Listen to Jonathan on Angels Baseball Radio

 

If you’re a parent of a young ball player, you need to hear this.

Baseball PT Jonathan Meltzer joined Dr. Alan Beyer on Doctor in the Dugout Angels Radio AM830 to talk about injury prevention for players of all levels, as well as his views on the controversial issue of youth baseball injuries on the rise in Orange County.

 


 

JMAbout Jonathan Meltzer, PT, DPT

Doctor of Physical Therapy Jonathan Meltzer is a licensed orthopedic physical therapist at Rausch Physical Therapy & Sports Performance in Laguna Niguel, Calif. Known as “The Baseball PT,” Jonathan not only specializes in baseball-specific rehab and helping players get back onto the field faster and healthier, but he also advocates for injury prevention and is passionate about combating avoidable overuse injuries plaguing youth baseball athletes. Jonathan’s goals are to identify limitations and treat his patients with the most recent and innovative techniques in order to maximize functional independence and obtain his patients’ individual goals.

 

How to Keep Injuries from Killing Your Big League Dreams

 

Injury prevention is a top concern for many young players whose goals of playing college or professional baseball rely on them staying healthy. “The Baseball PT” Jonathan Meltzer, DPT shares his four tips for proper arm and body care and maintenance to help youth overhead athletes achieve a long, healthy career.

JM-BLOG
BY JONATHAN MELTZER, DPT, RAUSCH PHYSICAL THERAPY

So, you want to play baseball at the next level? Whether that means making a college team or making it to the show, the opportunities to play at a higher level are there for the taking, but it requires significant diligence, dedication and talent. It also takes training and—most importantly—you have to stay healthy.

One of the biggest big league dream killers is injury. You see it time and again; a high school player ignores an injury he suffered playing club ball as a kid, and now when it’s time for scouts and coaches to evaluate his skill, he’s stuck in the dugout on the disabled list.

As a physical therapist, nothing makes me prouder than when I help a young ballplayer rehabilitate from a potentially career-ending injury, and he then goes on to achieve his goal of playing college baseball. By taking care of your body and implementing a specific strength training program, injuries are much less likely to occur, and you can greatly expand your career longevity.

Here are four tips for getting your arm and body in the most efficient shape possible so that injuries don’t keep you from playing ball at the next level.

#1 – Be Honest

First and foremost, you have to be honest about your symptoms. Ask yourself, “Do I feel pain, discomfort, or soreness anywhere in my body that doesn’t seem to go away?” Answering yourself honestly and being able to accept that something “just doesn’t feel right” is the first step in injury prevention.

If you do notice any minor aches, pains or soreness that doesn’t seem to go away, you need to get it checked out by your physical therapist or sports physician. For example, as “the Baseball PT,” I always perform a full biomechanical analysis and assessment of the entire “baseball body” when a player comes to see me about some “minor” pain. Trust me when I say something small will usually develop into a more serious injury because of the repetitive nature of baseball mechanics (i.e. pitching, throwing and hitting.)

FOR PARENTS/COACHES: If your player is trying to be honest with you about pain, LISTEN TO HIM. I cannot tell you how many times an overzealous parent or coach will push their kid to play through pain and soreness because a scout might be in the stands, only to cause permanent damage that ends their kid’s baseball career while he’s still a teenager.

 

#2 – Take Care of Your Tissues

Once recognizing some ache, pain or soreness, you need to start preventative care with consistent soft tissue work. For this, I recommend every one of my athletes to get a lacrosse ball or baseball. You can either lay or stand with the ball pressed against your back/shoulder and some hard surface. Any sore or tender spots you find means there are restrictions there that must be worked out before and after every practice and game. Another great soft-tissue mobilization tool–particularly for your upper back and lats–is a foam roller. Again, you should foam roll before and after every practice and game to keep the rotational component of your body loose.

