Terry Phillips
@TPhillips_DPT
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Physical Therapist | Remote Rehab, Coaching, and Consulting | Unfortunate Buffalo Bills fan | IG: terry.phillips.dpt
Seattle, WA
Joined March 2014
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I've put together a free in-season arm care guide for any athletes or coaches who are looking for an easy to implement program to help keep their arm strong and healthy through the season. If you have any interest, you can check it out here 👇👇
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Joe Buck- Here we are in the bottom of the 37th inning. The Red Sox bring in Wally, their mascot to pitch. He starts it off with a 103 MPH fastball.
Smoltz - Mascots used to be able to come in and PITCH
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You probably don't need cupping or scraping. You likely need to stop crushing beer 5 nights a week, going to bed after 1 AM, and eating like an 8 year old.
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When old baseball dudes see a grounder to 2nd instead of a K:
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Parents in the PNW: I know we rarely get this much snow. If your kids insist on having a snowball fight over the weekend, please for the love of god, make sure you weigh the snowballs to ensure they are 5 oz.
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Bone chips removed -'94
Missed ¼ of starts -'98-'99
TJ -2000
Labrum surgery '08
We should definitely listen to a guy that had 3 surgeries and didn't have worry about the 20 guys in his team's minor league system that all threw 98 waiting to take his job
Hall of Famer John Smoltz takes you through how he would train in the offseason compared to how he sees it done now.
#MLBTonight
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Had an MLB team's doctor tell me today that he used to think weighted ball training led to injuries. Then he read more on the topic and realized that isn't true. Getting educated on a topic you don't really know about. What a wild concept.
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These political ads are getting pretty specific with their targeted audience
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Athlete texts me: I strained my back the other day lifting. I went and saw the head trainer. He did a hamstring flexibility test and then told me I should never deadlift and squat ever. Anything you think I can do for it?
Me: WTF
Me: I would try deadlifting and squatting
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If sprinters at the highest level working with world-class coaches and health pros still very commonly strain their hamstring; what makes you think the slapdick with a degree from Eyewash U can guarantee you a healthy elbow during something as complex as the throwing motion?
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You are a terrible person
So I'm going to talk about my concerns with respect to Tyler Skaggs.
Given that the medical examiner seems to be waiting on the toxicology results, in all likelihood Tyler Skaggs' death is NOT related to Thoracic Outlet Syndrome (TOS), PICS, or PICaNS.
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Sports med for literally any other sport: The body will adapt to stresses if applied in an appropriate manner
Sports med for Baseball: Limit stresses as much as you can. The arm only has so many bullets
Me:
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A reminder that weighted ball research that determined they were dangerous had 13 year olds pulldown a 2 lb ball.
That's something only abusive clinicians with an agenda do. Not actual smart throwing trainers
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Incomplete list of things more likely to be the cause of a thrower's arm pain than GIRD:
-Not being able to bench your BW
-Poor sleep
-Not drinking enough water
-Poor ankle mobility
-Training in Nike Frees
-Girlfriend dumped you
-Dog ate your homework
-Being a Drake fan
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Athletes get fed this fairytale of a hyper-individualized program but don't realize that the majority of them have the same deficits and likely won't need to be treated like a unicorn.
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Stress=stress=stress. Your body does not differentiate between physical or emotional stress. If you're having a rough training week, pay attention to what else is going on in your life. Finals, relationship issues, etc all have a large effect on your physical health!
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Imagine putting a human on your back because you're too afraid to bench
Weighted pushups are better than bench presses.
Use a weight vest, weight plates, flat-bottomed kettlebell, small child, large child, or significant other for resistance.
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Stop basing success of a treatment on acute range of motion changes, part 2: velo slap edition
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Man who pulled down a kettlebell is taking better care of his body than a lot of guys who are 'willing to do whatever it takes'. Let that sit in
PROJECT 95 OR DIE (Day 6)
Recovery day.
Taking a day off from life eating McD all day chugging Busch Lite while playing 69 hours of Fortnite is not how you recover you idiots.
No wonder your arm hurts and you throw 83mph.
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The medical field likes to blame weighted ball use for the cause of every injury in the last 3-4 years.
