Why President Obama Throws Like a Girl - A lot of people took this as a political commentary, but to be honest, it was really just me talking about the concept of retroversion as it applies to a throwing shoulder - with a little humor thrown in, of course!

Overbearing Dads and Kids Who Throw Cheddar - This one was remarkably easy to write because I've received a lot of emails from overbearing Dads asking about increasing throwing velocity in their kids.

What I Learned in 2009 - I wrote this article for T-Nation back at the beginning of the year, and always enjoy these yearly pieces.  In fact, I'm working on my 2010 one for them now!

What a Stressed Out Bride Can Teach You About Training Success - I wrote this less than a month out from my wedding, so you could say that I had a good frame of reference.

Baseball Showcases: A Great Way to Waste Money and Get Injured - In case the title didn't tip you off, I'm not much of a fan of baseball showcases.

Cueing: Just One Piece of Semi-Private Training Success - Part 1 and Part 2 - These articles were featured at fitbusinessinsider.com.  I enjoy writing about not only the training side of things, but some of the things we've done well to build up our business.

Three Years of Cressey Performance: The Right Reasons and the Right Way - This might have been the top post of the year, in my eyes. My job is very cool.

How to Attack Continuing Education in the Fitness Industry - Here's another fitness business post.

Want to Be a Personal Trainer or Strength Coach?  Start Here. - And another!

The Skinny on Strasburg's Injury - I hate to make blog content out of someone else's misfortune, but it was a good opportunity to make some points that I think are very valid to the discussion of not only Stephen Strasburg's elbow injury, but a lot of the pitching injuries we see in youth baseball.

Surely, there are many more to list, but I don't want this to run too long!  Have a safe and happy new year, and keep an eye out for the first content of 2011, which is coming very soon!

Should Pitchers Overhead Press? - This was an excerpt from Mike Reinold and my Optimal Shoulder Performance seminar (which became a popular DVD set for the year).

Shoulder Impingement vs. Rotator Cuff Tears - Speaking of Mike, here's a bit from the man himself from that seminar DVD set.

Thoracic and Glenohumeral Joint Mobility Drills - The folks at Men's Health tracked me down in the lobby at Perform Better in Providence and asked if I could take them through a few shoulder mobility drills we commonly use - and this was the result.

Cressey West - This kicks off the funny videos from the past year. A few pro baseball players that I program for in a distance-based format created this spoof video as a way of saying thank you.

Tank Nap - My puppy taking a nap in a provocative position.  What's more cute?

Matt Blake Draft Tracker - CP's resident court jester and pitching instructor airs his frustrations on draft day.

1RM Cable Horizontal Abduction - More from the man, the myth, the legend.

You can find a lot more videos on my YouTube page HERE and the Cressey Performance YouTube page HERE.

In part 1, I made the case for long toss as an effective addition to a throwing program.  Today, we answer the question, “Why don’t some pitchers respond well to long toss?”  Let’s look at the top four reasons why someone may not be approaching long toss optimally.

1. They structure it incorrectly.

By far, the biggest mistake I see from pitchers when they’re long tossing is that they don’t utilize compression/pull-down throws at the end of the session.  These throws teach the pitcher to get on top of the ball and bring the release point down to where it should be with pitching – but they do all this with the increased arm speed you get from long tossing.  Effectively, you use compression throws to transition from your longest throwing distance to a flat ground session (this is a practice you’ll see from a LOT of MLB starting pitchers in pre-game warm-ups before they ever step foot on a mound).

Typically, our guys use a compression throw every 45-60 feet on the way back in (it almost amounts to a brisk walk back in).  So, if a pitcher went out to 300 feet with his long toss, he’d take compression throws at about 250, 200, 150, 100, and 60 feet.  I joke with guys that the last throw at 60 feet should pretty much scare the crap out of their throwing partners.  If you've seen Trevor Bauer crow-hopping downthe mound for his last warm-up pitch prior to every inning, you know what I mean.  Not surprisingly, Bauer is an Alan Jaeger/Ron Wolforth long toss disciple.  Here’s what Baseball America had to say about it: “[Bauer] starts behind the rubber, runs over the mound and throws as hard as he can to the plate, from about 54 feet. I've heard reports that those throws have registered 100 mph…”

Some guys – particularly those with a history of control issues and the guys who are trying to tinker with their mechanics – are wise to go into a brief flat-ground (or regular) bullpen right after these compression throws.  It’s a good chance to transfer the arm speed and athleticism of long toss into a little more of a sport-specific action.  I’ve also seen quite a few pitchers who have improved their change-ups considerably by long tossing for part of the session with their change-up grip, and then integrating it into one of these post-long-toss flat ground or bullpen sessions.  It helps with keeping the arm speed up in pitchers who tend to slow down the arm for change-ups.

