YIPS Makes Putting Hard To Do

Yips are involuntary wrist spasms that occur most commonly when golfers are trying to putt. However, the yips can also affect people who play other sports — such as cricket, darts and baseball.

It was once thought that the yips were always associated with performance anxiety. However, it now appears that some people have yips that are caused by a focal dystonia, which is a neurological dysfunction affecting specific muscles.

Some people have found relief from the yips by changing the way they perform the affected task. For example, a right-handed golfer might try putting left-handed.

The involuntary movement associated with the yips may:

  • Occur at the beginning or middle of your stroke
  • Come and go
  • Worsen during high-pressure situtations
  • The yips may result from neurological factors, psychological factors or a combination of both.

Neurological factors
In some people, the yips are a type of focal dystonia, a condition that causes involuntary muscle contractions during a specific task. It’s most likely related to overuse of a certain set of muscles, similar to writer’s cramp. Anxiety worsens the effect.

Psychological factors
In a pressure situation, some athletes become so anxious and self-focused — over-thinking to the point of distraction — that their ability to execute a skill, like putting, is impaired. Choking is an extreme form of performance anxiety that may compromise a golfer’s game.

A combination of factors
For some people who have a mild degree of focal dystonia, stress, anxiety or high-pressure situations can worsen the condition.

Neurological yips are associated with:

  • Older age
  • More experience playing golf
  • Lower handicap

Psychological yips can be a problem at any age and experience level. When you start to have episodes of the yips, you lose confidence, worry about recurrence and feel anxious whenever you have to putt. These reactions can perpetuate the cycle — your increased yips-related anxiety makes your symptoms worse.

Because the yips may be related to overuse of specific muscles, a change of technique or equipment may help. Possible strategies include:

  • Change your grip. This technique works for many golfers, because it changes the muscles you use to make your putting stroke. However, if you have the type of yips related to performance anxiety, changing your grip likely won’t make much difference.
  • Use a different putter. A longer putter allows you to use more of your arms and shoulders and less of your hands and wrists while putting. Other putters are designed with a special grip to help stabilize the hands and wrists.
  • Mental skills training. Techniques such as relaxation, visualization or positive thinking can help reduce anxiety, increase concentration and ease fear of the yips.

What is Chronic Exertional Compartment Syndrome?

Chronic exertional compartment syndrome is an uncommon, exercise-induced neuromuscular condition that causes pain, swelling and sometimes even disability in affected muscles of your legs or arms.

Anyone can develop chronic exertional compartment syndrome, but it’s more common in athletes who participate in sports that involve repetitive movements, such as running, fast walking, biking and swimming. Chronic exertional compartment syndrome is sometimes called chronic compartment syndrome or exercise-induced compartment syndrome.

Symptoms:

The pain and other symptoms associated with chronic exertional compartment syndrome may be characterized by:

1. Aching, burning or cramping pain in the affected limb — usually the lower leg, but sometimes the thigh, upper arm, forearm or hand

2. Tightness in the affected limb

3. Numbness or tingling in the affected limb

4. Weakness of the affected limb

5. Foot drop, in severe cases, if nerves in your legs are affected

6. Occasionally, swelling or bulging as a result of a muscle hernia

Pain typically happens soon after you start exercising the affected limb, gets progressively worse for as long as you exercise, stops 15 to 30 minutes after the affected limb comes to rest and over time, may begin to persist longer after exercise, possibly lingering for a day or two.

Taking a complete break from exercise may relieve your symptoms, but usually once you take up running again, your symptoms usually come back unless you continue to stretch and do keep up to date with your rehabilitative exercises.

If you experience unusual pain, swelling, weakness, loss of sensation, or soreness related to exercise or sports activities, talk to your doctor because these symptoms may be associated with conditions that require emergency medical treatment. Don’t try to exercise through the pain, as that may lead to permanent muscle or nerve damage — and jeopardize continued participation in your favorite sports.

Sometimes chronic exertional compartment syndrome is mistaken for shin splints. If you think you have shin splints but they don’t get better with self-care, talk to your doctor.

What are the causes?

Your arms and legs have several groupings, or compartments, of muscles, blood vessels and nerves. Each of these compartments is encased by a thick layer of connective tissue called fascia (FASH-ee-uh), which supports the compartments and holds the tissues within each compartment in place. The fascia is inelastic, which means it has little ability to stretch.