#3 – Stretch the Proper Way

Take note because this is very important: we DO NOT want to static stretch prior to performance. When you static stretch (e.g. hold arm across body, pec stretch holding on to fence, hamstring stretch, etc.) all you’re doing is tricking your brain into thinking your tissues are lengthening (i.e. getting loose) when in reality, they’re not. Your brain has told your body it’s warmed up and ready to go, but actually the tissue is still stiff and not properly prepared for action, which is what can lead to injury. Static stretching also negatively effects your performance, as research shows that it leads to a nine percent decrease in strength for up to an hour afterwards (obviously not ideal before a game.)

Instead, before every practice and game you need to perform a dynamic warm up, which mimics the movements you’ll actually be doing while playing ball, such as active wrist movements, dynamic hugs, and throwing position rotation.

For a simple dynamic stretching program you can implement into your warm up routine today, watch my video Dynamic Baseball Warm Up (Part 1): Stretching:

 

#4 – Build Entire-Body Strength

Finally, the last piece to get us to the next level and help prevent injuries is a proper strength training program. However, in this case* I’m not just talking about strengthening the arm, but rather the entire body. I really can’t emphasize enough how important it is for baseball players to work on their shoulder stabilizers to improve their back, core and lower-half strength, as well as balance.

To view my four favorite stabilization and strength training exercises for preventing injuries, check out my blog “4 Strength Exercises All Baseball Players Should Add to Their Training Program.”

[framedbox]*PLEASE NOTE that my Dynamic Baseball Warm Up mentioned in #3 also includes an arm strength exercise program, to be performed prior to every practice and game to dynamically warm up the arm before use. Stay tuned for part two of the above video, “Dynamic Baseball Warm Up (Part 2): ARM STRENGTH & BANDS,” coming soon![/framedbox]

So, as you continue to put in the work to achieve your dream of playing baseball at the next level, just remember that consistency is key. Professional athletes are all known for their consistent drive and dedication, and with that dedication comes an intense focus on daily body health maintenance. The fact is that if you’re consistent with your daily recovery routine and if you start listening to your body, you will perform better, and ultimately your shot at playing baseball at the next level is as good as anyone’s.


StaffHeadshot-JonJonathan Meltzer graduated from the University of Redlands with a bachelor of arts in biology and a minor in physical education. Following graduation, Jonathan discovered his passion for physical therapy while working as a Physical Therapy Aide. After graduating top of his class from Loma Linda University in 2012 with a Doctorate in Physical Therapy, Jonathan began his career at Rausch Physical Therapy and Sports Performance. Jonathan’s goals are to identify limitations and treat his patients with the most recent and innovative techniques in order to maximize functional independence and obtain his patients’ individual goals.

Click to learn more about Jonathan and our other physical therapists »

 

Four Strength Exercises All Baseball Players Should Add to Their Training Program

JM-BLOG
BY JONATHAN MELTZER, DPT, RAUSCH PHYSICAL THERAPY

In my blog “How to Keep Injuries from Killing Your Big League Dreams,” I discuss four ways youth baseball players can take better care of their bodies and get in the most efficient shape possible so that injuries don’t keep them from playing ball at the next level. One of these ways is to implement a global strength program into your training regimen, which emphasizes building entire body strength rather than simply focusing on your throwing arm.

The Best Exercises for Building Entire-Body Strength

A proper strength training program will not only will this improve your overall athletic performance, but it will also help you to avoid the common overuse injuries that are plaguing youth sports today. However, I’m not just talking about strengthening the arm, but rather the entire body. I really can’t emphasize enough how important it is for baseball players to work on their shoulder stabilizers to improve their back, core and lower-half strength, as well as balance.

Here are my four favorite stabilization and strength training exercises for preventing injuries:

1. Planks

Planks are great for total body stabilization and core. Perform this plank series every day to increase your strength.

 

Front Plank – Hold for 45 seconds.

 

Side Planks  – Hold for 45 seconds on each side.

2. I.T.W.Y. on Swiss Ball with Weights

For this exercise you’ll need 1, 2 and a 3 lbs. dumbbells and a swiss ball. As you move through the sequence below, keep your abs tight and lifted so your back is flat. Perform 2 sets x 15 reps (2 x 15).

