgery.

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There’s A Lot We Don’t Know About Baseball and Softball Injuries

By Dev Mishra, M.D. President, Sideline Sports Doc Clinical Assistant Professor of Orthopedic Surgery, Stanford University Key Points: There are likely many factors involved in shoulder and elbow injuries for young throwers The available data suggests that there are steps a young thrower can take now to minimize risk. These steps include: play less than…

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Revisiting the Head First Slide and Breakaway Base Debates

By Dev K. Mishra, M.D. President, Sideline Sports Doc Clinical Assistant Professor of Orthopedic Surgery, Stanford University Key Points: A recent study shows that head first sliding has a higher injury risk than feet first sliding Additionally, breakaway bases also reduce injury risk from sliding Breakaway bases are required in Little League Baseball but have…

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Youth Pitchers
Youth Pitchers: Throwing In Practice and Warmup Might Add Up

By Dev K. Mishra, M.D. President, Sideline Sports Doc Clinical Assistant Professor of Orthopedic Surgery, Stanford University Key Points: Pitch counts during games, innings thrown in competition, and rest time between game sessions are factors that can be modified to reduce the load on a young pitcher’s arm An ongoing observational study at the University…

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Jammed Finger- See A Doctor Or Not?

By Dev K. Mishra, M.D. President, Sideline Sports Doc Clinical Assistant Professor of Orthopedic Surgery, Stanford University Key Points: A jammed finger occurs with direct impact to the tip of a finger and is generally a mild sprain that resolves in a few days Some finger injuries can be more serious and require urgent evaluation….

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Pitchers: strengthen your legs and core to improve your pitching

By Dev K. Mishra, M.D. President, Sideline Sports Doc Clinical Assistant Professor of Orthopedic Surgery, Stanford University Key Points: A recently presented study from orthopedic surgeons at Midwest Orthopaedics at Rush sheds further light on the risk factors for injury in elite adolescent pitchers The study strongly supports the idea that fatigue is a contributing…

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The Real Reason Why There Are So Many Youth Pitching Injuries

By Mike Reinold, DPT, ATC Founder of Champion Physical Therapy and Performance, Boston, MA Key Points: (comments below from Dev Mishra, M.D.) This article is written by Mike Reinold, a colleague and friend who happens to be one of our country’s foremost experts on pitching mechanics and pitching injuries This article appeared in Reinold’s blog…

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Pitchers: Watch Your Pitch Counts And Innings

By Dev Mishra, M.D. President, Sideline Sports Doc Clinical Assistant Professor of Orthopedic Surgery, Stanford University Key Points: Excessive throws for a young arm can lead to significant injuries to the shoulder and elbow The American Sports Medicine Institute recommendations call for a maximum 100 innings thrown per year, age appropriate pitch counts, and at…

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Why Ankle Sprains Need Rehab

By Dev Mishra, M.D. President, Sideline Sports Doc Clinical Assistant Professor of Orthopedic Surgery, Stanford University Key Points:   Significant swelling, any bruising, or inability to bear weight might indicate a more severe ankle injury. Get an evaluation from an orthopedic surgeon or sports medicine physician for the proper diagnosis Many ankle sprains are undertreated,…

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Tips For Preventing Baseball Sliding Injuries

By Daryl Osbahr, M.D. Level One Orthopedics at Orlando Health Note: the following post is from the STOP Sports Injuries Blog and appeared on July 24, 2014 While baseball is commonly known as a non-contact sport, the risk of collision is certainly not minimal. Some are due to contact with the ball, bat, or another…

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