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Reply to "Poor Velocity from Poor Lay Back in Late Cocking?"

Originally Posted by DrChrisMcKenzie:

Interesting. How did the physician state the lesion came to be?  They usually result from dislocations when the head bangs into the glenoid, getting back in the joint.

 

I assume it's an anterior Hill Sachs?  There's no labrum damage?

 

If the athlete doesn't have any precautions, and they've been screened/examined to have no anterior instability, and good posterior cuff strength, then he/she should be safe to do these as outlined. 

 

Start with a small height on the chest plyo, and light ball with the rebounder and progress from there as tolerated. Soreness afterword is okay, but sharp pains or any instability feeling *during the activity* is not okay.  With first starting out, it's not so much important to get the "training effect" right away, but to familiarize oneself with the activity.

 

Does that help, JCG?

 

Chris

The lesion was a bit of a mystery due to there being no dislocation, but there was no tearing of the labrum or any other tissues so doc finally decided that the lesion resulted from shoulder instability and reaching back too hard while throwing, especially pitching.  The kid was told he had to re-learn how to throw if he wanted to keep playing.  So now he throws high side arm and shortarms it.  He does almost daily work on a routine that's a combo of Jaeger bands and thrower's ten, and his arm strength has gotten surprisingly decent, especially considering how weak he threw when he started out. He's been playing 2b and a little LF and CF but I'm starting to wonder if he can play on the left side of the IF if he keeps getting stronger.  It's probably time to visit our local PT so he can ramp it up but be safe.

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