{"id":845,"date":"2014-05-20T13:50:08","date_gmt":"2014-05-20T13:50:08","guid":{"rendered":"http:\/\/www.johnpaciorek.com\/?p=845"},"modified":"2019-06-05T13:26:35","modified_gmt":"2019-06-05T13:26:35","slug":"the-tommy-john-syndrome-whats-the-answer","status":"publish","type":"post","link":"http:\/\/www.johnpaciorek.com\/?p=845","title":{"rendered":"The “Tommy – John” Syndrome – What’s the Answer?"},"content":{"rendered":"

\u201cA new name for an ailment affects people like a Parisian name for a novel garment. Every one hastens to get it.\u201d These words were written in the late 19th<\/sup> century by Mary Baker Eddy, a highly astute meta-physician who keenly observed the prevalent trend of the medical profession, along with the unwitting press, to exacerbate legitimate attempts to \u201cheal\u201d by \u201c\u2026giving names to dis-ease and printing long descriptions which mirror images of disease distinctly in thought.\u201d \u201c\u2026A minutely described disease costs many a man his earthly days of comfort.\u201d \u201cMany a hopeless case of disease is induced by a single post mortem examination, – not from infection nor from contact with material virus, but from the fear of the disease and from the image brought before the mind; it is a mental state, which is afterwards outlined on the body. We should master fear<\/strong>, instead of cultivating it. It was the ignorance of our forefathers, in the departments of knowledge now broadcast in the earth, that made them hardier than our trained physiologists\u2026\u201d \"Bob<\/a>\"tommy-john2\"<\/a>\"Tommy<\/a>\"New<\/a> In the \u201cbeginning\u201d an older pitcher (the real Tommy John) whose 12 year career was quietly dissolving into mediocrity due to recurring elbow injuries decided to take on the role of \u201cguinea-pig\u201d in an experimental surgery by not-yet-eminent Orthopedic physician-surgeon, Dr. Frank Jobe. After his surgery, Tommy John pitched even more successfully for another 14 years. The \u201cUlnar-Collateral-Ligament\u201d operation was henceforth named \u201cTommy John\u201d surgery, after its Prototype. Since that initial 1974 operation, thousands of similar procedures have been performed on professional athletes (mostly baseball pitchers) as well as amateurs, and many a baseball career has lengthened. So, that is GOOD, from a therapeutic standpoint! But what can be done as a Primary preventive measure, since even \u201cTommy-John\u201d is not 100% successful?<\/p>\n

If you were privy to the \u201cRound-Table\u201d discussion sponsored by the MLB network, and hosted by Bob Costas, along with Jim Kaat, Tom Verducci, Drs. Andrews and Alchek, and Tom House, your attention was brought to a number of physiological points of perspective that clearly established the many facets of the dilemma now facing the Baseball Community, from the Major Leagues down through Sand-lots. Why has this dis-ease now become so prevalent amongst our young and most promising pitching prospects? And, can anything be done to eliminate or at least diminish accounts of this trend from continuing at such an awkward and \u201cterrifying\u201d pace?\"fernandez-jose1\"<\/a>\"Jarod<\/a>\"matt-moore-ucl-injury<\/a>\"rondon1\"<\/a>\"Pirate<\/a> The first line of defense against this seemingly insidious attack on the integrity of the Game of Baseball itself, as well as the integrity of the individual(s) directly afflicted by, or potentially vulnerable to, the otherwise debilitating nature of this career-ending physical impairment is to be \u201cnot afraid.\u201d<\/p>\n

When intelligent, well-intending, spokes-people imply that the game must somehow be restricted in various ways in order to protect \u201centhusiastic-youth\u201d from their ignorance of predatory aspects of their \u201cfavorite game,\u201d \u201cFEAR\u201d is at least temporarily holding preponderance over the better judgment to be afforded. Lowering the mound, or pitching on \u201cflat-ground,\u201d playing other sports, taking a few months off, all or any for the purpose diminishing the prospect of shoulder and elbow injury seems analogous to \u201cburning down the barn to get rid of rats\u201d! There is however reason to applaud the idea that anyone (youngster or adult) attempting to become a \u201cPitcher\u201d should focus on the proper technique for throwing a ball accurately with as much velocity as the natural, smooth, mechanical motion of the entire body-arm continuum would allow. (Any attempt to accelerate body growth and development\u00a0with\u00a0premature muscular enhancement only endangers the physical infra-structure of ligaments and tendons, as seen in careless and illegal<\/strong> steroid use.)<\/p>\n

