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Recommendations to Prevent Overuse Injuries to the Shoulder or Elbow for Pitchers

Tamara McLeod, PhD, ATC, FNATA

January 4, 2017

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Question

What are some recommendations to help pitchers prevent overuse injuries to the shoulder or elbow?  

Answer

According to the literature, the following is a list of recommendations to help pitchers prevent overuse injuries to the shoulder or elbow:

  • Avoid pitching with arm fatigue
  • Avoid pitching with arm pain
  • Avoid pitching too much – future research needed, but the following general limits are:
  • Avoid pitching more than 80 pitches per game
  • Avoid competitive pitching more than 8 months of the year
  • Avoid pitching more than 2500 pitches in competition per year


tamara mcleod

Tamara McLeod, PhD, ATC, FNATA

Dr. Tamara Valovich McLeod is the Athletic Training Program Director, Professor of Athletic Training, Research Professor in the School of Osteopathic Medicine in Arizona, and the John P. Wood, D.O., Endowed Chair for Sports Medicine at A.T. Still University in Mesa, Arizona. Dr. McLeod completed her doctor of philosophy degree in education with an emphasis in sports medicine from the University of Virginia. She was the founding director of the Athletic Training Practice-Based Research Network and her research has focused on the pediatric athlete with respect to sport-related concussion. Dr. McLeod was a contributing author for the NATA Position Statement on the Management of Sport-Related Concussion, the lead author on the NATA Position Statement on the Prevention of Pediatric Overuse Injuries, and a consultant and contributing author on the Appropriate Medical Coverage for Secondary School-Aged Athletes. Dr. McLeod serves on numerous editorial boards, and publishes frequently in the athletic training and sports medicine journals and is a NATA Fellow.


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