2. They become good throwers and not good pitchers.

I’ll be straightforward with this one.

If you can long toss 350 feet, but pitch at 80-82mph, you can definitely stand to cut back a bit on your long tossing to spend more time focusing on mound work to sync things up and use that general motor potential to your advantage.

If you can long toss 350 feet, but have a 1:6 strikeout:walk ratio and have pitches hitting the backstop, you can definitely stand to cut back a bit on your long tossing to spend more time focusing on mound work to sync things up and actually throw strikes.

If you can long toss 350 feet, but are getting shelled because you just throw a very straight 93mph and don’t have any secondary pitches, you can definitely stand to cut back a bit on your long tossing to spend more time focusing on mound work to sync things up and learn some other pitches.  The average fastball velocity is higher in low-A than it is in the big leagues, you know…

3. They think long toss covers all their needs.

There are a ton of different factors that contribute to pitching success and longevity.  Once you can throw a ball a long way, there is a tendency to think that you’ve done what you need to be successful, but in reality, there are a lot more things to address to prepare your body and long toss is still pretty specific, in the grand scheme of things.  As is often the case, the greatest benefits are usually derived from doing the things that you don’t do particularly well (yet).  Bartolo Colon, for instance, might be able to long toss 330 feet, but he might have a heart attack on the light jog to the outfield to partake in that long tossing session.

4. They don’t long toss on a straight line.

It seems like a no-brainer, but you should throw on a straight line.  If the guy 250 feet away is 20-feet to the left of “center,” you’re teaching yourself to either stay closed or fly open with your delivery.  Stand on the foul line or line yourself up between foul poles, if you’re looking for a quick and easy way to “get aligned.”

As you probably appreciate now, while long toss is usually a tremendously valuable inclusion in most throwing programs, it isn’t a perfect fit for everyone – and that’s why each unique case must be considered individually.

Don't forget that long toss guru Alan Jaeger has put his popular Thrive on Throwing DVD on sale for 25% off for my readers for a limited time only.  Click here to learn more.

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Long toss may have been scorned by quite a few baseball traditionalists, but I am a big fan of it – and our guys have responded outstandingly to the way we’ve used it.  Perhaps it’s just my “1+1=2” logic at work, but I just feel like if you can build up the arm speed to throw the ball a loooonngggg way, then you’ll be able to carry that over to the mound as soon as you get your pitching mechanics dialed in.  And, this has certainly been validated with our athletes, as we have loads of professional pitchers who absolutely swear by long toss (both off- and in-season).

So, you can understand why I got excited when my good buddy, Alan Jaeger – a man who has devoted a big chunk of his life to getting long toss “accepted” in the baseball community – was featured in this article at MLB.com about what a difference it makes - including for the Texas Rangers on their road to the World Series a few years ago.

I was, however, not a fan of this paragraph in the article:

“Former Red Sox pitcher Dick Mills has a business built around teaching mechanics and maximizing velocity, and he is a staunch opponent of long tossing. He has released countless YouTube videos angrily decrying this practice. In his latest, ‘How Long Toss Can Ruin Your Pitching Mechanics and Your Arm,’ he says, ‘Why would you practice mechanics that are totally different and will not help a pitcher during a game? And why would you practice throwing mechanics that are clearly more stressful where the arm does most of the work?’"

Taking it a step further, here’s a Dick Mills quote I came across a few years ago:

“Training will not teach you how to apply more force…only mechanics can do that. And pitching is not about applying more effort into a pitch but is about producing more skilled movements from better timing of all the parts. That will help produce more force. No matter how hard you try, you will not get that from your strength training program…no matter who designed it, how much they have promised you it would or your hope that it will be the secret for you.”

