I need ideas...

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Tanya

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My son is 17 and it's baseball season once again. He is one of the main pitchers as we have a very small team. He has major pain in his R deltoid (at the origin), and soreness in pects, brachioradialis, teres major and lats, QL, and all around scapula. Everywhere. lol I've worked all the areas listed above, but his deltoid is still very painful. I'm new at this...only been practicing since October. Any advice will be appreciated.
 


Ice ice ice. Then when you've finished icing, more ice. No heat. If he needs to do heat, make sure he uses contrast therapy (cold following hot.)

Inflammation of the bursa is a common problem with ball players, also (and perhaps caused by) insufficient warm up. Massage doesn't help much with inflammed bursa, other than relieving some of the pressure caused by muscle tightness.

As far as other muscle issues, you want to be looking also for the triggerpoint in the supraspinatus attachment just below the acromion, and the triangle pattern of triggerpoints in infraspinatus. I have an instructor who says that shoulder conditions will not be resolved without working teres minor. I've found that to be true. Since all of these muscles are easily accessible, I would imagine you have been working on them. If he were my client, I'd also be checking out serratus anterior and subscapularis.

Rather than static direct pressure for the triggerpoint work, I'd use the short, (1/2 - 1") pin and stretch work for TPs followed by some gentle facilitated stretching. I also wouldn't dig on the knots till they're gone, just try to get them moving toward resolution, then let the kid's activity (and warm-ups) work the rest out. You can also use the technique where he creates resistance, then you go for the knot while the muscle is contracted. This can be very effective for athletes.

Don't do deep work less than one full day before a game, and he has to take it easy with practice. Fast pitch seems to take significant toll on pitchers, due to the snap at the end. And you don't want the muscles to be already fatigued due to deep tissue work on game day.

Besides ice, warm-up well. Poor warm-up can lead to -itis , (inflammation) rather than -osis (wear and tear) of the rotator cuff tendons, although unresolved inflammation often becomes degeneration.
 


Breathe said:
Ice ice ice. Then when you've finished icing, more ice. No heat. If he needs to do heat, make sure he uses contrast therapy (cold following hot.)

Inflammation of the bursa is a common problem with ball players, also (and perhaps caused by) insufficient warm up. Massage doesn't help much with inflammed bursa, other than relieving some of the pressure caused by muscle tightness.

As far as other muscle issues, you want to be looking also for the triggerpoint in the supraspinatus attachment just below the acromion, and the triangle pattern of triggerpoints in infraspinatus. I have an instructor who says that shoulder conditions will not be resolved without working teres minor. I've found that to be true. Since all of these muscles are easily accessible, I would imagine you have been working on them. If he were my client, I'd also be checking out serratus anterior and subscapularis.

Rather than static direct pressure for the triggerpoint work, I'd use the short, (1/2 - 1") pin and stretch work for TPs followed by some gentle facilitated stretching. I also wouldn't dig on the knots till they're gone, just try to get them moving toward resolution, then let the kid's activity (and warm-ups) work the rest out. You can also use the technique where he creates resistance, then you go for the knot while the muscle is contracted. This can be very effective for athletes.

Don't do deep work less than one full day before a game, and he has to take it easy with practice. Fast pitch seems to take significant toll on pitchers, due to the snap at the end. And you don't want the muscles to be already fatigued due to deep tissue work on game day.

Besides ice, warm-up well. Poor warm-up can lead to -itis , (inflammation) rather than -osis (wear and tear) of the rotator cuff tendons, although unresolved inflammation often becomes degeneration.


Thanks! I have been working all the muscles you mentioned, except that I am probably going in too aggressively on the knots... I did pull up some old posts with some stretches that I tried last night involving compressing the muscle while stretched, but I'm not sure what you mean by (1/2 to 1") pin and stretch work. All the other areas I worked, are just a lil sore today, which is expected, but this is a kid who never complains and if he says his deltoid is hurting bad...it's really hurting. His older brother took care of getting on his case about warming up properly and icing right after a game. We just realized last night, that since the new coach has taken over, they haven't even been carrying the firstaid kit with the wrapping tape or anything with them to the games. :shock: I just hope he doesn't have any lasting, major damage. :(
 


Classic triggerpoint work involves static direct pressure on the point itself, hold for 30 seconds- 2 minutes, until it "releases." I prefer a technique that locates the TP, then does a tiny little stripping motion across the TP. Sometimes the motion is small enough so that it is almost just rocking over the point. It somewhat resembles cross-fiber friction except you actually are stripping rather than "strumming" or frictioning.

