Re: Little League Shoulder « Result #2 Yesterday at 11:41am »
Joe:
Ah the memories.
Back in the day when I used to play ball against Jimmy Griffin's team everybody used metal bats except for the great mayor. Everybody would walk on and off the field except Mayor Griffin. He'd sprint. So I have a special fondness for the great citizens of Western NY.
When I started reading your posts I figured you probably live in Amherst but the 70 foot bases threw me off. Perhaps Cheektowaga since you went to Cooperstown.
Anyway my sleigh will be landing in the great state of Buffalo on Tuesday night. I will be holding court at Mackie's on Wednesday. You won't like what I have to say but come to think of it that's usually when they have their Xmas party so we'll have fun anyway
There's an outside chance one of the finest pitchers to ever come out of Western NY will be there.
Thank you in advance for any advice/suggestions with regard to Little League Shoulder coupled with PT and helping me make sense of this.
Overuse is always a concern with LLS. Shutting down in Mid-September is better than some, but it might not be enough at this particularly vulnerable age.
I would be willing to bet that an ill-timed growth spurt had something to do with this. There may also be an interaction with a mechanical problem that is putting an excessive load on the shoulder.
I don't think PT is called for because that won't address the underlying growth plate problem. Only rest will.
If he were my son I would shut him down for an entire year and find another sport to play in the spring, maybe soccer or lacrosse. When you start up again a year from now, I would have his mechanics checked out.
If you do that, he might still have a chance of playing in HS and beyond.
I plan on my son not to be throwing for at least the next two months. But will it be OK for him to continue hitting lesson. I like USA baseball pitching numbers better than little league. I think its more reasonable to have a 9 year old throw the max of 50 rather than 75. The pitching instructor I use has concentrate on form. Getting my sons feet on the wind up not to tangle up because they weren't open enough. Having his head going forward and on top of the ball. Getting him to snap his wrist. We haven't done any work on the mound its all flat ground. Also having him work on keeping his front foot closed.
Little League Shoulder « Result #5 on Dec 18, 2009, 7:25pm »
I have posted on here a few times this year. I have received great advice and a great referral of Dr. Bisson from Dr. Fleisig as my 13 year old son and I have worked through the challenges of sports.
We received another challenge today from Dr. Bisson (completed his fellowship under Dr. Andrews). It seems like if it's not one thing, it's another (can you tell I'm frustrated?)
My 13 year old son has been "inactive" per an orthopedic doctor's orders due to a broken 5th metatarsal in his left foot that occurred in his last football game of the season. He was recently released and began throwing the baseball. He had some pain in the front of his shoulder. He shut down and we went to see Dr. Bisson earlier today. Through xrays, the growth plate in his shoulder is open more than normal (Little League Shoulder). Dr. Bisson said to rest and not throw any baseball until the beginning of April.
In educating myself, I have read that the treatment of Little League Shoulder involves rest anywhere from 6 weeks to 3 months. There have also been some suggestions that PT works well to speed recovery, stabilize the shoulder, and prevent further re-occurrences. On a side note, I know that above all, proper mechanics, sufficient rest, and proper pitch counts ultimately prevent reoccurances of arm problems.
What bothers me is the "inactivity" of my son and that we really have not thrown much baseball since the middle of September. Just sporadic throwing (nothing serious) here and there. Then the larger than normal shoulder growth plate opening shows up on x-rays. I have also read that growth spurts make a boy more susceptible to growth plate injuries. He has been going through a big growth spurt over the last year as he has grown some 6 inches and put some weight on (presently 5'9" and 155#).
I have all the faith and confidence in Dr. Bisson as he has cared for my 13 year old son in the past with some elbow issues (previous posts on here) that he has completely recovered from. A long 12 month process that my son and I never want to go through again.
I'm asking for the professional advice of the persons here. I'm asking if doing PT would be a benefit, coupled with the rest of not throwing, and speed the recovery process of the shoulder growth plate area closing back up. I asked Dr. Bisson if PT would be recommended and he didn't feel so. Just rest. He didn't recommend a follow up visit in April, rather to just ease back in to throwing. Just asking the question to make sure that everything possible can be or is being done.
Ultimately, I want to have my son's pitching mechanics analyzed (Dr. Fleisig has already recommended a company associated with ASMI and I have talked with them). Problem is that between baseball and football, I can't keep him healthy enough to do this.
Thank you in advance for any advice/suggestions with regard to Little League Shoulder coupled with PT and helping me make sense of this.
Re: Shoulder hurting « Result #7 on Dec 18, 2009, 4:19pm »
My understanding is that some of the muscles in the shoulder are stronger than the others and it causes an imbalance that causes his pain. He had the same kind of problem with his knee last year until our family doctor said one side of the knee was stronger than the other and he gave him some exercises to do. I hope this works as well.
I will say last year he got ultrasound treatments on his shoulder and they helped but did not totally alleviate the problem.
He has said also that throwing the football hurts unless he throws in kind of sidearm.
Re: Shoulder hurting « Result #8 on Dec 18, 2009, 3:48pm »
Path: What are exercises designed to accomplish? Is it believed that faulty technique is causing the tendonitis? Does he have an anatomical abnormality that lends itself to tendonitis?
Assuming that the diagnosis is correct, a rather large assumption, what condition is causing recurring tendonitis?
Re: Conditioning Program for 13 yr old « Result #9 on Dec 18, 2009, 3:42pm »
"Professional input" What profession might that be? The boy described is at most an early adolescent. My advice is to put the book away and let him get conditioned trough basketball if you feel he is in need. Personally, I believe this stuff to be micormanagement and unnecessary except in rare cases.
Re: Conditioning Program for 13 yr old « Result #10 on Dec 18, 2009, 2:28pm »
as has been previously discussed on other threads in this forum 13 is a subjective number as far as maturation is concerned. Body type, early, average, or late maturation stages of development are extremely important components to understand when developing appropriate conditioning modalities for the young athlete. I am a big believer in quality over quantity when it comes to the prepubescent maintaining a conditioning regimen so two times a week seems completely appropriate for this young man. I also advocate heavily for these young men to participate in other sports as well. Basketball, as long as it is monitored properly is a terriffic overall conditioning option.
Plyometrics can be a great sport specific modality for athletes, the key is to make sure they are done with proper form with proper levels of resistance and durations. I would advocate for a professional to provide you with the proper options and techniques with plyo's, there are hundreds and hundreds of exercises out there so choosing the correct ones are very important.
Low resistance with proper form is the key to initiating condtioning programs of any nature. Tubing, plyo's and light weights are three excellent options but they need to be introduced in a balanced and effective way commensurate with each athletes individual strength, coordination and flexibility.
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