While I agree (obviously) on the importance of mechanics and timing, effectively, we’re still being told that long toss, strength training, and weighted balls are all ineffective modalities for developing the pitcher – which leaves us with what, bullpens and stretching? It sounds like every youth baseball practice in the country nowadays – and all we’re getting now are injured shoulders and elbows at astronomical rates.  Something isn’t right – and the message is very clear: specificity is a very slippery slope.

On one hand, when it comes to mechanics, you need to throw off the mound to get things fine-tuned to achieve efficiency.

On the other hand, research has shown that arm stress is higher when you’re on the mound (there is less external rotation at stride foot contact with flat ground throwing).  Additionally, every pitch that’s thrown is really a step in the direction of sports specialization for a youth baseball player – and something needs to balance that out.  Why?

Well, specializing at a young age is destroying kids.  As a great study from Olsen et al. showed, young pitchers who require surgery pitched “significantly more months per year, games per year, innings per game, pitches per game, pitches per year, and warm-up pitches before a game. These pitchers were more frequently starting pitchers, pitched in more showcases, pitched with higher velocity, and pitched more often with arm pain and fatigue.”  And people think that kid need more work on the mound?  What they need are more structured throwing sessions (practice, not competition) and a comprehensive throwing and strength and conditioning program to prepare them for the demands they’ll face.

But those aren’t specific enough, are they?!?!?!  Well, let’s talk about specificity a bit more.  Actually, let’s read – from renowned physical therapist Gray Cook, a guy who certainly knows a thing or two about why people get injured:

The physical presentation of differently trained bodies often provides a signature of the type and style of activity that developed it. Those who are exclusive in their activities seem more often be molded to their activities, and sometimes actually over-molded. These individuals can actually lose movements and muscles that would make alternate activities much easier.

Specialization can rob us of our innate ability to express all of our movement potential. This is why I encourage highly specialized athletes to balance their functional movement patterns. They don’t so much need to train all movement patterns, they just need to maintain them. When a functional movement pattern is lost, it forecasts a fundamental crack in a foundation designed to be balanced. The point is not that specialization is bad—it only presents a problem when the singular activity over-molds to the point of losing balance.

While there are probably 15-20 awesome messages we can take home from the previous two paragraphs, here’s the big one I want to highlight: it’s our job as coaches to find the biggest window of adaptation a pitcher has and bring it up to speed – while simultaneously keeping other qualities in mind.

If he’s stiff, we work on mobility.  If he’s weak, we get him strong.  If he’s a mechanical train wreck, we get him more bullpens.  If his arm speed isn’t good, we work more on weighted balls and long toss.  If you just take a 5-10, 120-pound 9^th grader and have him throw bullpens exclusively, he’ll get better for a little bit, and then plateau hard unless you get him bigger and stronger.

How does this work?  It’s a little principle called Delayed Transmutation that Vladimir Zatsiorsky highlighted in Science and Practice of Strength Training.  Zatsiorsky defines delayed transmutation as “the time period needed to transform acquired motor potential into athletic performance.”  In other words, expand and improve your “motor pool” in the off-season, and it’ll be transformed into specific athletic performance when the time is right.

And, as I wrote in The Ultimate Off-Season Training Manual, “the more experienced you are in a given sport, the less time it will take for you to transform this newfound strength and power [and mobility] into sporting contexts.”  This is why professional pitchers can find their groove each year MUCH easier than high school pitchers in spite of the fact that they probably take more time off each year (2-3 months from throwing) than the typical overused kid who plays on 17 different AAU teams.

That said, there’s a somewhat interesting exception to this rule: really untrained kids.  I’ll give you two examples from the past week alone at Cressey Performance.

We had a high school senior and a high school junior who both just started up their winter throwing programs to prepare for the season.

The first told me that he was sore in his legs after throwing for the first time in his life.  Effectively, without throwing a single pitch or really doing any lesson work (or even throwing off a mound), this kid has managed to change the neuromuscular recruitment patterns he uses to throw the baseball.  Strength, power, and mobility took care of themselves: delayed transmutation.

The second told me that his arm feels electric.  Ask any experienced pitcher, and they’ll tell you that your arm is supposed to feel like absolute crap the first 4-5 days after an extended layoff, but it always gets better.  However, when you’re a kid who has gotten more flexible and packed on a bunch of muscle mass, it’s like all of a sudden driving a Ferrari when you’re used to sharing a minivan with Mom: delayed transmutation.

