Check out our July 2024 Newsletter, highlighting managing cervicogenic headaches with physical therapy, physical therapy management for scoliosis, and three shoulder stabilization exercises.

Overhead throwing is an extremely complex movement that places significant stress on the shoulder joint of a pitcher. The shoulder is a hypermobile joint that is susceptible to injury from the repetitive high stress of pitching. Upper extremity injuries comprise more than half of all baseball injuries, the majority of which are shoulder injuries and affect pitchers more than position players. Physical therapy can effectively treat baseball-related shoulder injuries and help pitchers prevent injury through a throwing mechanics assessment and pre-season conditioning program. A successful rehabilitation program is multi-phased, gradually re-introducing the functional demands of the pitcher’s position for a safe return to sport.

Check out our infographic on shoulder labral tear treatment with physical therapy! A shoulder labral tear occurs when the labrum is disrupted, frayed, or torn, leading to shoulder pain and shoulder joint instability. Physical therapy can help those with shoulder labral tears regain strength, stability, and range of motion in the shoulder joint.

Shoulder impingement syndrome develops due to chronic, repeated compression of the rotator cuff tendons and bursa under the acromion, causing pain, swelling, and movement issues. Shoulder impingement can result from repetitive overhead movements such as throwing the baseball, but may also occur due to a fall, muscle weakness in the shoulder joint, or postural abnormalities. Physical therapy can decrease shoulder impingement-related pain and improve shoulder motion and strength through targeted strengthening of the shoulder and upper back.

Physical therapy is an effective treatment for rotator cuff tendinitis and the management of rotator cuff tears to address pain and restore range of motion, muscle strength, and coordination. Rotator cuff tendinitis involves inflammation of the rotator cuff tendons, which causes shoulder pain and swelling and can lead to a partial or full tear of rotator cuff tendons. Physical therapy is recommended as the first line of treatment for rotator cuff injuries and is critical if surgery is necessary.

Frozen shoulder is a condition that causes pain and stiffness in the shoulder joint and can significantly reduce shoulder mobility. Frozen shoulder occurs when the shoulder capsule tissues thicken and become stiff, tight, and inflamed. This can occur after surgery due to enforced immobility of the shoulder, trauma to the joint, or joint inflammation. Physical therapy is recommended as the first line of treatment for frozen shoulder to increase shoulder mobility and regain range of motion. Check out our infographic to learn more!

Check out our September 2021 Newsletter which highlights Mangiarelli Rehabilitation’s commercial on 21 WFMJ, 2020 PTA Kent State Clinical Instructor of the Year awarded to our physical therapist, Jen, 8 tips for back-to-school ergonomics, and exercises to stabilize the shoulder.

Mangiarelli Rehabilitation physical therapist, Sarah, demonstrates three exercises you can do to stabilize and strengthen your shoulder. The shoulder is a complex joint that allows for a significant amount of mobility and is stabilized by the surrounding shoulder musculature on and around the shoulder blade. Shoulder instability involves increased laxity of the shoulder joint in which the joint can “slip” in and out of the socket. A physical therapist can address shoulder instability and increase shoulder strength and stability through an exercise program that targets the rotator cuff muscles, scapular muscles, and lower and upper back muscles.