The following exegesis comes from Chapter Two of my Book, The Principle of Baseball \u2013 And All There is to Know about Hitting.<\/p>\n

Throwing a Baseball<\/strong><\/p>\n

Nothing happens in a baseball game until after the first pitch is thrown. Throwing a baseball\u00a0then seems to be a very important part of the game. In fact, Pitchers (and Power-Hitters) are\u00a0considered to be the most prominent characters in the game. The ability to throw the ball hard and\u00a0far evokes a mythical aggrandizement from which legends are made. What is it that enables one\u00a0individual to throw harder and farther than another? Are some people blessed with natural ability\u00a0to throw better than others? It\u2019s hard to say when and how an individual developed certain physical characteristics\u00a0associated with strength, or whether he acquired some unusual pre-natal condition that facilitated\u00a0an accentuated leverage point to produce a greater aptitude for throwing! But two things are\u00a0certain: it has been observed countless times, that the seemingly \u201cgifted\u201d athlete cannot reach\u00a0his\/her full potential unless the proper body-mechanics are employed; and the \u201cnot-so-gifted\u201d\u00a0sometimes attains a higher level of success with intellectual astuteness and the utilization of proper\u00a0body-mechanics. It is common to evaluate a player\u2019s throwing ability by saying, \u201c. . . he\/she has a strong or\u00a0weak arm.\u201d It is incorrect, though, to assume that the power of the throw is determined by the\u00a0strength of the arm. The main power source for throwing is the \u201cBody.\u201d The arm provides only\u00a0a fraction of the power. From the coordinated precision of the movement from the feet to legs,\u00a0to hips, to torso, to shoulders, to arm(s), elbow, wrist, hand, and fingers is the ultimate power registered in the \u201cperfect throw.\u201d \"Japan\"Tanaka\"NolanRyan\"Tanaka\"TanakaObviously, the player with the stronger body and arm, who applies the mechanics perfectly, will be more effective than the weaker player. Also, not generally observed is the fact that, in throwing a baseball effectively, a principle law of physics always comes into play, namely, \u201c. . . every action has an opposite and equal reaction.\u201d If a player is right-handed, to be totally effective, he must use the left side of his body with the same intensity as he does the right, while performing the throw. This will enhance the power, as well as help secure balance with the proper follow-through. This application is analogous to that which a Karate Master invokes to maximize the power of a \u201cstrike\u201d or \u201cpunch.\u201d The force exerted backward(in “turnstile” fashion), by the front side of the body, not only accentuates the forward movement of the backside, but magnifies it, adding considerable power to the throw. (The same principle is expressed in swinging the bat.) The stronger the body the greater the possibility for a strong throw, as long as the application of the proper mechanics for movement of shoulder(s) and arm come into play. Unfortunately, the stronger the body, the greater is the opportunity for injury to the shoulder and arm if the application of proper mechanics is not enforced. \"darren<\/a>If the power generated by the body is complete, the torque action of the twisting hips and torso could be too great for a shoulder and arm ill prepared to deliver the final dimension of the throw. If the shoulder is not locked into a position of stability, to launch the (bent) arm and that (5-ounce) ball forward at the precise time, the strain of having transported the spherical object from the point of origin to destination could have a deleterious effect on the accompanying extremities. The weight of a 5-ounce object doesn\u2019t seem like it should have any major affect on the throwing apparatus of a strong, well-conditioned athlete. But if you think about the strain one feels in his shoulders, while merely extending the arms outwardly, away from the body, and sustaining that position for a period of time, you could see how any additional weight would accentuate the strain. Even more stress would be added, if you realize the extra force exerted on \u201cthose joints,\u201d by the weight of the moving arm and ball.\"d.dreifort<\/a>\"d.dreifort<\/a>\"tommy-john2\"<\/a> \u201cThe farther away the ball moves from the body, as the arm is preparing to throw it, the heavier\u00a0the weight will be to the strain of the shoulder (and elbow).\u201d As the ball is being prepared for its\u00a0launch from the thrower\u2019s hand it should remain as close as possible to the \u201cBody-Proper,\u201d while\u00a0the arm is \u201cwhipping\u201d itself to the forward thrusting position. (Nolan Ryan and M. Tanaka are the best exponents of this \u201cprinciple.\u201d)<\/p>\n