But ignore that injuries have been rising for 20 years while they've been telling athletes to not lift heavy, fix their GIRD, and take multiple months off from throwing
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Telling an athlete to rest for 4-6 weeks to allow an injury to heal isn't medical advice. It's laziness and a cop out. Acknowledge that you don't have the tools to help them get better and refer them to someone who does.
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Breaking: Freak athlete excels at sports that he participates in
One month prior to reporting to Clemson for freshman year of football Isaiah Simmons was competing for his high school track and field team. This athlete also just won the Butkus Award for best college LB this year.
"Focus on football" or
#multisport
?
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Stop worrying about a thrower's scapulohumeral rhythm and tissue quality if they are getting folded by 135 lbs on the bench.
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Here is a 9 y.o. who has a better arm action than 99% of people on Twitter (and their pupils) that have the opinion that kids need to work on "mechanics" before ever touching a weighted ball. This arm action is mostly an effect of him doing weighted ball throwing drills 🤯🤯🤯🤯
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As a Doctorate of Physical Therapy who is contracted full-time by Driveline, I can say you shouldn't listen to the health rants of someone that thinks 'certified doctors' are a thing.
Also I am not sure how many folks employed by Driveline are certified doctors and/or doctors in biomechanics. If there are then I stand corrected. But if they are not then how could they be trusted with pitchers’ arm care ?
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Imagine seeing guys throw in the upper 90's and hit nukes consistently and thinking baseball is less enjoyable now than it was 25 years ago because 2 more guys strike out in a game instead of grounding out to 2nd.
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Not allowing a pitcher to long toss beyond 120/180 feet is like telling someone they can only do bodyweight exercises to prepare for a crossfit competition.
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A Happy Friday reminder that injuries rarely, if ever, come down to just a random weakness or tightness 😃
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How To Never Sustain A Baseball Throwing Injury:
- Don't play baseball
Practical Pithy Clinical Twitter Challenge
In one tweet provide practical evidence based advice related to some area of practice. Can you take a 1 hour lecture and turn it into 280 characters?
I'll go first
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When you hit an easy 89 during the warm up and think you're about to pop your first 90
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Quarantine Day 20: Got the wife to bench press today. House is feeling elite.
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Physical Therapist's desk NOT under a staircase
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Here is the complete list of what causes injuries in throwers:
1. Demand exceeds capacity
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Edwin Diaz just threw 99 MPH fastball that didn't turn the TV radar board a red color like 93 used to do 10 years ago. But hitters suck these days
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Still wondering what you're going to do for the summer?
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For an athlete's first velo phase coming off an injury, the goal isn't necessarily to increase your velo. The main goal should be to give yourself the confidence that your arm can tolerate max stress, and do so for an entire block of training. Any good numbers put up are a bonus.
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Since this is still being debated in 2022:
- Throwing and swinging hard have more inherent risk for your body
- Not throwing and swinging hard have much more inherent risk for your career
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Assessing too many guys coming in for the summer that are getting <7 hours of sleep. School is over. You are here to improve yourself. Get your 8+ hours in.
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In the last week or so we've had pro guys start coming in for assessments. Biggest noticeable difference between the guys throwing 90+ in mocap versus the college guys coming in this summer throwing 80 in mocap: the majority of the pro guys are fucking ripped
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I'm sure your body feels great when you get treatment done by someone else 3+ x/week. But at some point you're going to be playing somewhere where you're lucky if you have a trainer dedicated to just your team. You should probably figure out how to get yourself ready to perform
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Going on limb here and saying I've assessed more individual baseball players in the last 5 years than pretty much anyone.
Biggest takeaway in that time?
Anyone who predicts an increased risk of injury because of 'XYZ' findings on their exam is full of shit.
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An 11 year old asked me today if I needed a degree to do my job.
I've never been so yipped up in my life
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@DrivelineBB
If we ever had an injury rate even remotely approaching 65% I would just give up my license and become a golf caddie
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"If I'm not going into camp hitting 97 I'm going to get released" -MILB guy to me today. Remind yourself of this if you think taking the safest route possible is the best choice for an athlete's career
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This enormous human deadlifting the house gets it. I don't know why the medical community still doesn't
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People: We need more information on the use of weighted balls in the youth population before we prescribe them
*Someone goes out and collects said information*
People: No not like that!