In chronic exertional compartment syndrome, exercise or even repetitive muscle contraction causes the tissue pressure within a compartment to increase to an abnormally high level. But because the fascia can’t stretch, the tissues in that compartment aren’t able to expand sufficiently under the increased pressure. Imagine shaking up a soda bottle but leaving the cap on — an enormous amount of pressure builds up.

As the pressure builds up within one of your muscle compartments, with no outlet for release, nerves and blood vessels are compressed. Blood flow may then decrease, causing tissues to get inadequate amounts of oxygen-rich blood, a condition known as ischemia (is-KE-me-uh). Nerves and muscles may sustain damage.

Experts aren’t sure why exercise or muscle contraction creates this excessive pressure in some people, leading to chronic exertional compartment syndrome. Some experts suggest that biomechanics — how you move, such as landing styles when you jog — may have a role. Other causes may include having enlarged muscles, an especially thick or inelastic fascia, or high pressure within your veins (venous hypertension).

In chronic exertional compartment syndrome, exercise or even repetitive muscle contraction causes the tissue pressure within a compartment to increase to an abnormally high level. But because the fascia can’t stretch, the tissues in that compartment aren’t able to expand sufficiently under the increased pressure. Imagine shaking up a soda bottle but leaving the cap on — an enormous amount of pressure builds up.

As the pressure builds up within one of your muscle compartments, with no outlet for release, nerves and blood vessels are compressed. Blood flow may then decrease, causing tissues to get inadequate amounts of oxygen-rich blood, a condition known as ischemia (is-KE-me-uh). Nerves and muscles may sustain damage.

Experts aren’t sure why exercise or muscle contraction creates this excessive pressure in some people, leading to chronic exertional compartment syndrome. Some experts suggest that biomechanics — how you move, such as landing styles when you jog — may have a role. Other causes may include having enlarged muscles, an especially thick or inelastic fascia, or high presse within your veins (venous hypertension).

What are the risk factors?

The condition is most common in athletes under 40, although people of any age can develop chronic exertional compartment syndrome.

People most at risk of developing chronic exertional compartment syndrome are those who engage in exercise that involves repetitive motions or activity. Young female athletes may be at particular risk, for reasons unknown.

Risk factors include engaging in such sports, exercises and activities as:

  • Running
  • Football
  • Soccer
  • Biking
  • Tennis
  • Gymnastics

Overuse of your muscles or overtraining — that is, working out too intensely or too frequently — also can raise your risk of chronic exertional compartment syndrome.

Chronic exertional compartment syndrome isn’t a life-threatening condition and usually doesn’t cause any lasting or permanent damage if you seek appropriate treatment. However, if you continue to exercise despite pain, the repeated increases in compartment pressure can lead to muscle, nerve and blood vessel damage. As a result, you may develop permanent numbness or weakness in affected muscles.

Perhaps the biggest complication of untreated chronic exertional compartment syndrome is its impact on participation in your favorite sports — the pain may prevent you from being active.


Don’t try to exercise through your pain. Limit your physical activities to those that don’t cause pain. For example, if running bothers your legs, you may be able to swim. Use ice or take omega 3s until you can see your doctor and make sure this is NOT an emergency.

The following basic sports and fitness guidelines can help protect your health and safety during exercise:

  • Warm up before starting exercise.
  • Cool down when you’re done exercising.
  • Stop if you’re in pain.
  • Check with your doctor before starting a new exercise program if you have any health issues.
  • Eat a healthy, balanced diet.
  • Stay hydrated.
  • Engage in a variety of physical activities.

Sections of this article are published on https://www.mayoclinic.com/health/chronic-exertional-compartment-syndrome/DS00789

Snowboarders More Injury Prone Than Skiers, Especially Women

NEW YORK (Reuters Health) By Genevra Pittman.  A new study from a Vermont ski resort found that snowboarders get injured slightly more often than skiers, with the most injuries happening in young, inexperienced female snowboarders.

The types of injuries in the study also varied by sport, with snowboarders most likely to be taken out by a hurt wrist or shoulder, and skiers more commonly injuring a knee ligament.

During 18 winter seasons with 4.6 million visitors, researchers counted a total of close to 12,000 injuries severe enough to bring skiers and snowboarders to the resort clinic.

“It’s true, these things do happen,” said Dr. David Salonen, a radiologist who has studied ski injuries at Toronto Western Hospital — and there’s probably no way to avoid them completely.

