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The Tommy John Surgery Experience Pt. 3

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Getting surgery sucks.  It is, however, usually the only option for someone who tears a tendon, ligament, or muscle while playing a sport and wants to play competitively again.  So it’s a situation where one needs to suck it up and take some solace in the fact that they are on the road back to the top.  Especially with TJ surgery, the prognosis is great and with proper attention to rehab there’s a good chance of making velocity gains on top of having the elbow of a superhero and time off to improve mechanics.

The first 3 months post-op were exciting in the sense that everything was new and changes were dramatic.  Things returned to normal rather quickly, and it was all building up to that fateful day when I would chuck that pill again, even if it was only for 30 feet at first.

My Review of Bikram Yoga

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As previously mentioned, I spent a fairly good amount of time in the studio of Bikram Yoga Baltimore both before and after my elbow surgery.  Eddie and Emily, the owners, are wonderful people are were super supportive of me.  The other instructors as well were terrific and I felt at home there.

Bikram Yoga makes a lot of health claims, some of which may or may not be true, but overall I think it’s a great practice and will improve the health, flexibility, and recovery time of those who might bring a chronic injury into the studio.

The Basics

My sister wrote a nice piece for school explaining the Bikram phenomenon, and it’s a good read.  But the class is relatively straight-forward : 90 minutes in a 105 degree, 40% humidity room which consists of 26 postures, each repeated twice.  If it sounds difficult, that’s because it is.  However, nothing worthwhile is easy and Bikram is no exception.  

To class one brings a large jug of water, a yoga mat and towel to cover the mat, and a scant outfit to allow ease of movement and a cooling effect.  One class costs about 14-20 dollars depending on the studio, which is actually pretty reasonable considering the length of the class (most yoga classes are an hour) and the intensity of the workout.  Buying class cards brings down the cost per class down even more.

Throwing Requires Hand Strength Pt. 1

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In all of the baseball training manuals hand strengthening seems to be ignored.  Some of the games greatest hitters would always comment on how having strong hands made them good at their craft, but what about pitchers?  And what about that part of the body that actually delivers the baseball?  Sure, everyone knows a strong shoulder is required to throw hard, but the hand and the fingertips are the ones who have the last say in what the ball does.  That being said, I want my hands and fingers strong.

Easy In-Home Strengthening

In this post we will go into some of the immediate and easy things one can do at home to start developing stronger hands and fingers.  Grip strength can be developed in a tremendous amount of ways, but we will just focus on a few today that worked for me and will get you started in the right direction.

Pain, Soreness and Fatigue

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Everyone understands pain, soreness and fatigue on some level, because we’ve all had them.  Problem is, some people don’t quite know the difference between the three, and sometimes misrepresent the state of their bodies.  This is concerning because to continue exercising under certain conditions is dangerous, such as when pain or fatigue is present due to an underlying or developing injury.  It is imperative to understand one’s body and what the signals it sends mean.

Keep in mind that I’m not a doctor or physical therapist, and my intention with this post is to create some body awareness and help people understand how their body may be feeling, and whether or not their expression of those feelings are in tune.

Call it Pain

Pain is typified by, and this probably is not news to anyone, sharp, short and sudden sensations that accompany a certain activity.  Pain draws our attention strongly and immediately to certain areas of the body.  

Now, pain is different in type and intensity for everyone, and being in tune with one’s body is important for reading into it.  I know which pains, when throwing or pitching, are incidental and aren’t telling me anything about the health of my arm or body.  These I largely ignore, because experience has taught me that they never manifest into anything pathological.  Pitchers commonly have little pains here and there that are just a natural part of the violent act of throwing.  Listening to one’s body and having experience with it is important, because one cannot become consumed with every little ache or pain that crops up.  It’s too stressful.

But some pain is an indicator of present injury or developing injury, and these need to be attended to.  These are usually stronger and don’t go away in a day or two, and may not respond to pain medication, therapy, ice, or other treatments.  If they do respond, then they will probably work themselves out with therapy, but they should not be ignored, and the activity should be backed off.  

