Athlete Has Elbow Pain, Calls FBR, Then Makes Team USA - by Randy Sullivan, MPT,CSCS
The 2020 Vandy commit from Boca Raton, FL was a low to mid 80s lefty when I met him on September 23, 2016. He and his father made the 3-hour drive to the Florida Baseball Ranch® for a Precision Strike One Day One-On-One Evaluation and Training session. We conducted a full head-to-toe physical assessment and a video analysis of his movement pattern. We noted a few mobility issues and a slightly elevated distal humerus and crafted a customized multi-dimensional training plan. Nelson “bought in” to the process completely and diligently executed his program. After a few tweaks, a little work on his mobility, and some power building, it wasn’t long before he was touching 88 mph.
Nelson and his Dad returned to the Ranch for a pre-season check up in December of 2016, upon which I noted that his mobility had improved significantly. His dad Ross Berkwich, a lifetime Yoga instructor, had seen to that! His video analysis showed that he was much more biomechanically efficient and essentially free from gross constraints. More importantly, he was pain free and ready to have a great year.
He entered his high school season with high hopes and even higher expectations. Things seemed to be progressing well. Nelson was his usual dominant self on the mound. But then one cool night in April, during a routine district game a couple of weeks before the high school playoffs were to begin, Nelson’s elbow started to hurt. The next day it was worse, and even after several days of rest, he still couldn’t muster up a full effort throw without experiencing pain. The location of the pain was right over his UCL. Fearing the worst, local coaches and medical acquaintances advised him to seek a MRI.
Instead, Nelson’s father called the Florida Baseball Ranch®.
After discussing the young lefty’s playing and training activities over the last 4 months, his father sent me video of Nelson making a sub-maximal flat-ground throw in an unidentified hotel parking lot. It wasn’t optimal but it was the best we could do since we needed to act quickly. Nelson’s high school playoffs, summer season and a tryout with Team USA were approaching rapidly.
When I reviewed the video, I noticed that during the past 4 months, which had consisted primarily of pitching in games, resting, and throwing bullpens, his former arm action disconnection — the elevated distal humerus — had returned. But, more importantly, he had become quad dominant in his first move, projecting him toward the first base on-deck circle. In an attempt to compensate, he opened his lead leg early but still found himself landing across his body. This prevented him from adequately rotating around his front hip, causing his deceleration pattern to become linear, which resulted in a valgus stress on the medial elbow when he reached full extension. Click here to read more about the dangers of a linear deceleration pattern. In my view, it wasn’t one thing causing his pain… it was probably a little of all of the above.
I felt certain we could help him if we could improve his arm action and his lower half efficiency. But, how were we going to change his movement pattern during the season, especially if he couldn’t throw a baseball without pain?
Enter the Durathro® Training Sock.
I texted Nelson and asked him if he had his sock with him. He said he did so I told him to go back outside to the parking and make a few throws with a 7-ounce ball in the sock and let me know how it felt.
Within 5 minutes I received his reply:
When I read Nelson’s text, I let out a loud, “Whoo hoo!!” followed by, “Yes!! We got this!!!”
In our Start With The Pain system Nelson would be classified as a Level 2 intervention. This would typically involve a 25-day return to throwing program that would include sock throws, a connection ball, and a series of corrective throwing drills. As his movement pattern improved and his pain subsided, we would gradually wean him from the sock and the connection ball and then ramp up to full intent baseball throws.
But, Nelson didn’t have 25 days. His high school playoffs were set to begin in less than 2 weeks and I knew he really wanted to be there for his team.
Since Nelson had trained with us extensively and had demonstrated heightened body awareness for a player his age, I felt he would be able to make the necessary changes more quickly than most. I immediately went to work and wrote a 10-day return to throwing plan. He would spend the first 3 days performing 8 different corrective throwing drills in the training sock at 5 reps each (no baseball throws). Then each day he continue with his drills, shifting the ratio of sock throws to baseball throws to 4:1, 3:2, 2:3, 1:4, and 0:5. He would also taper his use of the connection ball until it was no longer needed. As always, Nelson’s pain would be our guide. He was instructed to keep the intensity of his throws below the pain threshold and to check in with me every day with a report on his progress. By the 10th day, Nelson was pain free with all his drill throws, so we decided to try the mound. He threw a 15-pitch bullpen without pain, and by the time the playoffs rolled around, he was ready to answer the bell.
Nelson continued to have a fantastic year on the summer travel ball circuit. And then last week, I got a text from his dad who was elated to report that Nelson had touched 89 mph, made the final cut and been placed on the roster for 15u Team USA. At the time of the text Nelson was on a plane to Columbia with his teammates on a mission to claim the title of World Champions.
We couldn’t be happier for Nelson and his family. This young man exemplifies the qualities of integrity, passion for the game, perseverance and the relentless pursuit of excellence we espouse. He is truly a “Ranch Guy.”
From fearing a Tommy John injury to representing his country on the world’s biggest stage… what a ride that must have been for Nelson and his family!
Proud of you dude!!!
Now go bring home the Gold!!!