youth baseball Archives - Mishock Physical Therapy & Associates

Baseball Pitchers – Shutdown or De-load?

Dr. John Mishock, PT, DPT, DC | October 14, 2025

Baseball Pitchers - Shutdown or De-Load? By Dr. John Mishock, PT, DPT, DC As baseball season winds down, pitchers face an important decision: should they take a complete break (“shutdown”) or follow a gradual “de-load” period to protect their arm health and maintain performance? Research over the past decade has begun to reshape [...]

Baseball Pitcher Fatigue: Learning to Recognize the Critical Signs!

Dr. John Mishock, PT, DPT, DC | April 10, 2019

John R. Mishock, PT, DPT, DC Most youth baseball leagues now have pitch count guidelines to help reduce shoulder and elbow overuse injuries. Limiting the amount of pitches thrown has reduced shoulder and elbow injuries in Little League Baseball by as much as 50% (Little League, 2011, 2013). However, pitch limits are not the whole […]

Baseball throwing injuries: Are We Putting Our Kids at Risk?

Dr. John Mishock, PT, DPT, DC | March 27, 2019

By Dr. John R. Mishock, PT, DPT, DC Approximately, 2.2 million children between the ages of 4 and 16 will begin participating in organized baseball this season throughout the country. Many of these young athletes who participate in baseball may develop a painful condition of the elbow and/or shoulder. Youth baseball throwing injuries continue to […]