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Great read in the NYTimes...should be required reading for youth coaches and parents of young pitchers. Why have pitch counts for young pitchers? To protect them from their parents, their coaches and themselves.

In 1999, with $150,000 in financing and sponsorship by USA Baseball, Andrews and Fleisig began the first in a series of studies on the interlocking relationships between pitch count, pitch type, arm fatigue and pain. That year they collected data from 476 Alabama youth-league pitchers between the ages of 9 and 14. Their findings:

-over the course of the season, more than half of the pitchers experienced shoulder or elbow pain.

-for each increment of 25 pitches thrown after 50 pitches, the percentage of pitchers experiencing pain increased as fatigue set in.

-those who threw curveballs were 52 percent more likely to feel shoulder pain.

-those who threw sliders were 86 percent more likely to endure elbow pain.

-by the age of 20, a baseball player who has regularly pitched past the point of fatigue is 36 times as likely to need elbow or shoulder surgery as one who has not.

As for Alden, I was wondering if his coaches/parents learned anything. Based on the last paragraph, I don't think so...after a year off due to surgery, in his 1st return to the mound, in a practice game, Alden pitched six innings. Something tells me he'll be seeing Dr. Andrews again (assuming that's still possible under Obama's health plan but that's another topic).

http://www.nytimes.com/2009/08...azine&pagewanted=all
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quote:
(assuming that's still possible under Obama's health plan but that's another topic).


Alright TX, since you felt a need to slip than in let's talk about it now. Assuming that Alden's parents have a fairly extensive plan like BC/BS, or deep pockets themselves (remember, Dad is a DDS) yes it will continue to be possible into the foreseeable future. Nothing that has been proposed in anyone's HC reform plan has guys like Andrews running to town hall meetings. My own doctor supports Obama's policies on HC reform.

For most of us who have good health care coverage, myself included, a visit to Dr. Andrews right now would likely require up to 70% out of pocket because Dr. Andrews is outside of our healthcare network. Check your plan TX. Would you be able to afford to take your son to Dr. Andrews right now if (heaven forbid) he needed arm surgery?

There's a reason why Dr. Andrews' clientele includes high profile athletes and superstars of MLB and the NFL- he is perhaps the best at what he does (at least his name is probably best known), but those clients also happen to have premium health insurance plans provided by their respective leagues . A great majority us don't have that kind of coverage, nor that luxury. We end up paying big bucks to see someone like Andrews or settling for someone decidedly less experienced inside our network. The system is already compromised, and medical care for young baseball players is not likely to change no matter what happens with reform on Capital Hill.

As for the overuse and arm health issue of young ballplayers, I agree with you 100%. Increasing awareness amongst youth league administrators, coaches, parents, and players with exactly this type of hard, data-backed evidence is what needs to be done now more than ever. Change happens slowly, and although pieces like the one linked from the NY Times are old news to many/most that frequent these boards, there are still a lot of ears to reach. As long as kids keep picking up baseballs there will be work to do in teaching them when to put them down.

I am one in support of greater restrictions on LL age pitchers. It doesn't surprise me that in some cases the new LL rules have allowed overuse to continue, however unintended. The rules obviously need some tweaking.

You and I might agree TX, that the point here is not to make TJ a more affordable health care option for young kids. To do that under our current system we'd need to perform more not less of them. Rather the emphasis should be placed on trying to make TJ a less commonly required procedure. With regards to surgery, prevention is always the best intervention.
Last edited by spizzlepop
quote:
Rather the emphasis should be placed on trying to make TJ a less commonly required procedure.


Ditto...agree, less not more TJs. And, yes, Dr. Andrews is in my plan and I hope to keep it that way. Choice is a good thing. Sorry, that wasn't the point of the thread...guess you couldn't see the tongue in my cheek. But, glad to see you still care.
quote:
Originally posted by Tx-Husker:
...yes, Dr. Andrews is in my plan and I hope to keep it that way. Choice is a good thing. Sorry, that wasn't the point of the thread...guess you couldn't see the tongue in my cheek. But, glad to see you still care.


Yes TX, I can clearly see that your cheeks indeed have something in them, but I don't know how you can see that I care, or anything else from your vantage point. Razz
Oh, and don't forget that word "option" when you're making your choice.
quote:
Originally posted by Tx-Husker:
(assuming that's still possible under Obama's health plan but that's another topic).


When Obama's congress makes his health plan a reality, the only people who will still have a quality health plan will be Obama and congress.

I'd be more confident in this health plan if they actually agreed to use this health plan themselves.

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