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Very ready to block everyone who is about to tweet out their opinion on why Hicks tore his UCL
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Ah, let's see how the old Physical Therapist Facebook Group will respond to me saying it's ok for athletes to not have to take 4 months off from throwing. Surely they will be as open minded as twitter.....
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How many S and C coaches out there are trying to protect their athlete's shoulders by not allowing them to BB bench but have no problem loading up a few hundred pounds onto their spines during a squat?
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When I first started at Driveline, lots of athletes thought it was pretty eyewash to do some breathing work
Today, most athletes understand there is an importance for it. I wrote this article to give more insight into WHY it is important.
Take a read!
New Blog: How proper breathing can boost athletic performance.
Written by our in house physical therapist
@TPhillips_DPT
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Can we stop prescribing 'core strengthening' and yoga as a primary means of injury prevention for young throwers? Growth plates don't fracture because Little Johnny's tree pose needs work
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Managing recovery goes beyond workload, sleep, and nutrition. Being dialed into how schoolwork, jobs, relationships, and so on can impact your health and performance is going to be a much better leg up for your body than trying to gain an edge with something like a theragun.
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Brand new neuromuscular activation release we've been working on over here
@DrivelineBB
as demonstrated by
@mviydo
. Can't argue with these results
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Believe it or not, weighted ball training, like any other form or training, is something that can (and should) be modified to an athlete depending on their physical strength, maturity, training history, etc. It's not a simple 'yes' or 'no' answer to using it or not
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Until things return to normal, every Tuesday I'm going to make myself available for a video consult to any MiLB guys out there who were rehabbing with their teams and are now left to figure shit out on there own. Free of charge. DM me if you need some help.
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Baseball is still a cruel sport that doesn't give a shit about you regardless if you're coming off a major injury or not. Long term, you will find more success w a PT who gives you the tools to be successful on your own, as opposed to someone who will hold your hand the whole way
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Very excited to see a bunch of people who have never come in any contact with Michael Kopech give us a detailed breakdown of why he got injured and what he needs to do differently when he comes back. Give it to me internet.
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I think the biggest bonus of rehabbing at a training facility where rehab/training are integrated together is not going through your rehab process alone. Rehab can be very taxing mentally. Being at a facility w other athletes around, even if they arent also rehabbing, can be huge
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I hope I never have to do something in my life that I hate as much as John Smoltz hates going to work
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Whats the point of posting this? The majority of your followers are pitchers who likely already have a fear of blowing out, which in itself can decrease performance. Then you post something out of context that amplifies those thoughts?
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When I look back at how I treated 3-4 years ago, I cringe a lot. But patients still got better. 2 takeaways from this:
1)Everything works to an extent
2)Time heals a lot of injuries and we might not have as big of an impact as we would like to think
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Say it with me:
Just because a thrower demonstrates a movement that has been deemed to 'put them at higher risk of injury', does not mean that thrower is any more likely to get hurt than their peers.
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If your lifting and your throwing programs suck, any mobility, soft tissue, and recovery work you do won't matter.
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Literally every other sport: Train the athlete to be prepared for the demands of their sport to reduce the likelihood of injury.
Baseball: Don't ever throw a ball farther than 120 feet
It is hard to substantially move the needle on clubhead speed and distance if you view and train golfers as though they are fragile.
Ironically, by avoiding stress in the gym, you will have a golfer that is less prepared to deal with stress on the course and in everyday life.
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If you don't like Puig please unfollow me
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Biggest takeaway is not that the ceiling is raising but the floor for velo is going up.
PT's: The days of telling throwers to avoid stress, only doing med ball work, towel drills for 'mechanics', and lifting lighter weights are gone. Adapt or your throwers will find a new PT
NL All Star Pitchers & Velo:
Corbin Burnes: 97-100
Yu Darvish: 96-98
Jacob deGrom: 99-102
Kevin Gausman: 94-96
Germán Márquez: 95-97
Trevor Rogers: 94-97
Zack Wheeler: 98-100
Brandon Woodruff: 97-99
Josh Hader: 96-98
Craig Kimbrel: 97-99
Mark Melancon: 92-94
Alex Reyes: 97-99
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Is there a more perfectly inverse relationship than how much a person claims they know about baseball vs. how much they actually know?