During my rehab I have had little pains appear at different times and in different places.  Some of them I ignore, and they go away, and others I have had to back off my throwing or training until my arm could catch up and recover.  The key is understanding your body, and listening to it, and always being prudent about things.  Hammering away is not going to solve things when your body needs rest.

Call it Soreness

Soreness is present usually after a hard workout following a long period of inactivity, or an unusually stressful workout.  Its not the same as pain, though some people will claim that a part of their body “hurts” and they need to rest.  Soreness can indicate a developing injury, but more often it is probably the result of a new and taxing physical stimulus.  Soreness is typified by that burning feeling that encompasses larger areas of the body, and is usually very general and not pinpoint in nature.  

I have found that the best cure for my soreness is to keep the exercise regular.  If I am sore after a hard workout I won’t take off until it fades away, which could be up to a week, but rather will continue my regimen.  The soreness seems to get flushed out by this and usually recedes much faster than if I were to rest it.

After a start early in the season I will be sore, but will still lightly throw the next day and then increase my workload the subsequent days.  Rest is probably indicated when one can barely move from it, but other than that I have found that getting some exercise, or throwing a little for pitchers, is usually beneficial.

Call it Fatigue

Fatigue isn’t like the other two, because there isn’t usually a concrete sensation to go with it, other than aches and deadness.  Sharp or burning sensations aren’t there, but rather the muscles just don’t want to go.  

For pitchers this is a situation that calls for rest, because the arm is depleted and it just needs to recharge.  The hazard with throwing hard when fatigued is that mechanics get sloppy, and biomechanical laxity can cause more stress on all of your soft tissues.  You always want to be strong enough, when throwing hard, to maintain the highest quality mechanics possible.  Throw through fatigue too hard and too often, and some pain and soreness are going to appear, making things worse.

Call it Correctly

The important message here is to understand what your body is telling you, and to know it well enough to take the appropriate action.  All too often young pitchers will say their arms hurt when they are sore, or are sore when they are hurt, and the indicated paths to recovery for both are quite different.  Little pains and big pains are different, and should always be monitored, but may or may not lead to injury.  

When rehabbing from an injury there is often accompanying pains and tightnesses and sorenesses, and they, like all others, have to be analyzed to see if they are part of the healing process (which they often are) or a sign that progression is beyond the limits of the body.  But overall, people usually have an intuitive sense of when something is wrong, but over-analyzation of every pain can make for one neurotic and sleepless athlete.  The key is learning to know thyself.

The Tommy John Surgery Experience Pt. 2

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For Today’s installment I want to discuss some of the non-protocol things I did to help my physical recovery.  But before I do, I have some words about MRIs….

…Standard MRIs are garbage.  When I felt my elbow go in the game, I was fairly sure that I was going to need surgery.  When I got my MRI a week later, however, my doctor could get a very accurate picture of my ligament on the films.  The regular MRI was just not clear enough in showing my ligament, and as such he recommended rehab and flexibility work, which had worked for me in the past.   Teammates of mine had had MRIs with a dye injection, which makes diagnoses much easier.  After 8 weeks of rest and rehab, I tried to pitch but couldn’t do it without pain.  My elbow felt loose when releasing the pitch, as if my ulna really wasn’t attached to my humerus.

So I went back and got an MRI with a dye injection, and it was clear as day that my ligament was torn.  My recommendation for others is to get a dye-injected MRI the FIRST time.  Ask for it and see if the doctor will prescribe it.

Relax and throw that Gas

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Ever heard someone say, “I just tensed up.”?  Chances are you have, within the context of that person explaining why he choked under pressure.  Tensing up is somewhat a figure of speech, but also a real occurrence.  Muscles contract in uncontrolled ways in response to fear, excitement, anger, etc.  Uncontrolled muscles are a bad thing for pitchers.

Tense muscles don’t function as they are supposed to.  They don’t stretch, rebound and contract as they are supposed to.  Sit down in a chair and flex all of your muscles at once.  You won’t be able to get up.  Why? Because all the muscle fibers are doing the same thing, all at once.  Because of this all-over tension, no work can be performed, and motion becomes impossible.  You’ve rendered your muscles useless.

