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2017 son started high school season, pitched in three games before complaining of shoulder and elbow pain. When he told us about the pain he said he had actually been hurting for a couple weeks but was trying to work through it.

Took him to Ortho, diagnosed with GIRD and Scapular Dyskinesis. At the time of his first visit the range of motion in his left( pitching arm ) was about 60 degrees less than his right.

He missed the remainder of his high school season going to PT twice a week. His range of motion is much better now and is within 10 degrees of his non throwing arm. The ortho started him on an interval throwing program about 3 weeks ago throwing 50 then 75 throws with crow hop from 45,60, 90, 120, 150, 180, throwing every other day. At any time during this progression if he feels pain he is to go back to the previous step. He got to 120 felt pain, went back to 90 and has worked his way up to 180. He has had what he describes as discomfort since 120 but not real pain. Ortho as well as PT said some discomfort is normal. Ortho gave him second phase of throwing program to start after he finishes 180, which is a graduated process throwing off the mound with increasing number and effort.

He threw from 180 Sunday and said he felt some pain. He has remained upbeat through this whole process. At PT Monday morning the therapist asked how "he was doing". when my son said fine, the PT said that he meant mentally. Son replied fine but later that night I began to see some discouragement. He switched travel teams from last year to this year and is on a team that he is very excited about. Goes back to the Ortho June 11 but feels as if he wont be able to pitch before middle of July which would be near the end of his summer season.

Has anybody had any experience with GIRD and what was the recovery time?

Thanks in advance.  

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Originally Posted by leftysdad:

2017 son started high school season, pitched in three games before complaining of shoulder and elbow pain. When he told us about the pain he said he had actually been hurting for a couple weeks but was trying to work through it.

Took him to Ortho, diagnosed with GIRD and Scapular Dyskinesis. At the time of his first visit the range of motion in his left( pitching arm ) was about 60 degrees less than his right.

He missed the remainder of his high school season going to PT twice a week. His range of motion is much better now and is within 10 degrees of his non throwing arm. The ortho started him on an interval throwing program about 3 weeks ago throwing 50 then 75 throws with crow hop from 45,60, 90, 120, 150, 180, throwing every other day. At any time during this progression if he feels pain he is to go back to the previous step. He got to 120 felt pain, went back to 90 and has worked his way up to 180. He has had what he describes as discomfort since 120 but not real pain. Ortho as well as PT said some discomfort is normal. Ortho gave him second phase of throwing program to start after he finishes 180, which is a graduated process throwing off the mound with increasing number and effort.

He threw from 180 Sunday and said he felt some pain. He has remained upbeat through this whole process. At PT Monday morning the therapist asked how "he was doing". when my son said fine, the PT said that he meant mentally. Son replied fine but later that night I began to see some discouragement. He switched travel teams from last year to this year and is on a team that he is very excited about. Goes back to the Ortho June 11 but feels as if he wont be able to pitch before middle of July which would be near the end of his summer season.

Has anybody had any experience with GIRD and what was the recovery time?

Thanks in advance.  

Extremely variable. That he can't get to 180 feet (not really that far) without pain is a huge red flag. I assume he has at-home exercises to help mobilize the shoulder and reseat the scap? 

My oldest son was diagnosed with GIRD late in his college sophomore year (after he pitched in the conference championship but before NCAAs).  After the season, he worked with the trainer over the summer to get ready for the Fall.  He had some discomfort in the Fall and they shut him down.  He stuck with the rehab, exercises over the winter to get ready for the Spring.  He was always playing catch up and never got ready for his junior year Spring season.  He was finally healthy his senior year.  This was his experience and your mileage may vary.  But, I would be extremely patient and very regimented & diligent with his rehab and physical therapy.  Everybody recovers at different rates, and complications happen.  With injuries sometimes the body will try to compensate mechanically for deficiencies.  I would be very sensitive to any elbow discomfort or arm slots changes you see.  We saw this with another player (at another school) that tried to come back too quickly with the same GIRD diagnosis.

 

You can probably get additional information at http://asmiforum.proboards.com/ if you haven't seen it already.

 

Good luck and let me know if you have questions.

Originally Posted by fenwaysouth:

My oldest son was diagnosed with GIRD late in his college sophomore year (after he pitched in the conference championship but before NCAAs).  After the season, he worked with the trainer over the summer to get ready for the Fall.  He had some discomfort in the Fall and they shut him down.  He stuck with the rehab, exercises over the winter to get ready for the Spring.  He was always playing catch up and never got ready for his junior year Spring season.  He was finally healthy his senior year.  This was his experience and your mileage may vary.  But, I would be extremely patient and very regimented & diligent with his rehab and physical therapy.  Everybody recovers at different rates, and complications happen.  With injuries sometimes the body will try to compensate mechanically for deficiencies.  I would be very sensitive to any elbow discomfort or arm slots changes you see.  We saw this with another player (at another school) that tried to come back too quickly with the same GIRD diagnosis.

 

You can probably get additional information at http://asmiforum.proboards.com/ if you haven't seen it already.

 

Good luck and let me know if you have questions.

A few years ago my son, who is an RHP, was also was treated for GIRD and Scapular Dyskinesis during the fall season in October, 2011. He was an HS junior at the time and was completely shut down from throwing for about 8-10 weeks and did PT. Following PT he began a throwing program to slowly ramp up, which took about 6 weeks. The next steps were pitching on flat ground and slowly progressing to a mound. Overall, it took about 5-6 months and he came back stronger and just in time for the spring HS season (Junior year). Coming back stronger may have been due do some natural growth going on at the time. His recovery timeline may have been a little drawn out due to being in the off-season.

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