You use one finger, or the edge of your hand as an anchor, then you use a thumb on the other hand, or triggerpoint tool, (I like the Acustar from acuforce, it has a wonderful little wedge on one side,) to do deep compressive strokes, less than 1" long, directly over the TP. Do this for about a half minute, then use broad flushing/stretching strokes over the area. You can repeat over the same point a time or two. I find that I get similar results, with less guarding from the client, and less soreness/bruising after the session. YMMV
 


I agree with Breathe's advise...

You also need to show him proper stretches, I know from being an athlete, that the coaches either don't have them stretch at all, or have them stretch cold. He needs to warm up a bit, then stretch... I also find, and you should inquire about pitch counts, including practice time. These kids are over doing it, and don't get enough rest.

Keep us updated, and anything else I think about I will let you know.
 


I agree with Stacey.......ICE......ICE and more ICE!!!! Stress to him to make surw he warms up really well. Doing some gentle CFF/Stripping on those TP's will definitely help him.I work with alot of athletes and use alot of stripping techniques to help with those aches and pains of competition. I am hoping he is feeling much better soon! Stacey--I have an Acuforce Star and absolutely love it and use it all the time! Best of luck to him and his recovery!

Blessings and Light- :banana:
Johnny :D
 


I agree totally on the ice, ice and then more ice. Here is a nifty cold pack contraption that is great! http://www.cbssportsstore.com/product/index.jsp?productId=1437951&cp=710956.710547.1798548&parentPage=family I have one myself for my "gimpy" shoulder. It encompasses the entire shoulder girdle and it helps that it stays in place by itself. You strap it on and then go about your business rather than sitting there holding an ice pack to your shoulder.

Angie
 


I've worked on a few pro pitchers over the years. Something not mentioned and one thing I found in common, is that they usually have issues with the teres muscles. You might want to look at the origins and insertions there.

Also it's worth looking at the bicipital tendon region.

Hope that helps.
 


pueppi said:
I've worked on a few pro pitchers over the years. Something not mentioned and one thing I found in common, is that they usually have issues with the teres muscles. You might want to look at the origins and insertions there.

Also it's worth looking at the bicipital tendon region.

Hope that helps.


He was very tender at teres minor. Haven't worked the bicipital tendon region. As for everyone's advice about the ice, the warm up exercises, more ice, stretches, ice again, and stripping the muscle, and more ice....thank you so much. :)

I got more hyperemia going from stripping than anything else I've tried and this morning he said he could really tell a difference painwise and ROM. We're still icing it and he's (supposedly) resting it at practice so he'll be more ready for the game tomorrow evening. Thank you all...


Now...if someone would answer my question on the vericose vein thread I promise I'll go back to lurkdom and leave you be. I do love this place...I've learned so much already just from reading and reading and reading some more.
 


No you may not go back to lurking... you must participate! :smt079 just kidding... but you must promise to let us know an update on your son througout the season! Everyone is important here... you are not bothering us!

And yes, I will take a look at the Vericose Vein Thread
 


Pandoras_Gift said:
No you may not go back to lurking... you must participate! :smt079 just kidding... but you must promise to let us know an update on your son througout the season! Everyone is important here... you are not bothering us!

And yes, I will take a look at the Vericose Vein Thread


LOL! Sometimes I need a good whipping. lol And thanks! I'll be sure and keep ya'll updated.
 
Update

My son's last ballgame is today and I promised I would update you on the condition of his arm. After taking your advice about the ice and working in the areas recommended, he is much better. But what really made a believer out of him because he was able to feel it loosen, was the MFR arm pull. Even though he went bowling the next night, it still didn't come back in there like it had been doing. Now when I ask him how his arm is feeling, he grins every time he says it's fine because he is still amazed at how it worked. I know it was the combination of all and I just wanted to thank each of you for taking the time to respond. :)
 
