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Arm Health
Here's the windup - ouch! undefined undefined undefined undefinedNumber of injuries to young pitchers galvanizes an effort to educate coaches By M.A. MEHTA STAR-LEDGER STAFF undefined undefined
For thousands of New Jersey boys, yesterday was a perfect spring day. They shoveled down breakfasts, slipped into cleats, piled into minivans and played Saturday morning baseball on sun-drenched fields as their families shouted encouragement. Rockwellian charm aside, some were hurting themselves by doing what most players dream about: pitching. The debate about young pitchers and their risk of injury isn't new, just more intense as a growing number of kids concentrate on a single sport and participate in multiple leagues, some of them year-round. In baseball, the one or two gifted young arms on a team are being asked to throw hard and often. James Andrews, a renowned Birmingham, Ala., orthopedist who has treated nearly every marquee athlete of this generation, says more and more youngsters are coming to him for consultation or surgery on bad elbows and shoulders. He has performed "Tommy John" surgery on 14-year-olds, transplanting a tendon from elsewhere in the body into the elbow to serve as a ligament. Andrews and Rick Peterson, the Mets pitching coach highly regarded for his insight into the mechanics of throwing a baseball, are spearheading an effort to end the problem through the education of coaches and parents. Among the points they emphasize is that youngsters should refrain from throwing breaking balls such as curves, which put extra stress on elbows, until they have reached puberty. But even youngsters who throw fastballs are not immune, such as Mark Irwin, who began throwing hard as an 8-year-old and blew out his elbow as a freshman at Seton Hall University. "This isn't a joke . . . it's becoming an epidemic in youth baseball," said Andrews. "Major League Baseball has to come to the realization that it's to their benefit to get behind this. Otherwise, there's not going to be enough pitchers to go around. CAREER OVER Peterson, a New Brunswick native who is now 49, began studying the science of pitching at Andrews' nonprofit American Sports Medicine Institute in Birmingham more than 15 years ago. Inside the biomechanics lab, Peterson developed a thirst for kinesiology and physiology. He also became a numbers geek (crafting as his mantra, "In God we trust. . . . All others must have data") and a student of the mental approach to pitching. Peterson flourished as pitching coach for the low-budget Oakland Athletics, helping their pitching staff to the lowest earned run average in the American League each of the past two seasons. The Mets believed so much in Peterson's principles - which include New Age visualization and yoga - they signed him this year to a three-year contract, and his effects on their struggling staff are already evident. Meanwhile, Peterson and Andrews are forging ahead in their pursuit to prevent youth injuries caused by overuse and poor mechanics. A 2002 study of young pitchers by the institute found a direct link between elbow and shoulder pain and the number of pitches thrown. Institute researchers also found conclusive evidence that throwing breaking pitches such as curveballs and sliders increases the chances of injury. "Everyone wants what's best for their kids," said Glenn Fleisig, research chairman at the institute, which had examined 476 kids ages 9-14 over a full season. "The biggest hurdle is the lack of information readily available to parents and coaches. There's also too much misinformation out there." Among the common conceptions are that frequent pitching builds up a young pitcher's arm, and that when a young pitcher mentions pain, he is really referring to the soreness common after pitching. To combat misinformation, Andrews and Peterson have prepared a pitching and conditioning program that specifies maximum pitch counts and recommends that some pitches should not be thrown at an early age. "I didn't have sense enough myself as a kid," Peterson said. "When the coach asked me if I could pitch, I'd say, 'Sure, I'll do anything for the team.' I wasn't even thinking about whether it was the right thing to do. I look back and I can't believe I was put in that position. I couldn't say no." THE HIGH SCHOOL PHENOM Like many others, Irwin had never learned to slow down. He was throwing hard from the moment he first picked up a ball at age 8. By 11, Irwin was mowing down batters in the North Haledon Recreational League. Equipped with a blazing fastball, the left-hander once recorded 20 strikeouts in a game for Manchester Regional High School in Haledon. Irwin rarely experienced any elbow or shoulder discomfort despite refusing to scale back on his velocity. "He was always trying to throw hard - in games, on the sidelines," said Pascack Valley coach Frank Eufemia, a former Minnesota Twins pitcher, who worked with Irwin as a teenager. "But you can't abuse your arm. Sometimes a kid feels like he can throw hard forever." Irwin said he often rushed through pregame warmups, stretching sporadically and playing catch with his dad in the street before taking the mound. Soon he also was piling up innings in summer and fall leagues. He rarely rested, shaking off any aches and pains as insignificant. His body was slowly unraveling. "I didn't want to say anything when I felt a little bit of soreness or pain," Irwin said. "I just pitched through it. When you're a kid, you never think you're going to hurt your arm. All I wanted to do was pitch. "Looking back, I definitely would have changed some things and gotten more rest." 'GROSS INJUSTICE' The examples of overuse are everywhere. A glaring case involved a 12-year-old from Michigan who threw 175 pitches in eight innings during the 1998 Little League World Series game. In the major leagues, by contrast, managers generally consider removing a pitcher after 90 or 100 pitches. Many youth coaches struggle trying to strike a balance between winning and monitoring the long- term health of their pitchers. Unlike major league managers, they may have only one talented pitcher. "It's a gross injustice," said Peterson, who recalls once throwing nearly 200 pitches in a junior college game in Florida. "There's a code of conduct that states that kids can't use abusive language and should be team leaders. THE WINNING MENTALITY The win-at-all-costs mentality has become endemic among some overzealous parents and coaches seeking an edge. For pitchers, that means throwing a ball with movement. Despite the recommendations to hold off on throwing breaking pitches from USA Baseball, the governing body for amateur baseball, youth pitchers are still being taught to throw curves. "Some coaches think their teams cant become competitive unless their kids throw some kind of breaking pitch," Andrews said. "About 70 percent of the pitches thrown in the Little League World Series are breaking balls. And that's sad." PHOTO CAPTION: 1. Pitcher Steve Roglieri on the mound during a Clark Little League game. Little League limits pitchers' time on the mound by the number of innings. 2. Frank Szczepanik, 13, of Kenilworth works with pitching coach Tony Picaro at the Ballpark indoor baseball facility in Springfield. 3. Mets pitching coach Rick Peterson works with pitcher Scott Kazmir at the American Sports Medicine Institute in Birminham, Ala. 4. ANDREWS 5. Pitching coach Tony Picaro of Westfield works on form with 13-year-old Frank Szczepanik of Kenilworth. CREDIT: PHOTOS (1, 2, and 5) BY JIM WRIGHT/FOR THE STAR-LEDGER 3. GARY TRAMONTINA/GETTY IMAGES GRAPHIC CAPTION: LIST: Pitch counts CREDIT: SOURCE: www.asmi.org |
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