Save Our Arms



**Before you start working your way down the information on this page, please understand this is not meant to scare you.  This information is put together and gathered to help educate you to be better prepared to help your ball player achieve their goals on the field while staying healthy along the way.**

The number of arm injuries in youth baseball pitchers has become so extreme that it is now referred to as an Epidemic! The most recent information shows that athletes between the ages 15-19 years old are needing more Tommy John procedures than any other age group. Even worse, we are seeing the number of these procedures increase at a rate of 9% per year.

This is a major problem that needs to be fixed. Change needs to be made to the current culture and ways of youth baseball. Regulations and guidelines will need to be implemented. The biggest issue here though is that for this to happen, it would require adults making the changes which unfortunately is the issue in the first place. Children are breaking because of how the adults, coaches AND parents, are choosing to use them. It’s going to take those in charge putting their foot down and establishing limits while placing people in place to monitor games and events to keep the adults accountable.

From Little League coaches to High School coaches to College coaches and everywhere in-between, change needs to happen. Many look to blame the lack of pitch counts on the issue but truth is, they are just a small part. Here is a list of issues that may lead to fatigue in pitchers which can ultimately lead to major injury when repeatedly done and/or ignored…

  • Playing and throwing the baseball year round.
  • Too many throws, too many pitches thrown, over a 2-3 day period.
  • Lack of adequate rest for the arm.
  • Pitching back to back days.
  • Pitching in multiple games in the same day multiple days in a row.
  • Playing for multiple teams and pitching for multiple teams at the same time.
  • Poor throwing mechanics.
  • Pitching and catching in the same game.
  • Throwing a high amount of pitches one day and then catching a high amount of pitches the next day and vice versa.
  • Catching too many innings in a single day or weekend.
  • Throwing more pitches than what their arm/body is conditioned for.
  • Throwing with an intensity that their arm is not conditioned for.
  • Too little throwing between competitive performances.
  • Too much time off between competitive performances.
  • Throwing a high number of pitches and then playing a position later in the same day.
  • Forcing the body to throw harder than what it is capable of.
  • Underdeveloped bodies/throwing arms being pushed to try and withstand the workload of a mature pitching arm.
  • Playing an excessive amount of baseball and lacking an arm care/maintenance program.
  • Following inning limits and not pitch count limits.
  • Participating in winter camps and showcases where radar guns are present when most pitchers are not prepared for the intensity and effort most give when they know a radar gun is on them.

Let’s be real though, injuries happen. Throwing something overhand puts a lot of stress on the shoulder and elbow joints. Coordination and genetics can often play a role in a sore arm and eventually lead to an injury but the fact is, around the year 2000, injuries in youth and professional pitchers sky rocketed. Coincidence…Most likely not. That is about the same time that travel/tournament baseball took over and our youth started playing more and more games at younger and younger ages. Pre teens and young teens playing upwards of 60, 70 and 80+ games in a spring and summer season, then playing baseball in the fall month and then in the warmer climates, playing winter baseball.


Our Recommendations…

Yes, we are conservative but when players who are not even old enough to drive yet are playing 60-70-80+ games in a season, we feel you need to be. Yes, decisions should be determined by more than what a chart says but if you are inexperienced in this area and lack feel and instincts simply because you haven’t been around it enough, then use something like this to help you make choices and create a plan.

  • NEVER pitch twice in the same day.
  • Stay away from pitching back to back days.
  • Follow throwing programs/routines during the off season and in season.
  • Find an arm care program you like and make it a part of your routine.
  • Don’t pick up a baseball for 3-4 months during the off season.
  • Use the winter months to focus on strength and conditioning and devote time to mental strength skills.
  • Train to get the most out of a pitchers body but never forget their job is to throw strikes.
  • Set a rotation and stick to it.
  • Limit a player to the DH position or let them sit the bench for the rest of the day after a long, high pitch count, performance.
  • Make decisions based on what’s best for the players mental and physical health.
  • Encourage young athletes to play multiple sports.
  • Parents, set pitch count and inning limits. For the day, for the weekend and for the season. YOU keep track and be firm with these numbers and communicate with your coach.
  • Coaches, make decisions based on what’s best for the athlete and their future.
  • A coach should never ask Mom and Dad for permission to do what they already know shouldn’t happen because they want to take that decision off your back.  This is their responsibility.  Coaches must start taking accountability for these decisions and stop trying to pass it onto someone else.



Click here to view and download the PDF version of our Pitch Count Recommendations

Click here to be directed to our FREE Downloads page where we have multiple documents for you to view, download and print.  Off Season throwing routines…In Season throwing routines…Pitching Charts…Bullpen Routine…+More

In an effort to give you more information, below you will see links to various articles, ours and from other resources, our recommended websites and multiple videos for you to watch on the topic.  We will also gather testimonials and real life stories for you to learn from.

Baseball Dudes Articles:

What Opened My Eyes

13 Ways To Protect Your Pitchers From Injury

What Are They Conditioned For?

Dead Arm

Conditioning a Pitcher’s Arm

What’s Best & Common Sense

Pros & Cons

Other Sources…Articles:

Wikipedia…Ulnar Collateral Ligament Reconstruction

Baseball Reference 

12 Things You Probably Didn’t Know About Tommy John Surgery

Tommy John Surgery on Web MD

Pitching Mechanics: Who’s doing it right and who’s doing it wrong?

Recommended Websites:

MLB Pitch Smart

Eric Cressey Sports




If you have a story you would like to share and that we can all learn from, please fill out the short form below and with your permission, we will post it here on this page.  Thank you!

Injury Testimonial

Please share with us your story. If what you experienced can help even one family be better prepared to put their young ball player in a better position for long term health and success, then you have done a great thing. Thank you
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**Please note, this page will be a constant work in progress to provide the most recent information. Please check back from time to time for updates.**

Chris Gissell (140 Posts)

Founder of Baseball Dudes. Blessed with three beautiful children and an amazing wife. Baseball is my life, after my family, and I love sharing what I have learned from it. Thanks for taking the time to view what we offer here at Baseball Dudes.