The title of the discussion is quoted from a regular HSBBW poster. And here's an article by someone who agrees.
Why the Medical Community Doesn’t Understand How to Decrease Risk of Injury to Pitchers
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quote:As for pitch counts, they are, in theory, not a bad idea as every pitcher reaches a point where he is no longer prepared – either in terms of physical conditioning, arm strength, or mental/concentration stamina – to continue pitching without risk of injury. But the problem with setting a fixed number applicable to all pitchers is that for many youth pitchers they will not be able to handle even 50 pitches without a risk of injury, and therefore, even 75 pitches are too many. For others, 75 pitches is no problem because of the shape they are in and the strength of their arm and could readily handle 100 pitches before fatigue sets in. An arbitrary number such as 75 will surely protect some arms, but at the same time will leave players who aren’t ready for 75 pitches still at serious risk of injury.
quote:Originally posted by CADad:
Sorry folks, it is the luck of the draw for any given pitcher and all we can do is our best.
One person says to condition them and another says to rest them. Guess what? One way works better for one pitcher and the other way works better for another pitcher.
quote:Originally posted by CADad:
The problem is that every player is different. The doctors really have no idea what level of stress any individual player is seeing. The know roughly what loads are being put on the arm but determining the stress levels for an individual player is virtually impossible. It is the stress and not the loads along with structural soundness of the element being subjected to the stress that determines if there is going to be an injury or not.
I know it isn't shaped like that and I have no idea how thick they really are, I assume somewhat thicker, but let's just say one pitcher has a healthy UCL that is 0.1 inches in diameter. Another pitcher has a healthy UCl that is 0.11 inches in diameter. That's 1/100 of an inch more, probably too small a difference to measure with our current technology. If the tissue is equally strong for both of them the pitcher with the minutely thicker UCl is going to see about 20% less stress in tension for the same load. Of course the load gets distributed differently for everyone because the lengths of legs, arms, forearms and the distribution of tendons, muscles etc, is different for everyone so the stresses are going to vary even more.
Sorry folks, it is the luck of the draw for any given pitcher and all we can do is our best.
One person says to condition them and another says to rest them. Guess what? One way works better for one pitcher and the other way works better for another pitcher.
Overall, I like the approach of active rest but there are limits and when tissue is seriously damaged then active rest if not done exactly right can further the damage.