 

” I – 3 lbs. weight”

 

” T – 1 lbs. weight”

 

” W – 2 lbs. weight”

 

” Y – No weight”

3. Side-Lying Dumbbell Pyramid

To perform this series, lay on your side with 1, 2 and 3 lbs. dumbbells in front of you. Place a rolled towel between on your side and top arm, just below the elbow. Grab the 3 lbs. dumbell first, and lift up and down, keeping the elbow glued to the hip and shoulder blades squeezed together. Do 30 lifts or until fatigue, then move to the next lowest weight, repeating the same movements. Once you have completed reps with each dumbbell, roll over and do the other arm.

 

3 lbs. weight first.

lbs. weight.

 

Finish up with the 1 lb. weight, then switch sides.

4. Swiss Ball Core Series

This tricky series will strengthen your core and improve your balance.

 

Roll down the ball until you’re in a plank position, then do a push up. (2 x 15)

 

Tuck knees toward your chest. (2 x 15)

Core Series

Lift your hips into the pike position. (2 x 15)

By implementing these four exercises into your current strength training program, you can begin to greatly improve your entire-body strength and stability, two very important keys to athletic success and a long, healthy baseball career.

 


StaffHeadshot-JonJonathan Meltzer graduated from the University of Redlands with a bachelor of arts in biology and a minor in physical education. Following graduation, Jonathan discovered his passion for physical therapy while working as a Physical Therapy Aide. After graduating top of his class from Loma Linda University in 2012 with a Doctorate in Physical Therapy, Jonathan began his career at Rausch Physical Therapy and Sports Performance. Jonathan’s goals are to identify limitations and treat his patients with the most recent and innovative techniques in order to maximize functional independence and obtain his patients’ individual goals.

Proper Pitcher’s Hip Rotation and How to Get It

 

Remember that game Twister? Every time that spinner landed on a new color, you were forced to reach your hand behind your back, underneath a leg, and across the board, all while trying not to fall. While incredibly entertaining, this silly game can also be a valuable lesson about positional torques, balance, rotation and flexibility—especially when it comes to baseball.

Looking at the specific qualities to win this game can be related to the critical components of the throwing motion in baseball. Often times when assessing a pitcher’s mechanics, there’s a miss in relating the lower half to the upper half of the body.  It is crucial for a pitcher—no matter the age—to begin to learn the importance of max hip rotation in order to achieve full torque of the trunk and obtain maximal velocity through the pitch.

The Sling Shot Effect

The rubber band of a sling shot is wound up with so much tension so that when it’s released, a massive amount of kinetic energy hurls the rock (or projectile of your choice) forward. The pitching motion in baseball is similar in that the lower half of the body, starting with proper foot placement and maximal hip rotation, will create a buildup of kinetic energy through the trunk, shoulder blades, shoulder and finally release through the fingers.

Proper Hip Rotation and How to Get It

Without proper hip rotation, a pitcher’s hips will fly open, which creates torque at the elbow. To avoid this, we want proper hip rotation, which occurs when:

  • The hips are fully rotated just before the lead foot strikes the ground
  • The shoulders are closed with arm extended out into the cocked phase of throwing.

Proper rotation allows for maximal hip-to-shoulder separation, which in turns creates the most amount of torque and velocity possible. There are two specific keys to obtaining this position and preventing further stress on the arm, the lead leg and posture.

The lead leg

The lead leg must be relaxed from the knee down and have proper landing position. Proper landing position includes:

  • Toes pointing slightly towards the right-handers box (if a right-handed pitcher.)
  • The hips will remain closed until just before lead foot strikes the ground.
  • At this time they will lead their front hip towards the plate and really turn open the front hip at the latest possible time.
  • If done properly, the pitcher shoulder feel tightness along their oblique muscles, NOT their back.

Posture

When a pitcher transitions from early-stance phase to the cocked position, their posture can completely affect their ability to rotate through their hips and finish off a throw. For example, if a pitcher is bent too far forward when their foot lands, they will not have the ability to achieve full pelvic rotation, thus not allowing this maximal hip/shoulder separation.

