Josh Johnson

 

That loud noise you heard today was the final nail in the Miami sports fan coffin….well maybe not final, because it looks like the Dolphins will play sometime this year.  However, just days after the big three where eliminated from the NBA finals, Miami fans have this to look forward to  -  JOSH JOHNSON TRANSFERRED to 60 day DL!  In case you don’t know, Josh Johnson is the oft injured ace of the Florida Marlins rotation.  Only 27 years old, Johnson has successfully returned from Tommy John surgery to reach elite pitching status with the always contending Marlins.  However, once again his future is in doubt, this time with a shoulder injury.  There are many who will question his pitching mechanics.  Last year the much heralded rookie Steven Strasburg had his season abruptly cut short by Tommy John surgery.  Immediately many analysts commented on his poor mechanics.  While as a physical therapist I am not qualified to comment on pitching mechanics, I do feel qualified to comment on sport injuries.
Having an outpatient sports medicine clinic in sunny Tampa Florida, I have had the opportunity to work with many elite high school pitching prospects.  Over the years I have noticed a common factor when working with pitchers- a reluctance to address the trunk/core when rehabbing or when returning to sport specific conditioning.  I bring this up because as I think about Josh Johnson, I remember he has suffered from chronic back problems in the past.
While I’m sure mechanics play an important role with regards to stress placed on the elbow and shoulder, there have been many pitchers who where considered to have excellent mechanics but where still plagued by injury….Mark Prior comes to mind immediately.
As fan, I never understood how the number one pick in the draft can get paid a 60 million dollar bonus, be dominant at the amateur levels and blow out their elbow or shoulder as a pro.  I’m sure they have had many coaches who have watched them throw.  But as a trained physical therapist, I understand that a weak core will fatigue quicker when more demand is placed on the body.  What I’m saying is the demand on a pitcher at the amateur level is much less then that of a pro.  Not only is the season is shorter, but most amateur teams at best have one good hitter.   Think about it …how many high school teams or college teams can boast a lineup of Teixeira, Cano, Jeter, Posada, Pujols, Hollliday, Berkman, Youkilis, Ortiz, or Gonzalez??? I think you get the idea.
The point is can these elite pitchers have underlying weak cores that may never had been noted?  Maybe their superior talent allowed them to pitch at the lower levels of competition without taxing their weak core.  Thus they did not stress their arms. However, once they began to face more elite hitting, they where working harder, fatiguing their core and placing increased stress to their throwing arms.
I think at the very least all of us who work with youth pitchers must stress developing strong cores that will provide sufficient strength and endurance to minimize stress to the pitchers shoulder and elbow.

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