\"Nolan\"Masahiro+Tanaka\"C.Schilling<\/a>\"Randy<\/a> It has been accurately stated that the best of throwers has an arm delivery of the ball that\u00a0resembles the action of a fast moving whip. To acquire the \u201ccorrect\u201d type of \u201cwhip-action\u201d arm\u00a0movement, the thrower must proceed with the following arm sequence, after the ball is taken out\u00a0of the glove (presuming the arm is in a bent position as the hand and ball come out of the glove). The back and middle of the shoulder (posterior and lateral parts of deltoid muscle, specifically) \"Deltoid_muscle_animation4\"<\/a>brings the hand and ball from the glove, prominently displaying the bent elbow, with the hand and ball apparently hanging below momentarily, just above the back hip. \"Nolan\"Masahiro-Tanaka(Incidentally, the thrower\u2019s position at this point looks similar to that of a person holding a bucket of water by the handle, and has just lifted it upward along the side of his body.) As the thrower moves sideways toward the \u201ctarget,\u201d a low center of gravity presents his body as in a low sitting position. As the front foot plants (toes pointed to-ward the target), the hips and torso begin to turn with the help of the bent front leg that is in the process of straightening.\"Tanaka\"Nolan The backside (hip and torso) gains momentum from the back leg, with its pulling bent knee and pivoting foot. The throwing shoulder quickly rotates outwardly, to force its bent arm to bring\u00a0the hand and ball upward, slightly above the shoulder. At this point, the muscles of the outwardly-rotated shoulder contract quickly (without hesitation), along with those of the entire upper body.\"nolan-ryan As the shoulder thrust is completing its full range of rolling-forward-motion(anterior deltoid), the arm quickly extends \"TANAKA\"200px-Nolan_Ryan_17\"\"Billy_wagnerforwardly as forearm is in full pronation (not sideways\"New<\/a>),\u00a0as the wrist snaps the fingers through the center of the ball (fingers straight, perpendicular to\u00a0the ground) at the point of release. The coordinated action of the entire body (right and left sides) provides the power for the correct arm movements to occur rapidly (and safely), and thus sustain a whip-like action(where elbow never snaps closed – \"Billy<\/a>)\u00a0to move through the \u201cthrow\u201d like a wave of tremendous force. END<\/strong>\u00a0<\/strong> \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/strong><\/p>\n

It is not to say that anyone following the correct throwing procedure, as described above, will be assured of never having to incur \u201cTommy \u2013 John\u201d surgery, for there are many factors involved, any of which could subject a player to vulnerability. Lack of muscle-conditioning, over-conditioning, inappropriate training techniques, misunderstanding of how to enhance power, strength, endurance, and application of skills of \u201cspecificity<\/strong>\u201d regarding the game of baseball all come into play when evaluating the safest way to procure a long and illustrious career, as a pitcher or any fielding position. You can\u2019t have \u201cflabby\u201d muscles and expect them to be able to contract quickly and with power to facilitate movement for optimal proficiency on the professional baseball field. But excessive weight-training for baseball seems equally inappropriate to facilitate the actions needed on a baseball field. Why would a pitcher need to \u201cBench-press\u201d in excess of 100 lbs., or \u201ccurl\u201d more than 10 or 15 lbs when the ball he is expected to have mastery over weighs but 5 ounces? (The standard for extreme \u201cPitcher-Workouts\u201d used to be Nolan Ryan, and I never saw a video of him working with more than 6-8 lb. \u201cdumbbells\u201d.)<\/p>\n

When Kevin Brown \"Getty<\/a>\"K.Brown4\"<\/a>took the San Diego Padres to the World Series, he was a well-conditioned athlete-pitcher whose arm and body were so fluid that he exuded a particularly anatomical freedom as his live, moving fast-ball flowed almost effortlessly from his flawless delivery. After \u201cFree-agency,\u201d the next time I saw him he had a chiseled look of statuesque proportions with which he never again threw with his former magnificence. \"K.brown1\"<\/a>\"KevinBrownSports6\"<\/a><\/p>\n

When Mohammed Ali worked out, he simply simulated the movements of his Trade, but with the intention of developing his muscles to move more quickly and powerfully with repetitious actions that naturally increased muscular strength to increase speed and stamina. \"Cassius<\/a>\"Cassius<\/a>\"Cassius<\/a>\"C.<\/a><\/p>\n

All Satchel Paige did to stay in shape and to maintain his physical condition to perfect his \u201cCraft\u201d was \u201cThrow,\u201d \"Satchel<\/a>\"Satchel<\/a>\u00a0and didn\u2019t let any wrong thinking affect his \u201cpositive attitude\u201d about himself and his functionality.\"49-Satchel-Paige5\"<\/a>\"Satchel<\/a>Ru\"Quotation-Satchel-Paige-running3\"\"Quotation-Satchel-Paige2\"<\/a>\u00a0“Funny what a few No-hitters do for a Body.”<\/p>\n

