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Medical Professionals

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Shoulder Pain In The Overhead Athlete stabilizers. These allow your shoulder blade to move properly as to not cause your tendons to get pinched in your shoulder, resulting in damage and pain. Core strength is also an important component of proper throwing form and to decrease injury risk. Core strength, along with lower body strength and flexibility, allows the proper distribution of forces along the body as to not stress the shoulder more than necessary. There must exist in the body the proper balance of mobility and stability to create a strong throw and to limit injury risk. If this balance does not exist, injuries can occur, including rotator cuff tears, labrum tears, and ligament tears. Some of these injuries may be severe enough to require surgical repair. A thorough physical therapy evaluation can assess limitations in all the above areas. An exercise program can then be created to address these impairments and allow a return to pain-free and proper throwing.

by Joel Maietta

Shoulder pain in the overhead athlete is a very common complaint. Considering the fact that separation forces in the shoulder during throwing can equal someone’s own body weight, it is no surprise that pain can occur. This activity requires a combination of strength, coordination, synchronicity, and body control. Because of these factors, shoulder pain is often seen in athletes of all ages as well as any adult who may decide to throw a ball just one time. During a physical therapy evaluation for shoulder pain from throwing, there are multiple parts of the body that need to be assessed. These include shoulder motion, shoulder strength, shoulder blade strength, core strength, as well as lower body strength and flexibility. When you throw a ball, your arm has to cock back in a motion called “external rotation” and then come forward in a motion called “internal rotation.” If the internal motion of the shoulder is limited, then excessive forces can travel through the arm and cause pain. There are various stretches that can be used to improve this motion to decrease throwing pain. In addition to motion, the tendons in your shoulder, known as the rotator cuff, need to be strong and stable to allow a proper throwing motion. They control the “ball” in the “ball and socket” of your shoulder, and without proper strength and stability, you can have a shoulder injury while throwing. In conjunction with your rotator cuff, it is also necessary to have proper strength of your shoulder blade, known as your scapular

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Joel received his Doctorate of Physical Therapy from Quinnipiac University in 2010 after receiving his Bachelor’s Degree in Health Sciences from Quinnipiac University in 2007. He has completed clinical rotations in acute care, inpatient rehabilitation, and outpatient orthopedic settings. Since graduation, he has taken extensive continuing education courses and has earned multiple certifications. He is a Certified Integrated Manual Therapist (CIMT) through the Great Lakes Seminars as well as a certified LSVT BIG provider for the treatment of Parkinson’s Disease. He has also taken courses and is experienced in the application of KinesioTaping, and the use of Instrument Assisted Soft Tissue Mobilization. Joel believes in a whole body approach to treatment with a focus on individualized care to help people return to their lives. Joel is currently the facility manager in our Wall location.

September/October 2019

Profile for The County Woman

Monmouth County Woman - September/October 2019  

The County Woman ™ is part of a nationally syndicated publication and has been around for over 31 years. There are over 371 other counties t...

Monmouth County Woman - September/October 2019  

The County Woman ™ is part of a nationally syndicated publication and has been around for over 31 years. There are over 371 other counties t...