1. Brian Ommen, DPTRyan Koepp, DPT, ATC 7872 Century Blvd16550 W. 78 th Street Suite B Chanhassen, MN 55317Eden Prairie, MN 55346 (952) 448-9081(952)873-7400

2. Encourage proper pitching mechanics Keep pitchers long term health in mind General physical conditioning and stretching/strengthening program Keys to Injury Prevention

3. Rehabilitation Exercises Scaption External Rotation Push Ups Plus Sleeper stretch

4. Scaption No shrugging Raise arms at 45 degree angle, leading with thumbs Raise to shoulder height, then slowly lower to hips

5. External Rotation Towel roll under elbow Keep shoulder blade stable, “down and back” Don’t “roll” your shoulder

6. Push Up Plus Lean onto table/counter/couch Lower into a push up and return Finish with a “plus” – Push mid-back outward

7. Stretches Sleeper Stretch Towel Stretch

8. Pain Hours after throwing or with day to day activities Worsening At night Progressing into other locations Pain with decreased velocity Constant complaints of fatigue Change in mechanics due to pain When To Seek Medical Attention