Dick Mills Quote:

You see what happens when ice is initially administered is it brings blood to the site where it is applied, for the pitcher to the shoulder or elbow. And blood is good because it provides healing. However, as the ice stays on the blood can no longer get into the area so after a few minutes of icing the area is prevented from beginning the natural healing process. Icing stops an immune response which is healing.

This is a perfect example why you should NOT get all your information from one source. Dick Mills has definitely let his ego get the best of him here. All you have to do is search the web for medical websites documenting studies and articles on icing for injury or cryotherapy. In my career, I heard it through the grapevine that icing may not be good for pitchers but out of all the Doctors and Physical therapists I went through, during my five years of hell after rotator cuff surgery, I never once received any information that could back this up.

After reading Dick Mill’s article on icing, I then took some time to research the web and I found several websites reference the work of Dr. Meeusen from Antwerp, where I played some professional baseball. He based his life study around icing as a means to help heal a damaged muscle. His documentation describes how ice can be effective and where it can cause problems.

When body tissues are cooled, nerve cells in the chilled area initially force adjacent blood vessels to constrict, leading to a marked reduction in blood flow to that part of the body. However, if the temperature of the affected area continues to drop, nerve activity is depressed and the blood vessels begin to open up, flooding the injured tissues with blood, even though cold is still being applied. This flood-of-blood (Hunting effect) is the human body’s reflex reaction to thwart severe cold injury in a body part subjected to chilling stress.

Dr. Meeusen’s studies showed that icing initially stops the swelling and blood flow of the damaged blood vessels into the local muscle tissue but after a period of 10 minutes it can begin to have an opposite effect to the area. His documentation continues to state this damage continues on to another important system of healing.

Lymphatic Vessels: Prolonged ice application can cause lymphatic vessels (which ordinarily help carry excess tissue fluids back into the cardiovascular system) to increase in permeability. This causes large amounts of fluid to pour from the lymphatics “the wrong way” into the injured area, increasing local swelling and pressure, potentially contributing to greater pain. If icing goes on too long, the lymphatic vessels can actually be nearly obliterated, losing all of their fluid to surrounding tissues.

The lesson here is NOT that icing is bad. What we have learned is that icing is effective initially but begins to cause problems after about 10 minutes. Read the description below for the proper way to ice the arm after a game to help aid the healing process.

Ice the elbow or shoulder region for 10 minutes immediately after pitching (DO NOT PUT ICE ON ULNAR NEVER), remove the ice for about 30 minutes, and then reapply it for 10 additional minutes. Repeat this cycle of about two 10-minute icings per hour as often as desired, based on how many pitches thrown, during the first 24 to 48 hours after pitching.

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Pitching can have the characteristics of both anaerobic and aerobic conditioning. The issue is conventional wisdom and has been training athletes like long distance runners for years. When I think of a top level pitcher, I see an athlete built more like a sprinter than a cross country runner. When we pitch we do push into aerobic exercise. The problem is this usually means we are pitching to fast and throwing to many pitches. This will effect velocity because after 8-10 seconds of performance without rest, the body uses oxygen to produce ATP. This involves the heart, lungs and blood vessels. This is a slower process and effects the amount of ATP levels in the muscles. This is why the longer we perform a lift in the weight room, the slower our contractions. This is the  same for pitching. The longer we pitch without rest, the slower our bodies are moving, which in return decreases velocity. This is why it is important to pace yourself in between pitches and condition your system to run more anaerobic.

If pitchers train their systems to run more anaerobic than aerobic then they will pitch more anaerobic than aerobic. This means pitching with controlled explosive strength as opposed to pitching more like a batting practice pitcher. To train more anaerobic, do not run long periods of time at a slow pace. This is developing slow twitch muscle fibers and training your system to be conditioned for aerobic performance. Instead perform short explosive sprints and rest a good 2-3 minutes between sprints. This will develop more fast twitch muscle fibers and your system will be conditioned for anaerobic performance.

Purchase the Ace Pitcher Handbook for an excellent anaerobic training program.

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When our heart rate drops to a resting heart rate vasoconstriction occurs.

Vasoconstriction is the narrowing of the blood vessels resulting from contracting of the muscular wall of the vessels. When blood vessels constrict, the flow of blood is restricted or slowed. It is the opposite of vasodialation, the widening of blood vessels.

This means the muscle are not being pumped with enough energy and nutrition or being flushed of waste from performance. At this point it is not a good idea to jump into the heat of battle. For example, if a race car had run out of oil or fluids and it hit the race track at full throttle, this would be a disaster for the car.

The best way to prevent your body from shutting down and cooling off between innings is to watch your heart rate. Keep your heart rate from resting to long. Your body temperature will help you measure this. If your body is cooling off then you need to get up and stay warm with resistance bands or easy short sprints. You do not want to fatigue, only keep warm. Wearing a jacket will also help keep the body warm especially the arm. Notice boxers always wearing warm clothes. Pitchers should do the same. Also take this time to put fluids, electrolytes and glucose back in your system. This with vasodialation from keeping your body warm will help replenish your system. I recommend sports drinks like Vitamin water mixed with regular water as a good source for these supplements.

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