Tightness in Tricep

What sort of PT has he been doing during the 12 weeks and was it supervised by a certified trainer??

He was instructed to rest for 4 weeks and then begin activity as he could bear w/o pain. He focused almost exclusively on basketball. After about 12 weeks he began to throw lightly and inceased over 3 weeks to 70' at 70% max so far.

No PT was perscribed.

No exercises or anything like that during the 12 weeks

No, but because basketball did not hurt at all he would play 3 or 4 competetive games a day throughout the summer. The thought was that that was a fairly significant amount of exercises and therapy.

And he never had discomfort of any significant nature. He still is pretty much pain free, just lacking strength and the tricep tightness.

Apparently he has very limited range of motion in his "Capsule" due to a very tight tendon, coupled with a weakened rotator cuff and deltoid muscle.

He has been given a significant stretching program to follow and been told to shut down throwing for 2 weeks.

Hopefully the coach will be okay with this and not cut him loose, allowing him the opportunity to throw a couple bullpens late fall.

We will see what happens.


Apparently the tricep was overcompensating for the weaknesses and stiffness in the shoulder.

FF,
He needs to do the correct excercises to correct the issue especially with the capsule and rotator cuff, you don't want to mess with that. When my son had surgery (arthoscopic) he began throwing within 10 days. The correct throwing program along with PT should correct his problem. You need to find a PT that is knowledgeable in sports injuries, specifically baseball.

We met with a very experienced trainer that was recommended by a friend. 30 years working with pitchers at all levels including a significant number of pro players.

It is his posterior capsule that is the apparent culprit.

He has given my son an array of stretches and exercises to perform, I believe it is up to my son to do the rehab and follow the program laid out for him.

His designations include: MS, ATC, LAT, and his e-mail comes with the following tag:

Athletic Trainers are medical professionals who are experts in injury prevention, assessment, treatment, and rehabilitation, particularly in the orthopedic and musculoskeletal disciplines. "We Will Be There When the Injury Happens."

We feel comfortable with the diagnosis.

Probably not typical but my son went to a PT who was very baseball savvy after he was diagnosed with GIRD, which I believe is due to tightness in the posterior capsule, while rehabbing from a stress reaction in his elbow. She stretched him out pretty good and gave him stretches to do every day. It was interesting to watch a PT who was more interested in helping than in adding on stuff they could bill for.

Within a few days he had picked up about 5 or 6 mph on his fastball.

My son is doing the "throwers 10" to strengthen his shoulder area prior to his upcoming Tommy John surgery. While his elbow is still very sore he said he can definitely feel the renewed strength in his shoulder area. Wouldn't be surprised if some of the exercises they have your son doing are a part of the Throwers 10 routine. you can google it to see what the exercises are. I strongly suggest that he incorporate these into his normal routine to keep his shoulder strong throughout the year. They are done with light weights to ensure that you are strengthening the smaller muscles of the shoulder area.

I hope it works out for your son!!