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The pitcher’s shoulder, also known as the Thrower’s shoulder, is a condition that is quite common among athletes who repeatedly make use of their shoulder. It is more common in athletes that play sports such as basketball, cricket, and tennis, where they require to swiftly move the shoulder in a swinging motion. In most cases, it is caused due to chronic irritation of the muscles around the shoulder. 

What is pitcher’s or thrower’s shoulder?

Pitcher’s shoulder refers to an injury to the shoulder joint caused by the repetitive overhead throwing motion used in pitching. This can result in damage to the rotator cuff, labrum, or other structures in the shoulder joint. 

Thrower’s shoulder, on the other hand, refers to an injury to the scapula (shoulder blade) caused by the repetitive stress of throwing. This can result in inflammation or irritation of the bursa or tendons around the shoulder blade. 

Classic signs of pitcher’s shoulder

The classic signs and symptoms of pitcher’s shoulder may include:

• Pain in the shoulder joint: Pain is often the first symptom of pitcher’s shoulder. The pain may be dull or sharp and may worsen with overhead throwing.
• Weakness in the shoulder: Athletes with pitcher’s shoulder may experience weakness or a feeling of instability in the shoulder joint.
• Limited range of motion: The range of motion in the shoulder joint may be limited, making it difficult to perform overhead throwing motions.
• Clicking or popping in the shoulder: Some athletes may experience a clicking or popping sensation in the shoulder joint when moving the arm.
• Swelling or tenderness: Inflammation or tenderness in the shoulder joint may be present, particularly after a throwing session.

Treatment modality for pitcher’s shoulder

Based on the intensity of the pain and the duration since which the injury exists, the treatment modality of pitcher’s shoulder varies. The most commonly implemented treatment options include:

• Rest: Resting the shoulder is important to allow time for the injured tissues to heal. This may involve avoiding overhead throwing motions for a period of time or limiting to a specific number of pitches or throws per day.
• Physical therapy: Physical therapy can help strengthen the muscles around the shoulder joint, improve the range of motion, and address any issues with throwing mechanics that may have contributed to the injury. A physical therapist may also use modalities such as heat, ice, or electrical stimulation to help reduce pain and inflammation.
• Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen may be prescribed to help reduce pain and inflammation. In some cases, corticosteroid injections may also be used to provide relief from pain and inflammation.
• Surgery: In severe cases of pitcher’s shoulder, surgery may be necessary to repair or reconstruct damaged tissues in the shoulder joint. This may involve procedures such as rotator cuff repair or labral repair.

Early diagnosis of pitcher’s shoulder can help easily treat the condition with proper rest and the application of an ice pack. However, if ignored, the symptoms may worsen and advanced treatment modalities may be required. Therefore, you must reach out to a doctor if you notice any signs and symptoms of pitcher’s shoulder.

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