Rehabilitation of the Shoulder and Elbow in the Throwing Athlete

The overhead throwing athlete possesses distinct physical traits and undergoes adaptive changes due to the repetitive nature of throwing, often resulting in significant injury to the shoulder or elbow joint. An effective rehabilitation program for the throwing athlete is dependent upon an accurate evaluation that identifies the causative factors contributing to the athlete's condition. In this article, we outline the unique physiology of the thrower's shoulder and elbow, the injuries associated with these athletes and a multiphased rehabilitation approach that allows for the restoration of strength, mobility, endurance, and power essential to return to unrestricted overhead sporting activity.