Ben Schwarz @bschwarzPT30
Physical Therapist for ⚾️ players in the Twin Cities | Owner of @MVP_SportsRehab mvpsportsrehab.com Eden Prairie, MN Joined July 2016-
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After 2 unsuccessful physical therapy attempts, this pitcher was referred to @MVP_SportsRehab. He previously could not pitch due to elbow pain (UCL partial tear). During the rehab process at MVP he hit a velocity PR and recently made his high school varsity debut.
Preventing ⚾️ injuries requires a case by case approach. If you’re trying to solve the injury problem as a whole across all ages and skill levels you will be on an endless search for answers.
Royals get a nice 1-0 W over Stillwater today. @jackgessner4 was outstanding on the mound going 6IP 9Ks 1BB @george_bjellos with Save #2! @TKroohn back in action today with the GW RBI! 4-0 in SEC!
Pitch counts… 20 pitches vs 80 pitches in a game does not matter if you don’t account for throwing during the REST OF THE WEEK. Imagine trying to diet for weight loss and only modifying calorie intake on Thursdays…
Pitch counts… 20 pitches vs 80 pitches in a game does not matter if you don’t account for throwing during the REST OF THE WEEK. Imagine trying to diet for weight loss and only modifying calorie intake on Thursdays…
Professional baseball gets all the attention for Tommy John surgery, but guess what age group has the highest average annual incidence of UCL reconstruction? 15 to 19 years old Take care of your young pitchers.
The best ⚾️ rehabs are… Guided by flexible plans, not strict protocols… Progressed by stress, not exercises… Include throwing during the rehab, not after therapy has “ended”.
Get ready for a wave of gimmicky quick fix ⚾️ arm injury solutions coming at you on social media!
The ⚾️ players I work with consistently over months/years begin to ask really good questions about their health. In my opinion, it’s this kind of interaction and relationship that can TRULY impact baseball careers and the rise in injuries. Not an exercise here or there.
⚾️ Return to Throwing Programs… Be flexible and adjust constantly. Outside of intensity, volume, and distance here are some variables that play a major role👇 🔘Nutrition 🔘Sleep 🔘Continued strength training 🔘School 🔘Other sports 🔘Extracurriculars 🔘Relationships
Working the kinetic chain is great, but don’t forget to load injured tissue. Build capacity to throw. You can do all the mechanical drill work you want. No drill work is going to overcome a 30% rotator cuff strength deficit.
One of my favorite parent texts from last year…👏👏. In-season, stay in the weight room.
Sports injuries are complex. Be careful of the providers (especially on social media) who market the “quick fix”. There isn’t one exercise that can solve your problem. Fixing the actual problem requires a well rounded, all encompassing rehab plan.
Low back pain ⚾️ player - “My back felt better after doing back extensions.” Too often healthcare providers prescribe plans that AVOID the injured tissue/areas. Injured tissue is weak. We should LOAD that tissue, and build its capacity to handle the demands of the sport.
Tommy John… The long recovery time really boils down to one thing… The graft. A tendon is supposed to replace and become a ligament 🤯. Those are two entirely different types of tissues. That maturation process can take up to 2 years.
I've tried all advanced methods you can think of: - Bands & Chains - Specialty Bars - Triphasic, Machines - VBT - Clusters - Squat 5x/week You name it. The best method for 99% of the athletes you'll work with is just progressive overload each week and consistency. Stacking…
I spend more time adjusting Rowing technique than any other exercise. The 3 problems I usually see…👀 1️⃣ Lack of T-Spine Extension 2️⃣ Lack of Scap Posterior Tilt 3️⃣ Excessive GHJ Extension
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I had a dad recently who was dumbfounded that I suggested it was a bad idea his 9 YO son threw 3 innings on back to back days (105 total pitches). This isn't a knock on the dad, it just shows how low the knowledge floor is and we can go a LONG ways with some basic education.
The greatest sin “evidence-based” practitioners commit: Ignoring the data happening in real time, right under their nose, in favor of data someone else collected. Phrased another way: They make decisions on the how things “should” be, rather than how they are.
If we're being honest, the likelihood of reducing youth injuries, especially throwing-related, is exceedingly low. This is because the things that would actually help reduce injuries - fewer games, enforcement of pitch count guidelines, having more kids in a team pitch, etc.....
Professional baseball gets all the attention for Tommy John surgery, but guess what age group has the highest average annual incidence of UCL reconstruction? 15 to 19 years old Take care of your young pitchers.
Kids don't have to pitch in showcases to play at the highest levels of baseball. Check out some stats from this study on pitchers drafted in the first 5 rounds of the MLB draft.
First throws since Tommy John surgery in October💪 the real work starts now @bschwarzPT30 @BrowerBaseball @TonkaBaseball_1 @DrivelineBB @NCSA_Baseball @PBRMinnesota
Sports clinicians, make sure you get in the weight room. Rehab doesn't stop at 3x10 straight leg raises. Learn from your strength and conditioning colleagues. Collaborate and build back stronger.
Working the kinetic chain is great, but don’t forget to load injured tissue. Build capacity to throw. You can do all the mechanical drill work you want. No drill work is going to overcome a 30% rotator cuff strength deficit.
Exercise Order matters Follow this : - Explosive Movements (Jumps, Throws, Sprint) - Main Strength Movement (Squat, Clean, Bench, etc) - Main Assistance Movement (RDL, Lunge, Row, etc) - Accessory Work/Trunk Fast first when fresh Heavy before fatigued Finish with the pump
How does a loose or torn ulnar collateral ligament affect the back of the elbow? With an intact UCL, the olecranon glides smoothly over the humerus. Joint contact pressures are more evenly distributed across a wider contact area in the posteromedial elbow. But…
To any baseball players concerned about their shoulder internal rotation: It is normal to have less IR motion on your throwing side. Your bone is twisted. Your throwing shoulder won't be the same as your other shoulder. It's normal. It's a good thing for throwing baseballs.
@TreadHQ Pro Day Recap Part 2: AJ Puckett (@Puckett_AJ15) Another groundball machine (52.3% in AA this season) 3/4 pitches with Stuff+ grades > 100 (SI - 112, Sweeper - 131, Gyro - 106) Filthy east/west profile + brought back the hard gyro that had success in 2022. Big things…
The most effective way to improve your rehab skills: Learn how to learn. Set aside time to reflect on your evals, interventions, and plans. What went well? What can you improve? If you never take the time to reflect, you'll never make any progress.
You must meet people where they are and educate with patience. Some of the concerns parents have had recently: Isn’t eating that much protein unhealthy? Isn’t creatine illegal? Won’t lifting weights this young stunt his growth? Aren’t sliders dangerous? It’s ok. Help them.
Tech is great, measuring is great but I think it’s important to remember that players don’t play with tech on their eyes telling them the stats of everything they’re doing & their opponents like they have a Dragon Ball Z scouter on. Athletes don’t experience the game in metrics.
If you are wondering why you don’t throw 90 yet, ask yourself: did you consume a rotisserie chicken today?
For any sports med clinician who needs to hear it: Rehab is hard. It's not a linear progression. There will be ups and downs, highs and lows. Sometimes the best thing you can do is just bring consistency. Be a constant source of support and encouragement for your athletes.
Programming note: I was ask about following programming on a day to day basis. Meaning- the days I completely follow my exact plan vs days I go off script. I have yet to follow my exact plan I wrote for sessions in years. The only exception would be combine style training.
Programming is incredibly important. But nothing replaces the art of coaching. What we say/not say, do/not do, and decide / remain indifferent in the sessions is the difference for our athletes.
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