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    Tuesday at 🫦❤️🔴🟥♾️𝓕𝓞𝓡𝓔𝓥𝓔𝓡 𝓢𝓟𝓐♾️🟥🔴❤️🫦2190 Warden Ave, Unit 201, Scarborough 𝟰𝟭𝟲-𝟴𝟬𝟬-𝟳𝟴𝟴𝟳: Cindy, Tracy & Vivian. Cindy is a slim beauty, 5’4”, natural C Cups. Her massage is nice, her services will drive you wild & her finish is a dream come true. Tracy is an incredibly cute & pretty Japanese/Taiwanese mixed spinner, about 5’1” and 100 lbs. She is very popular for her exotic massage & services.
  40. HolidaySpa:
    Tuesday at 🌴😎🌅𝓗𝓸𝓵𝓲𝓭𝓪𝔂 𝓢𝓹𝓪🌅😎🌴3517 Kennedy Rd, Unit 4, Scarborough ☎️𝟰𝟯𝟳-𝟮𝟰𝟳-𝟭𝟭𝟵𝟵☎️: EMMA, JENNY & CINDY. EMMA is a very beautiful slim Chinese honey with C Cups, beauty face, & nice services to drive you wild. Jenny has a medium build, nicely curvy with a slim waist, pretty face, and very flexible skills. Jenny will make you very happy CINDY is slim & incredible
  41. SugarLoveSpa:
    Tuesday at ❤️💙 💜⎝𝗦𝗨𝗚𝗔𝗥 𝗟𝗢𝗩𝗘 𝗦𝗣𝗔⎠💖💗💘: KELLY, MIMI, & TIFFANY. 1270 Finch Ave W (at Keele St), Unit 18. North York. KELLY is a young Singaporean lady with liberal skills. MIMI is a slim & busty Asian/Euro mix beauty, 50Kgs & 1M60. Mimi has a very versatile range of services. TIFFANY is an amazing slim petite doll with natural 34C melons, slim waist, & a cute little 33” booty.
  42. luckywellness:
    Lucky Wellness Center 4379721888 295 Eglinton Ave E,Unit 7,Mississauga Bella and Kiki work
  43. Lulu1980:
    Phoenix Blossom Spa 🌹🌹🌹3 girls 🔥🔥🔥5124 Dundas St W Etobicoke☎️416-817-3366👍 New girl New girl Maggie 😘😘😘😘sexy body, round buttocks, charming breasts, small nipples (customer feedback) 😘super body slide, very provocative service😘😘😘, professional super Luna deep tissue massage, has therapeutic effect to loosen bones and relieve muscle pressure and will bring you unexpected service effects, she will bring you a little surprise😍😍😍😍❤️ You are welcome to make an appointment at an
  44. grape_islove420:
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  45. EMSpa_schedule:
    Here's our sneak peek for tomorrow: On Tuesday March 11, 2025, our attendants will be Ada 😍, Cici 😘, Ivy 🥰, Christina 🔥 and Monica ❤️ See you then! Call 905-479-6668 to book!
  46. Shangri-la Spa:
    💆‍♀💖Monday 💜💖 Ultimate destination for Asian massages🎉 Two fab spots: SL Richmond Hill & SL West Oakville✨ Your passport to paradise with 10 enchanting girls fr China, HK, Japan & Korea — Top Star Jenny, 🆕 Yoyo, Suki, Cindy, Kelly, Yui, Busty Echo, JPN Yui & Juliet🍁🎈 Hit up 647-695-6354🤙 or text to 📱647-578-8169 ✨160 East Beaver Cr., Unit 12, Richmond Hill 💰Where Eastern charm meets Western comfort - your bliss awaits🙌
  47. New spring spa@:
    🌹🌹🌹sexy hot Malaysian 💖 Latino 💖 Korean girls 👍working at Nu spring spa💋💋☎️416-669-8508🌹🌹🌹
  48. Lulu1980:
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  49. Endless Joy Spa:
    ✨✨✨✨✨[GRAND OPENING]✨✨✨✨✨ 💞Endless Joy Spa💞 🎇 (155 East Beaver Creek Rd Unit #8, Richmond Hill) 416-731-8565🎇10am-2am, Slim Petite Chinese Vivi & Young Slim Sexy Chinese Faye
  50. Sparkling Spa:
    Sexy Korean Massage Girl Summer is working at Sparkling Spa with Service Queen Zoe today. Real pictures of Summer & Zoe💯💯Call or text to book appointment 📲 ⚡🌟SPARKLING SPA⚡🌟 ✅50 Lockridge Ave Unit 8✅ 👌Markham, ON L3R 8X4👌 ☎️ (905) 604-8186 Spa Land Line☎️ ☎️ (437) 446-6688 NEW Spa Cell Phone☎️ (West of Warden & 16th Ave) OPEN 10am to 9pm MONDAY to SUNDAY
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