But, “For how many people are out there skiing (and snowboarding), injuries are relatively rare,” added Salonen, who wasn’t involved in the new study.

Salonen told Reuters Health that as with any sport, if you use the equipment properly and don’t push the boundaries of your experience or fitness, your chance of injury drops.

For the new study, Dr. Robert Johnson from the University of Vermont College of Medicine in Burlington and colleagues analyzed injury reports from Sugarbush Resort in Warren, Vermont, from 1988 through 2006.

Snowboarders accounted for 17 percent of the resort’s visitors during that time, but slightly more of its injuries — about 19 percent. Since 2001, the research team reported, injury rates have been consistently higher in snowboarders than skiers.

On average, both skiers and snowboarders who got injured were younger and less experienced than a group of uninjured athletes who were surveyed for comparison.

“If you’ve got a whole bunch of people that are young and trying to learn how to do something that is like an extreme sport, there’s going to be a higher incidence of injury,” Salonen told Reuters Health.

“In any sport — and skiing and snowboarding is one of them — there are areas that will be more threatening and challenging to the athlete but also more intriguing. As you’re younger in age, you have a tendency to want to push your limits greater in any sport.”

Johnson’s team did not find that injuries were more common in athletes who used so-called terrain parks at the resort, which include half-pipes and jumps, even though researchers had been afraid that would be the case when they were installed.

One in five of all snowboarding injuries in adults and close to two in five in kids were wrist sprains and breaks, which are generally the result of a fall forward on to the snow, according to Salonen. Fractured collar bones and concussions each accounted for about four percent of the injuries in adults and five percent in kid snowboarders.

Among skiers, on the other hand, torn and otherwise injured knee ligaments sidelined one-third of the adult skiers, with leg muscle bruises being most common in kids, Johnson and his colleagues reported in the American Journal of Sports Medicine.

Salonen said that it’s hard to tell how bad those different injuries were, and one snow sport isn’t typically associated with worse injuries than the other.

He said that in both skiing and snowboarding, recreational athletes need to make sure their equipment fits correctly for their body size, ability and technique, and newcomers should start out with lessons and know their limits on the slopes.

“It’s like any sport,” Salonen said, “if you’re physically not in any position to be able to do what you’re about to do, it’s probably going to be a bad outcome.”

Johnson said that injury prevention is about “common sense, which is a bit difficult to conjure up with the young males… who imitate what they see on the X Games.”

While wearing a helmet and some kinds of wrist guards might be helpful, he told Reuters Health, making safe decisions is what’s most important.

“You have to modify your behavior and not go out hitting your head on trees, whether you’re wearing a helmet or not.”

SOURCE: https://bit.ly/yUR70M American Journal of Sports Medicine, online January 20, 2012.

 

Heading Soccer Balls Could Cause Brain Injury or concussion

I have always wondered about this and knew that brain bruising and damage can sometimes happen with sports and wondered if there were any studies on soccer with heading or passing the ball.

In this article published on January 15, 2012 in the HealthDay News, it states that soccer players need to use the correct techniques when “heading” the ball.  My thoughts are even with proper technique, the brain takes a bit of a beating with repetitive heading.

Although researchers have not yet proven a link between the sport and brain damage, Dr. Alejandro Spiotta and other experts from the Cleveland Clinic said soccer balls are moving at high speeds when they come into contact with players’ heads, putting athletes at risk for a possible traumatic brain injury.

“Even if the cognitive impairment were to be mild, it would still present a major medical and public health concern because of the massive volume of soccer players worldwide,” Spiotta and colleagues wrote. “Any possible detrimental effect may only become clinically evident decades in the future.”

In their review of existing research, published in the January issue of Neurosurgery, the researchers said caution about heading must be used at all levels of soccer. They advised that children use age-appropriate balls until they develop the neck strength and body control necessary for correct heading technique.

English soccer player Jeffrey Astle, who had a reputation as a fierce header, died with degenerative brain disease in 2002. The brain damage he sustained was similar to chronic traumatic encephalopathy, a degenerative brain disease seen in football players and other athletes, the researchers said in a journal news release.

The researchers noted that soccer balls are no longer made of leather and do not absorb moisture, which may make them safer for heading. Also, a debate about the use of soft headgear to help protect players’ heads is ongoing.

The review concluded that more research is needed to determine the long-term effects of heading on soccer players’ brains.