Specificity is important in any sport, but a it really is just the work as far to the right as you can go on the general to specific continuum.  Elite sprinters do squats, lunges, Olympic lifts, jump squats, and body weight plyos as they work from left to right on the general-to-specific continuum to get faster.  So, why do so many pitching coaches insist that pitchers stay as far to the right as possible?    Symbolically, long toss is to pitchers what plyos are to sprinters: specific, but just general enough to make a profound difference.

In a very roundabout way, I’ve made a case for long toss as something that can be classified as beneficial in much the same way that we recognize (well, most of us, at least) that mobility drills, foam rolling, strength training, movement training, and medicine ball drills to be excellent adjuncts to bullpens. In the process of learning to throw the baseball farther, we:

1. push arm speed up

2. train in a generally-specific fashion

3. improve contribution of the lower half

4. realize another specific, quantifiable marker (distance) of progress

5. keep throwing fun

6. train the arm with just enough LESS specificity to help keep pitchers healthy, as compared with mound work

The question then becomes, “Why don’t some pitchers respond well to long toss?”  In part 2, I’ll outline the most common mistakes I’ve seen:

When I told Alan Jaeger that I was sending this article out, he graciously offered to set up a 25% off discount code on his Thrive on Throwing DVD set for my readers. This outstanding DVD set thoroughly teaches players and coaches how to approach long tossing, and Alan has also applied a discount to his J-Bands and his Getting Focused, Staying Focused book for pitchers. Here's a link to the discount page.

Sign up for a Free Copy of the Cressey Performance Post-Throwing Stretches:

Third, as is usually the case, use these guys as relievers to keep their throwing volume lower while still maximizing their utility. Other than that, manage them as if you would any other pitcher - which should always be a tremendously individualized process, anyway! Please enter your email below to sign up for our FREE newsletter.

The point I want to make, though, is that an injury like this can never, ever, ever, ever be pinned on one factor.  We have seen guys with "terrible mechanics" (I put that in quotes because I don't think there is such a thing as "perfect mechanics") pitch pain-free for their entire careers.  Likewise, we've seen guys with perfect mechanics break down.  We've seen guys with great bodies bite the big one while some guys with terrible bodies thrive.

The point is that while we are always going to strive to clean things up - physically, mechanically, psychologically, and in terms of managing stress throughout the competitive year - there is always going to be some happenstance in sports at a high level.  As former Blue Jays general manager JP Ricciardi told me last week when we chatted at length, "you've only got so many bullets in your arm."

Strasburg used up a lot of those bullets before he ever got drafted, so it's hard to fault the Nationals at all on this front.  In fact, from this ESPN article that was published when the team thought it was a strain of the common flexor tendon and not an ulnar collateral ligament injury (requiring Tommy John surgery), "Strasburg has told the team he had a similar problem in college at San Diego State and pitched through it."  It's safe to assume that the Nationals rule out a partial UCL tear in their pre-draft MRIs, but you have to consider what a common flexor tendon injury really means.

As I wrote in in my "Understanding Elbow Pain" series (of interest: Anatomy, Pathology, Throwing Injuries, and Protecting Pitchers) the muscles that combine to form the common flexor tendon are the primary restraints - in addition to the ulnar collateral ligament - to valgus stress.  If they are weak, overused, injured, dense, fibrotic, or whatever else, more of that stress is going on that UCL - particularly if an athlete is throwing with mechanics that may increase that valgus stress (the Inverted W I noted above) - the party is going to end eventually.  Is it any surprise that this acute injury occurred just a few weeks after Strasburg dealt with a shoulder issue that put him on the disabled list for two weeks?  The body is a tremendously intricate system of checks and balances, and it bit him in the butt.

There are other factors, though.  As a great study from Olsen et al. showed, young pitchers who require surgery "significantly more months per year, games per year, innings per game, pitches per game, pitches per year, and warm-up pitches before a game. These pitchers were more frequently starting pitchers, pitched in more showcases, pitched with higher velocity, and pitched more often with arm pain and fatigue. They also used anti-inflammatory drugs and ice more frequently to prevent an injury."  And, they were also taller and heavier.