You’ve also heard of pitchers “rearing back” and throwing the ball as hard as they can right by a batter.  Problem is, this act of rearing back, of giving it all you got, of putting every fiber into the pitch, is often counterproductive.

As my good friend Zach Clark was explaining to me, your body knows how to throw a baseball as efficiently as it can.  It knows which and how many muscle fibers to recruit.  Thing is, you have to let it do its work, and that requires relaxation.

Relaxing as best you can when throwing allows your body to choose, and it knows better than you do, which muscle fibers to recruit in throwing the ball.  Some fibers relax, and some contract in accordance with the most efficient ratio to throw as hard as possible.  Tensing up causes muscle fibers that are supposed to be relaxed to contract, thus hindering the natural way in which your body wants to throw.  

In theory, this makes sense and I believe in it.  However, in practice it is much more difficult.  When one wants to run faster he simply tries to run faster by using more intensity.  This usually works until top running speed is achieved.  However, as we have discussed, throwing harder is not this way.  It requires the delicate balance of effort and efficiency.  You have to try to throw hard, but you can’t try too hard.  Pitchers have to constantly fight this urge to overthrow, and if they are successful, then they will achieve their best velocity and best control.

My best velocity is always achieved in situations when I perceive that I need it the least.  This is my personal affirmation of this theory.  I have two standout examples of this.  I was facing one of my teammates in an intrasquad game a few years ago, and I got to 3-0 on him.  The first three pitches were all 87 mph.  The 3-0 pitch was 89.  How could this be?  Well, I thought nothing of throwing hard, but only of throwing a fat strike because I knew he wouldn’t be swinging.  I relaxed.

My most recent example was last week in my first outing throwing to batters since my surgery.  I was scheduled to throw 45 pitches, but threw 46 because no.45 was high and outside.  I wanted to end on a strike.  Keep in mind, this was the highest workload I had had since surgery, and by all rights my velocity should have peaked in the middle and tapered off at the end as I tired.  This was generally true, as I was 82-83 the whole time.  But my hardest pitch was no.46.  I hit (a whopping) 84 on pitch 46.  Why?  Because I didn’t care how hard it was – I just wanted to end on a strike.

There are other negatives associated with overthrowing.  The most obvious is a loss of control.  That phenomenon needs little explanation.  Another is loss of movement.  Sinkerballers must especially keep themselves in check, because they make their money on their fastball movement.  Overthrowing will usually cause a lively fastball to flatten out, rendering it much easier to hit.  

And after all, the point of having good velocity and movement is to make one’s pitches more difficult to hit.  Muscle tension caused by overthrowing is the enemy of a quality pitch, so If one can master his mindset to allow relaxation on the mound, then he will be maximizing his chances for success.

The Tommy John Surgery Experience Pt.1

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So I tore my UCL in the conference tournament last May.  I did not see it coming on that particular pitch, but I realized it probably was in my future.  My head athletic trainer had told me that it could go at any moment, seeing how I had partially torn it in both high school and the previous season in college.

From March on I was having forearm and elbow problems, and could barely recover between starts. But I got through it and didn’t miss time, and made it through 5 2/3 innings of my last start of the year.   I was actually starting to feel better by time it finally went.

So anyway, I figured I would put together some of the findings of this journey, of which I am almost through (8 months post-op and at 90% of previous velocity)

Today’s Topic: Doctor Discrepancies

Now, I got surgery from Dr. Craig Morgan in Wilmington Delaware.  I had heard good things about him, seeing as how is world-renowned, and I trusted him above all others with my pitching future.

Five teammates of mine had this same surgery during my career, and there were differences in all five rehab protocols.  And this is interesting, because everyone seems to make it to the finish line just the same.  Thus, the question arises- which protocol is the best? If you’re not familiar with the tommy john procedure, check out the link in my About Me page.

That question is hard to answer but from my own experiences, I do have an opinion. I base this opinion on what I went through, what others went through, and what seems to intuitively make sense about the human body and its ability to heal.