References: https://www.nlm.nih.gov/medlineplus/news/fullstory_120832.html

Is Jumper’s Knee (AKA: Patellar Tendonitis) Serious?

This problem occurs when there is an inflammation or injury of the patellar tendon, right underneath the kneecap. Jumper’s knee is an overuse or repetitive injury that occurs over time.

This injury can happen with any sport that requires constant jumping, landing, and changing direction.  This can cause strains, tears, and damage to the patellar tendon.

Jumper’s knee can seem like a minor injury and a lot of people ignore it until they can’t stand it anymore. Because of this, many athletes keep training and competing and tend to ignore the injury or attempt to treat it themselves. However, this strain can lead to a serious condition.

Bones, joints and muscles in the knee work together to flex and extend the knee.  When the knee is extended, the quadriceps muscle pulls on the quadriceps tendon, which in turn pulls on the patella. Then, the patella pulls on the patellar tendon and the tibia and allows the knee to straighten. In contrast, when bending the knee, the hamstring muscle pulls on the tibia, which causes the knee to flex.

In jumper’s knee, the patellar tendon is damaged. Since this tendon is crucial to straightening the knee, damage to it causes the patella to lose any support or anchoring. This causes pain and weakness in the knee, and leads to difficulty in straightening the leg.

Symptoms:

1. Pain directly over the patellar tendon (or below the kneecap)

2. Stiffness of the knee, particularly while jumping, kneeling, squatting, sitting, or climbing stairs

3. Pain when bending the knee

4. Pain in the quadriceps muscle

5. Leg or calf weakness

6.Warmth, tenderness, or swelling around the lower knee

7. Balance problems

For mild to moderate jumper’s knee, treatment includes:

1. Resting from activity or adapting a training regimen that greatly reduces any jumping or impact

2. Icing the knee to reduce pain and inflammation

3. Wearing a knee support or strap (called an intrapatellar strap or a Chopat strap) to help support the knee and patella. The strap is worn over the patellar tendon, just beneath the kneecap. A knee support or strap can help minimize pain and relieve strain on the patellar tendon.

4. Elevating the knee when it hurts (for example, placing a pillow under the leg)

5. Anti-inflammatory medications, like ibuprofen, to minimize pain and swelling

6. Massage therapy

7. Minimum-impact exercises to help strengthen the knee

8. Rehabilitation programs that include muscle strengthening, concentrating on weight-bearing muscle groups like the quadriceps and calf muscles.

How long does it take to recover?

Recovery can take a few weeks to several months. It’s best to stay away from any sport or activity that can aggravate the knee and make conditions worse. However, recovering from jumper’s knee doesn’t mean that someone can’t participate in any sports or activities. Depending on the extent of the injury, you can still play the sport you love, you just need to maintain stretching and maintenance to the joint.

How can we prevent Jumper’s Knee?

The most important factor in preventing jumper’s knee is stretching. A good warm-up regimen that involves stretching the quadriceps, hamstring, and calf muscles can help prevent jumper’s knee. Sometimes applying heat to the area helps as well before a work out.  It’s always a good idea to stretch after exercising, too.

Hip Fractures May Triple Death Rates

Women in their mid-to-late 60s who break a hip are five times more likely to die within a year compared to women of the same age who didn’t break a hip.

This death rate, according to a study published in the latest Archives of Internal Medicine, is surprisingly higher than those seen among women in their 70s and 80s who broke a hip.

“You’d think a 65-to-69 year-old would be more able to bounce back from a hip fracture,” says Erin LeBlanc, a study author and investigator at the Kaiser Permanente Center for Health Research, which led the study. But women in their 60s have a lower risk of dying from other causes than older women, so a hip fracture is more likely to translate into a higher mortality risk.

It has long been known that hip fractures are associated with an increased mortality rate in older women, but LeBlanc says it hasn’t been clear whether it’s from the hip fracture itself or an underlying health condition. So she and a team of researchers designed a study involving about 5,500 women to look more closely at the impact of hip fractures among women in certain age groups. The study used participants in a larger, federally-funded Study of Osteoporotic Fractures, which began in 1986 and enrolled 9,700 women age 65 and older to see how changes in bone density affects the risk of fractures as women age.

During a 20-year period there were 1,116 hip fractures. Researchers categorized the women with fractures by age and then matched them with 4,464 women of the same age who didn’t break a hip to serve as controls. The study also controlled for other underlying health conditions.