Go back through the last 12-15 years of Stephen Strasburg's life and consider just how many times he's ramped up for spring ball, summer ball, fall ball, and showcases - only so that he can shut down for a week, just to ramp right back up again to try to impress someone else.  Think of how many radar guns he's had to pitch in front of constantly for the past 5-7 years - because velocity is all that matters, right?

Stephen Strasburg's injury wasn't caused by a single factor; it was a product of many.  And, it can't be pinned on Strasburg himself, any of his coaches or trainers, or any of the scouts that watched him.  Blame it in the system that is baseball in America today.

We already knew that this system was a disaster, though.  Yet, people still keep letting their kids go to showcases in December.  Heck, arguably the biggest underclassmen prospect event of the year - the World Wood Bat Tournament in Jupiter, FL - takes places at the end of October.  When they should be resting, playing another sport, or preparing their bodies in the weight room, the absolute best prospects in the country are pitching with dead, unprepared arms just because it's a convenient time for scouts and coaches to recruit - because the season is over.

They're wasting their bullets.

Now, I'm not saying that Strasburg's injury could have been avoided in a different system - but I'd be very willing to bet that it could have been pushed much further back - potentially long enough to allow him to get through a career.  An argument to my point would be that if it wasn't for all these exposures, he wouldn't have developed - but my contention to that fact was that it is well documented that Strasburg "blew up" from a good to an extraordinary pitcher with increased throwing velocity when he made a dedicated effort to getting fit when he arrived at college.

My hope is that young pitchers will learn from this example and appreciate that taking care of one's body is just as important as showing off one's talent.

However, what is very interesting to me is that 9/10 cases were treated non-operatively; in other words, Tommy John surgery is much less prescribed in football quarterbacks than baseball pitchers - meaning that the quarterbacks respond better to conservative treatment. What's up with that?  They are the same injuries - and presumably the same rehabilitation programs. In my eyes, it's due to the sheer nature of the stress we see in a baseball pitch in comparison to a football throw.  As a quarterback, you can probably "get by" with a slightly insufficient UCL if you have adequate muscular strength, flexibility, and tissue quality.  While this is still the case in some baseball pitchers, the stresses on the passive structure (UCL) are still markedly higher on each throw, meaning that your chances of getting by conservatively are probably slightly poorer.

Finally, I'd like to see pitchers lift more - because they simply don't do enough of it during the season.  With limited time between outings, it's important to get in the most important stuff first - and I just don't see swimming as "important" when compared to flexibility training, soft tissue work, the throwing program, and strength training.

In the same grain as Monday's post on lower back pain, today, I thought I'd highlight some of the common findings in diagnostic imaging of the shoulder, as these findings are just as alarming.

Do you train loads of overhead throwing athletes (especially pitchers) like I do?  Miniaci et al. found that 79% of asymptomatic professional pitchers (28/40) had "abnormal labrum" features and noted that "magnetic resonance imaging of the shoulder in asymptomatic high performance throwing athletes reveals abnormalities that may encompass a spectrum of 'nonclinical' findings."  Yes, you can have a torn labrum and not be in pain (it depends on the kind of labral tear you have; for more information, check out Mike Reinold's great series on SLAP lesions, starting with Part 1).

This isn't just limited to baseball players, either; you'll see it in handball, swimming, track and field throwers, and tennis as well.  And, it isn't just limited to the labrum.  Connor et al. found that eight of 20 (40%) dominant shoulders in asymptomatic tennis/baseball players had evidence of partial or full-thickness cuff tears on MRI. Five of the 20 also had evidence of Bennett's lesions.

The general population may be even worse, particularly as folks age. Sher et al. took MRIs of 96 asymptomatic subjects, finding rotator cuff tears in 34% of cases, and 54% of those older than 60 - so if you're dealing with older adult fitness, you have to assume they're present in more than half your clients!

Also, in another Miniaci et al. study, MRIs of 30 asymptomatic shoulders under age 50 demonstrated "no completely 'normal' rotator cuffs."  People's MRIs are such train wrecks that we don't even know what "normal" is anymore!

As is the case with back pain, these issues generally only become symptomatic when you don't move well - meaning you have insufficient strength, limited flexibility, or poor tissue quality.  For more information on how to screen for and prevent these issues from reaching threshold, check out Optimal Shoulder Performance from Mike Reinold and me.

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