The best conditioning methods for any baseball player is simply to simulate the movements that he would perform during the course of a game. But after the initial \u201cwarm-up\u201d period, simulate those movements rigorously, at full speed, and perfectly, with thoughtful intention. Jogging laps does not promote proficiency for your \u201ccraft\u201d \u2013 practice sprinting (even pitchers \u2013 for explosive intent). Players who pull hamstring muscles do so because their muscles have lost their sense of former proficiency. They forgot how to contract for the given task, then strain to accommodate the immediate need.<\/p>\n

Advocates and critics of the training \u201ctool\u201d known as \u201cLong-Toss\u201d have reason to speculate on the propriety of the activity. If the intent of the \u201cthrower\u201d (pitcher or \u201c\u2026fielder\u201d) is merely to test or enhance the strength of his \u201carm\u201d by lofting the ball 400 feet, \"11ththen critics<\/strong> are justified because there is no purposeful intent in such action, especially if it is repeated continuously. IF a pitcher (and even an Out-fielder) repeats such body and arm action countless times before a game (or even days before he is actually pitching) how does he expect to re-train his body and arm to function optimally when \u201cit counts\u201d under crucial game conditions.<\/p>\n

A pitcher can exceed his normal 55 to 60 feet throwing distance when \u201ctraining\u201d as long as his \u201crelease-point\u201d and body-alignment are at least close to that with which he delivers the ball to the plate. A good technique when either the pitcher or fielder \u201cneeds\u201d a longer distance to accommodate his \u201cpsyche\u201d is to accept the \u201cone-bounce\u201d principle instead of throwing the complete distance in the air. Repeated throwing with a high arc produces a body and arm action that induces a last second power-thrust of the elbow joint because the shoulder usually has reached its maximum range of motion \u2013 thus possibly presenting a vulnerability factor to the \u201cUlnar-Collateral-Ligament,\u201d whose stability of the elbow is always jeopardized when \u201cPronation\u201d and extension of the arm occur in such abrupt fashion. When pronation occurs after the arm has extended, then the elbow falls into “double-jeopardy” because the fore-arm and wrist are acting more independently than if the shoulder and triceps were actively assisting the power-flow. Tennis players are particularly vulnerable because the striking point is high in order to accommodate an acute descending plane of the ball.<\/p>\n

 <\/p>\n

\"pronation-tennis-serve1\"<\/a>\"tennis-serve2\"<\/a>\"Atlanta<\/a>\"tennis-serve5\"<\/a>\u00a0(Incidentally, Roger Federer’s follow-through is unquestionable.)<\/p>\n

 <\/p>\n

Can anyone notice the peculiar habits that are a common characteristic \u00a0 of those who are most susceptible to incur shoulder or “Tommy-John” surgery?\u00a0\"tennis-serve2\"<\/a>\"Pirate<\/a>\"rondon1\"<\/a>\"Jarod<\/a>\"New<\/a>\"tommy-john2\"<\/a>\"matt-moore-ucl-injury<\/a>\"darren<\/a><\/p>\n

 <\/p>\n

The \u201cSpecificity of Motion-Movement\u201d Principle is probably the best policy to practice if any pitcher or fielder would want to train his body and arm properly and condition them to sustain the physical and mental well-being during a Baseball career.<\/p>\n

Coming Soon:<\/strong> The D.H. is the Only Way to Go!<\/p>\n","protected":false},"excerpt":{"rendered":"

\u201cA new name for an ailment affects people like a Parisian name for a novel garment. Every one hastens to get it.\u201d These words were written in the late 19th century by Mary Baker Eddy, a highly astute meta-physician who keenly observed the prevalent trend of the medical profession, along with the unwitting press, to … Continue reading The “Tommy – John” Syndrome – What’s the Answer?<\/span> →<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-845","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"aioseo_notices":[],"_links":{"self":[{"href":"http:\/\/www.johnpaciorek.com\/index.php?rest_route=\/wp\/v2\/posts\/845","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.johnpaciorek.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.johnpaciorek.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.johnpaciorek.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.johnpaciorek.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=845"}],"version-history":[{"count":9,"href":"http:\/\/www.johnpaciorek.com\/index.php?rest_route=\/wp\/v2\/posts\/845\/revisions"}],"predecessor-version":[{"id":2037,"href":"http:\/\/www.johnpaciorek.com\/index.php?rest_route=\/wp\/v2\/posts\/845\/revisions\/2037"}],"wp:attachment":[{"href":"http:\/\/www.johnpaciorek.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=845"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.johnpaciorek.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=845"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.johnpaciorek.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=845"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}