The key for good throwing posture is to focus on balancing and creating extension or back-bending through the middle part of the athlete’s back. It has been statistically proven and correlated that the optimal position of posture is the thoracic spine slightly extended, slight lean towards the back leg, and non-throwing hip flexed up. Therefore, it is important to not allow early rotation of the trunk or shift the center of gravity towards the throwing arm, as both will cause the trunk and shoulders to “open early.” before the hips, and create abnormal stresses on the shoulder and arm.

Maintaining proper foot landing position and rotation of the hips will create the maximal amount of separation leading to good pitching mechanics and increased velocity. Posture is also considerably important and must be taken into account when looking at the ability to create this hip to shoulder separation.

Suggested Training and Exercises

 


 

StaffHeadshot-JonJonathan Meltzer graduated from the University of Redlands with a bachelor of arts in biology and a minor in physical education. Following graduation, Jonathan discovered his passion for physical therapy while working as a Physical Therapy Aide. After graduating top of his class from Loma Linda University in 2012 with a Doctorate in Physical Therapy, Jonathan began his career at Rausch Physical Therapy and Sports Performance. Jonathan’s goals are to identify limitations and treat his patients with the most recent and innovative techniques in order to maximize functional independence and obtain his patients’ individual goals.

 

How to Prevent Throwing Injuries in Youth Baseball

Jonathan Little League
Start ’em young! Jonathan in the community educating little leaguers and their parents about youth baseball injury prevention.

Around the office, they call me “The Baseball Guy.” My years of clinical treatment of ballplayers at Rausch Physical Therapy and Sports Performance, coupled with my interest in biomechanical research, has motivated me to find new ways to reverse the alarming increase in youth baseball arm injuries. In fact, for the past two years I have been developing injury prevention programs for southern Orange County baseball leagues to help protect our youth’s elbows and shoulders.

And it looks like I am not the only one getting on base with this initiative. Major League Baseball and USA Baseball recently teamed up to launch their Pitch Smart program, which is designed to educate parents, coaches and young athletes about how to avoid overuse injuries. It includes information on pitching guidelines, injury risk factors, Tommy John surgery and more.

I have found that out of all the risk factors that can cause injury, the number one is pitching too much, both in a game and in any given year. New research is coming out every month about the correlation of throwing too much and arm injuries in little league athletes. Did you know:

  • If you pitch more than 100 innings in a year, whether little league, club or showcase, it will increase your risk of injury by 3.5x
  • If you pitch greater than 8 months in a year, it will increase risk of surgery by 5x
  • Kids should take off about 2-3 months of competitive pitching in a year and engage in other sports or active rest where they are still using their arms, just not in a pitching motion

 

Throw Right
Jonathan taking a patient through Rausch Physical Therapy Throw Right program.

We as medical professionals need to transfer this information to the public so that change can occur in the traditions and schedules of little league baseball. The Pitch Smart initiative proves to me—and hopefully to parents and coaches—how crucial injury awareness and prevention is. I want to take this information and use my skill to prevent, rehabilitate and treat the youth of little league baseball. At Rausch PT, we offer our Throw Right program, which is designed to improve throwing mechanics and decrease risk of injury by evaluating strength, balance and range of motion. It’s a great way for throwing athletes of any age and experience to stay healthy and in the game for many, many years.

If you have any questions about throwing injury prevention or rehabilitation, please send me an email and I will be happy to answer them. For now, take care of those elbows and shoulders!

Sincerely, The Baseball Guy

Jonathan Meltzer, D.P.T.

jonathan@rauschpt.net


Jonathan-Meltzer

Jonathan Meltzer graduated from the University of Redlands with a bachelor of arts in biology and a minor in physical education. Following graduation, Jonathan discovered his passion for physical therapy while working as a Physical Therapy Aide. After graduating top of his class from Loma Linda University in 2012 with a Doctorate in Physical Therapy, Jonathan began his career at Rausch Physical Therapy and Sports Performance. Jonathan’s goals are to identify limitations and treat his patients with the most recent and innovative techniques in order to maximize functional independence and obtain his patients’ individual goals.