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I got an email from a golf training group offering a self-assessment to see if I am a 'Ticking time bomb'. I took it and b/c I didn't get 45 deg of hip IR, they said its just a matter of time before I explode on the golf course. Good to see fear-mongering exists in golf as well
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It's 2019, and I have athletes still telling me that their medical provider is blaming an injury on one exercise making them "tight". Figure it the fuck out
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Sigh.......please don't do this kids.
I think every kid should pulldown a kettlebell to see if their UCL is strong enough for baseball.
If it still attached, it can handle any throwing program in the world imo.
If it rips in half, your arm wasn’t meant to throw a baseball anyway.
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16 assessments on Day 1, 16 guys who told me they get at least 8 hours of sleep each night. I could cry.
Also, probably unrelated that the first guys in the door are getting an appropriate amount of sleep
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It's been ~6 months since I've been back in outpatient PT.
Of note: Every kid that has come to see me for arm pain has minimal/no weighted ball experience
So if I'm using the same logic that a lot of you use I can now tell people that not throwing weighted balls is bad for you
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Remember when that study came out last year showed that ⬆️ in ball weight ⬆️ stress on the elbow in youth throwers? And then every anti-WB practitioner wet themselves. Then when you actually read the study the ⬆️ in stress was < 1 Nm. I think about that a lot and laugh
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S/o to
@drivelinebases
for the 🔥🔥🔥 Secret Santa gift. Also props for nailing down the authenticity of the Western NY look by buying me shorts that go down to my mid-calf
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PT's, telling athletes that weighted ball training is bad for you is today's version of saying baseball players should only lift at high reps to not get bulky. Eventually, athletes will smarten up and find a new provider to help them achieve their goals.
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"Take the deloads that life gives you" -
@smedick23
Many of you have been working your ass off for a few months now. Use the holidays to get your focus off baseball, spend time with family, and get back to training more refreshed headed into your seasons.
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There's a ton of range of motion to be gained just by teaching an athlete to breathe properly
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Your Dr saying you got hurt because you throw weighted balls:
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If you are a PT/DC/LMT/ATC and don't have at least a basic knowledge of strength & conditioning and stress-adaptation principles then you shouldn't be working with athletes.
We like to give ourselves too much credit for what we actually know
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Going to a PT clinic where they just give you soft tissue work and tell you to not throw weighted balls is the medical equivalent of a hitting coach telling you backside grounders is the key to winning games
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I think any rehab pro that works with throwers should, at some point train to throw. You'll experience things that you may already know but haven't really gotten a chance to feel. Biggest for me:
How much better your arm feels the more you throw.
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If you were injured in '19/'20, likely this was your first full season in a long time. Dont panic if youre starting to feel like 💩 in your previously injured areas. You havent been subjected to this amount of sustained stress in a while and things will chill once the season ends
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Athletes: your goal isn't to try push your body through a potential injury for the sake of PRing during your stay at whatever facility you're at. Your goal is to leave with your body in the best condition possible to continue to work towards improvement year-round.
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It's very easy to get caught up in the output of others in your field and in turn allow their output to affect you. The best thing you can do for your career enjoyment is to work hard and realize that the accomplishments of others do not reflect how good you are at your job
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Be the only Physical Therapist that Kyle knows with an interest in baseball at the time
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Just to appease
@KyleRogers18
I've gotten back into heavy BB bench press for the last 3-4 months. Since then, this weird thing has happened where my arm doesn't feel like the plague when I throw above 70% intent
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If I had to create a hierarchy of shoulder motions that I want an athlete to have full range of, horizontal abduction would be around the top. Mainly because of the the similarities it has to getting into good scap retraction during the throwing motion....
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When an athlete says their doctor told them they should find help with a return to throwing program because the standard throwing program isn't designed for high level throwers:
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If an athlete presents with limited mobility in their shoulder/pec, there are a lot of potential solutions for them. Avoiding loading the pecs ain't it though.
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To all young PT's:
1)You're doing a great job
2)That feeling that you aren't doing a great job will never fully go away, and that's ok.
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How To Throw Harder:
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@Jason_cOchart
let me face 100 on the machine for 10 swings. S/o to
@maxgordon40
for the commentary
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