baseball pt

Tips to Help Prevent Injury for the Ex Ballplayer Returning to the Field


After a few years away from playing baseball, I’ve decided to join a men’s adult baseball fall league or, as my kids affectionately call it, the “old man baseball league.”  Having seen many former players who have returned to baseball or softball in the PT clinic over the years, I thought I would put together some tips to help reduce the likelihood of injury.  Here are a few things to keep in mind if you plan to return to the field.

  1. Warm up.  We may remember the days where we could just show up to the field and get right out there and play.  Unfortunately, as we age, those days are over. Having some form of warm up is key to preventing injuries such as muscle strains and tears.  Do some light jogging and follow with gentle stretching or a dynamic warm up such as body weight squats and lunges to get the blood flowing and loosen up your muscles before you play.

  2. Be careful with sprinting.  As we age, we lose muscle mass, particularly the fast twitch muscle fibers that are used with sprinting type activities.  Combine that with tight hamstrings due to sitting at a desk all day and you have the perfect situation for hamstring tears.  Don’t let your first sprint be when you are trying to leg out a double. Practice some sprints before you play by slowly progressing your sprinting.  Start at 50% speed, increase to 75%, and then build to full speed.

  3. Build up throwing slowly.  Just as you should increase your sprint gradually, you should build your throwing slowly as well.  Overhead throwing is not a natural motion for the body and, again, if you sit at a desk for much of the day or just generally have bad posture, the throwing motion is even less natural.  When you return to throwing, slowly build the number and distance of throws you make. If you start to feel pain in your shoulder or elbow, stop, get some ice on it and rest. If the pain doesn’t go away, see a medical professional.  I’ve seen many people who returned to throwing after a long lay off, tried to throw through pain and ended up with shoulder impingement or rotator cuff tears.

These tips are not only helpful for baseball but also soccer, basketball or even playing back yard touch football.  Follow these tips to help stay injury free and on the field!

 At Complete Game Physical Therapy we help athletes and active individuals of all ages get back to the sports and activities they love without missing valuable playing time or losing their competitive advantage.  For more information or to make an appointment call 978-710-7204 or email Greg at

3 Ways to Avoid Knee Injuries in Baseball and Softball

Though shoulder and elbow injuries tend to get the majority of attention with overhead throwing sports such as baseball and softball, knee injuries also do occur. During the World Series last year, Kyle Schwarber got a lot of attention after returning to play 6 months after tearing his ACL during a collision with another outfielder. Just this season in Boston, both Dustin Pedroia and Pablo Sandoval have gone down with knee injuries. The Mayo Clinic performed a study last year and found over 2,000 knee injuries in the MLB from 2011-2014.

Common Knee Injuries In Baseball and Softball

Ligament Injuries: These have been found to be the most common injuries to knees in baseball/softball. The MCL is the most common ligament injured - this is the ligament that runs along the inside of the joint. The ACL the second most common ligament injured, and this is a major ligament that runs through the center of the joint. Injury to knee ligaments can occur through contact injuries or non contact injuries where the knee buckles.   

Cartilage (Meniscus) Injury: The cartilage in the knee provides padding and a smooth covering for the joint surfaces. Injury to the meniscus often occurs when the foot is planted and the player pivots on the leg, and also can happen due to falling directly onto the knee.

Patellofemoral Syndrome: Patellofemoral syndrome is pain around the kneecap area and is most common with catchers.

Ways to Help Avoid Knee Injury in Baseball and Softball

  1. Proper warm up and preseason training: Research has shown that strengthening certain muscles around the hip and knee can help prevent knee injuries from occurring.  Proper warm up is key as well; some injury prevention programs such as Fifa 11+ is designed for soccer can be adapted to baseball.

  2. Proper technique: Using proper form with running bases, fielding the ball, or especially catching goes a long way to prevent knee injuries. Working with a coach or instructor on proper form then practicing it on your own will help you reduce the likelihood of injury.

  3. See a physical therapist: Physical therapists are experts in assessing movement and identifying imbalances that are likely to lead to injury. They will help you with exercises to address imbalances and help not only reduce your likelihood of injury, but also improve your performance. Having a therapist who is familiar with the movements associated with baseball and softball is key.

At Complete Game Physical Therapy, we’re experts in the treatment of baseball and softball players. Contact us at 978-710-7204, or shoot us an email at, or browse our website. Also check us out on Facebook and Twitter for more tips on staying injury-free this season.


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