Shoulder Pain?

Shoulder pain can be caused by many reasons in throwers. Let’s be honest, throwing a baseball is not the most healthy motion for your body. Three problems we see often that we coaches need to address when working with this population are…
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-biceps tendinitis
-scapular dyskinesis
-internal impingement
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-Bicep tendinitis is inflation of the biceps tendon due to anterior and/or superior humeral gliding. Pain may be felt in the anterior portion of the shoulder or down the long head of the bicep.
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-Abnormal movement of the Scapula is known as scapula dyskinesis. Delayed scap movement, improper positioning, or over dominant muscles can be a cause.
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-internal impingement is primarily only seen in over head athletes. Mostly seen in back of the shoulder in the lay back position. Mostly felt with pinching on the posterior-superior part of the glenoid.
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All three issues we see can be related and more than likely occur from:

-Poor posture, poor dynamic/static posture will result in insufficient movement. Joint placement dictates muscles function. Most of the time it starts with the rib cage. How does the scap sit on the rib cage? The scap can not move freely if the rib cage is altered. The scapulohumeral rhythm may be delayed. Athlete gains external rotation through their lower back vs gaining true ER in GH Joint.
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-Is there structural damage to the joint?
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-Poor tissue quality?
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-lack of mobility creating relative stiffness?
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-Poor exercise choice, programming can either fix an issue or cause an issue. If you can train to get better, you can definitely train to get worse. Yes, you can train to get worse. All movement is not good movement. All exercise prescription is not smart prescription.
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How can we fix these issues?
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-first, get an initial assessment done by a professional
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-second, get on a program that will address your deficiencies that you may have. No athlete is the same. No shoulder is the same.

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