The study found that a hip fracture in women ages 70-79 doubled the risk of dying within a year. For women age 80 and older death rates were similar among those who broke a hip compared to those who didn’t. But for women 80 and older who were considered to be in good health, a hip fracture nearly triples the risk of dying within a year compared other healthy women in the same age group.

LeBlanc says the findings suggest the hip fracture increases the risk of dying. She says women can take steps to reduce the risk of hip fractures by getting screened for osteoporosis, making sure they get enough vitamin D and calcium.

LeBlanc said preventing falls is also important. Removing tripping hazards like small area rugs and improving lighting in the home can help, along with strength and balancing exercises.

Balance and nutrition is key when getting older and preventing hip fractures.  As we get older our balance diminishes and we are more prone to fall.  If we do fall, we need strong bones to prevent a break.  Eat green foods, drink a lot of water and take whole food supplements for your body.   This will help your chances of not fracturing bones when you get older.

References: Article published in Wall Street Journal By Jennifer Corbett Dooren

What turraine is best for running?

Soft or hard surfaces while running?  That is what people ask me all of the time.  I normally like to tell them to run on the beach barefoot since this is the best for shock absorption of the foot.  But….if someone is getting over a sprain, it is not good to have them run on uneven soft surfaces because the ankle or leg can’t handle the bumps and it may irritate old chronic injuries.

Running on hard surfaces is hard on the body and does add shock to the foot and kinetic chain.  I guess the answer to the question of running on soft surfaces versus hard ones depends on the individual and what is going on with them.  Here is a great article discussing the differences between each option.

Article:

Hirofumi Tanaka, an exercise physiologist at the University of Texas at Austin, bristles when he sees dirt paths carved out of the grass along paved bicycling or running routes. The paths are created by runners who think softer ground protects them from injuries.

Dr. Tanaka, a runner, once tried it himself. He was recovering from a knee injury and an orthopedist told him to stay away from hard surfaces, like asphalt roads, and run instead on softer surfaces, like grass or dirt. So he ran on a dirt path runners had beaten into the grass along an asphalt bike path.

The result? “I twisted my ankle and aggravated my injury while running on the softer and irregular surface,” he said.

In the aftermath of his accident, Dr. Tanaka said he could not find any scientific evidence that a softer surface is beneficial to runners, nor could other experts he asked. In fact, it makes just as much sense to reason that runners are more likely to get injured on soft surfaces, which often are irregular, than on smooth, hard ones, he said.

His experience makes me wonder. Is there a good reason why many runners think a soft surface is gentler on their feet and limbs? Or is this another example of a frequent error we all make, trusting what seems like common sense and never asking if the conventional wisdom is correct?

Perhaps a runner who, like me, strikes the ground with her forefoot instead of her heel, might risk more injuries on softer ground. After all, every time I push off on a soft surface, I twist my foot.

Exercise researchers say there are no rigorous gold-standard studies in which large numbers of people were assigned to run on soft or hard surfaces, then followed to compare injury rates.

There’s a good reason for that, said Stuart J. Warden, director of the Indiana Center for Translational Musculoskeletal Research at Indiana University. It’s too hard to recruit large numbers of people willing to be randomly assigned to one surface or another for their runs.

“I think the reason people haven’t answered that question is that it is not an easy question to answer,” Dr. Warden said.

When Dr. Willem van Mechelen, head of public and occupational health at VU University Medical Center in Amsterdam, searched for published studies on running injuries and how to prevent them, he, too, concluded that there were no good studies that directly support running on softer ground. “Significantly not associated with running injuries seem age, gender, body mass index, running hills, running on hard surfaces, participation in other sports, time of the year and time of the day,” Dr. van Mechelen concluded.

So what is going on? It seems obvious that the forces on your legs and feet are different depending on whether you run on soft packed dirt or on hard concrete. Why aren’t injury rates affected?

An answer that many accept comes from studies that addressed the question indirectly. In several of them, study subjects ran on plates that measured the force with which they struck the ground. Instead of varying the hardness of the ground, the researchers varied the cushioning of the shoes. More cushioning approximated running on softer ground.

Over and over again, studies like these found that the body automatically adjusts to different surfaces — at least, as mimicked by cushioning in shoes — to keep forces constant when foot strikes plate.

That finding makes sense, Dr. Warden said. If you jump from a table to the floor, you automatically bend your knees when you land. If you jump on a trampoline, you can keep your knees stiff when you land. Something similar happens when you run on different surfaces.

“If you run on a hard surface, your body decreases its stiffness,” Dr. Warden said. “Your knees and hips flex more. On a soft surface, your legs stiffen.” Running on a soft surface “is basically a different activity,” he said.

But those studies did not actually measure forces inside the body, Dr. van Mechelen noted. Instead, they used biomechanical modeling to estimate those forces.

“It is models, so God knows whether it is true,” Dr. van Mechelen said. “But to me it doesn’t seem far-fetched.”

Dr. Warden said some people adapt quicker than others to running surfaces, and he advised that anyone wanting to change from a soft to a hard surface, or vice versa, play it safe and make the change gradually.

Changing your running surface, Dr. Warden said, “is much like increasing your mileage, changing your shoes or some other aspect of your training program.” Abrupt changes can be risky.

But with no evidence that softer surfaces prevent injuries, there is no reason to run on softer ground unless you like to, Dr. Warden and other experts said. Dr. van Mechelen tells runners to get a pair of comfortable shoes and run on whatever surface they prefer.

Dr. van Mechelen, a runner himself, says his favorite surface is asphalt. Mine is too.

My coach, Tom Fleming, never suggested soft surfaces and never thought they prevented injuries. And, he said, there’s a good reason to run on asphalt, at least if you want to compete.

“Most road races are on hard roadways,” he told me. “So let’s get used to them.”

References: Gina Kolata NY Times

Always Stretch Before And After Workouts!

Most people who go to the gym love to lift weights but don’t stretch out before or after their workout.  It is recommended to warm up before lifting weights and even better to also stretch after lifting weights.

Stretching before a workout helps to get your muscles ready for the load you are about to put on it and helps prevent injuries which commonly occur when a muscle is tight and a load is added.  This added load puts additional pressure on the muscle and it gives way and rips muscle tissue (ouch!).

To prevent injuries, always stretch!  We tighten up more and more as we get older so stretching and improving our flexibility and balance are key to living a pain free and healthy life.

What Is Restless Leg Syndrome?

Restless Leg Syndrome is a “restless” urgency to move because of burning, tingling, tugging sensations in the legs.  People can not sleep and loose sleep because of it.  It is becoming increasingly more popular and people really don’t know what to do about it.  Sitting for long periods of time and sedentary lifestyles have begun to take its toal on the hips, low back and legs leading to symptoms of RLS and Sciatica.

How can it be eliminated?
I have found that simple pelvic adjusting and at times the legs has decreased the frequency of these sensations and most times keep them at bay for good.  Good posture, exercise and soft tissue work can increase blood flow and relax the legs and hips.  Caffeine, alcohol and tobacco all exacerbate restless leg syndrome so, like always, keep off the junk food, drink lots of water and take care of yourself!  If you still have problems with Restless Leg Syndrome, give us a call, we can help!

How To Prevent Tommy John Surgery

Tommy John surgery has become something that most big league pitchers and players have to consider when having elbow pain.  Throwing, especially at high speeds puts a lot of stress on the elbow.  Repetitive throwing can lead to swelling and tearing of the Ulnar Collateral Ligament in the arm. This ligament keeps the Humerus, Radius and Ulna in place and provides mobility of the elbow.

Compared to the larger muscles and ligaments in the body, this ligament is not as strong as knee ligaments (Anterior Cruciate Ligament).   Our body also wasn’t designed to perform high velocity throwing for years.  In time, if enough pressure is applied to the elbow, it will tear apart causing pain and effecting the velocity of throwing.

It is common for major league pitchers to have Tommy John Surgery.  Surgeons take some of the tendon of the players “good” forearm or hamstring and put it into the “bad” elbow.

They also drill holes in the ulna and humerus bones to sew it in.  Sounds easy huh?  Well, there are some concerns with this surgery.  In order to move the ulnar nerve away, surgeons have to cut or detach major muscles.  This can lead to infection, fractures, nerve irritation, numbness and inability for the muscle to function properly.  It is also pricey.  This surgery can run between $10,000 and $20,000.

Proper stretching, weight lifting can help pitchers stay away from this painful and expensive surgery.  Exercises with elbow pronation, supination and flexion are key to keeping the elbow in proper condition and ready to take the added stress of throwing a ball 100mph.

As chiropractors, we help keep prevent this surgery by keeping the joint in its proper position,  allowing the muscles and ligament to remain strong and work out any tissue damage that may have occurred.  We are a great option.