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Spring Training baseball is Here: How We Prepare Our Throwing Athletes for a Strong Season with Less Shoulder Pain

Feb 27, 2025
4 min read

Spring is in the air, and that means one thing for baseball players—spring training! As pitchers and position players ramp up their throwing volume, it’s critical to ensure their bodies are moving efficiently, their shoulders are stable, and their lower bodies are providing the necessary support. At River Forest Health and Wellness, we emphasize dynamic warm-ups and movement preparation to help throwing athletes build resilience, reduce injury risk, and optimize performance.

Here’s a look at how our clinicians warm up our throwing athletes, incorporating principles from Dynamic Neuromuscular Stabilization (DNS), myofascial release, and eccentric loading techniques to enhance throwing mechanics and arm health.


1. Mobilizing the Upper Thoracic Spine with Foam Rolling


Throwing requires efficient thoracic extension and rotation to allow for full shoulder range of motion and power generation. A restricted upper back can lead to excessive stress on the shoulder and elbow.

One of our go-to warm-ups involves foam rolling the upper thoracic spine to improve mobility and extension:


  • Thoracic Extension Over a Foam Roller

    • Lie on your back with a foam roller positioned at the mid-back.

    • Support your neck with your hands and gently extend backward over the roller.

    • Perform 10 slow reps, pausing at tight spots.

This drill preps the thoracic spine for better overhead mechanics, allowing for a smoother and more powerful throw.



2. Scapular-Thoracic Activation Through DNS Principles


The scapula plays a critical role in throwing mechanics, acting as the foundation for the shoulder joint. Weak or unstable scapular control can contribute to overuse injuries, such as rotator cuff tendinopathy or labral stress.

We incorporate Dynamic Neuromuscular Stabilization (DNS) exercises to enhance scapular-thoracic control. Two of our favorite drills include:

  • Short Bar Position Activation

    • This position mimics the early stages of a throwing motion.

    • Athletes work on serratus anterior activation, ensuring the scapula moves smoothly against the ribcage.

    • Cue: “Press the ground away while maintaining a strong, active core.”

  • 4.5-Month DNS Position

    • Athletes lie on their backs with knees at 90 degrees, engaging deep core stabilizers while performing controlled reaches.

    • This reinforces scapular stability in a functional, athletic posture.

By building strong scapular-thoracic coordination, athletes reduce stress on the rotator cuff and improve throwing efficiency.


3. Eccentric Loading of the Latissimus Dorsi for Arm Deceleration


The latissimus dorsi (lat) is a powerful muscle that aids in throwing, but it also plays a crucial role in arm deceleration. Improper eccentric control of the lat can lead to excessive strain on the posterior shoulder and elbow, increasing injury risk.

We focus on eccentric lat loading drills to prepare our athletes for the forces experienced during arm deceleration:

  • Lat Eccentric Pull-Up Lowers

    • Start at the top of a pull-up position and slowly lower for 5-7 seconds.

    • Emphasize scapular retraction and controlled descent to reinforce eccentric strength.

    • Repeat for 3-4 sets of 5 reps.

This improves the lat’s ability to absorb force, reducing stress on the shoulder joint after each throw.



4. Pelvic Stability for Energy Transfer


Efficient throwing starts from the ground up, requiring strong and stable pelvis control to optimize force transfer through the kinetic chain. Weak pelvic stability can cause compensations in the shoulder, elbow, and even the lumbar spine.

To enhance pelvic stability, we utilize:

  • Half-Kneeling Pallof Press

    • This challenges anti-rotational core control, which is essential for a stable base during throwing.

    • Maintain a neutral pelvis while pressing a resistance band forward.

  • DNS - Oblique sit - 7 month position

    • Athletes engage their glute medius while maintaining pelvic stability.

    • Reinforces the lateral stability necessary for dynamic movement.

These exercises ensure that the pelvis provides a solid base for rotational power, helping athletes maximize throwing velocity and accuracy.




5. Hip Mobility and Glute Activation for Lower Body Drive


The hips are the powerhouse of throwing mechanics. Limited hip internal rotation and weak glutes can lead to poor force generation, increasing reliance on the shoulder and elbow.

We prioritize hip mobility drills and glute activation to improve lower body mechanics:

  • 90/90 Hip Transitions (for hip mobility)

    • Improves internal and external hip rotation, allowing for smoother weight transfer during pitching.

    • Focus on keeping an upright torso while rotating between positions.

  • Gluteal wall press  (for glute activation)

    • Standing peripidicular to a wall with the knee closest to the wall elevated to 45-70°, opposite knee is bent in a mini lunge position.

    • Load the knee into the wall and rotate the torso away from the wall.




By mobilizing the hips and strengthening the glutes, our athletes develop better lower-body engagement, reducing stress on the shoulder while increasing throwing efficiency.


Takeaway: Build a Resilient Throwing Athlete

Spring training is the perfect time to reinforce proper movement patterns before the season starts. At River Forest Health and Wellness, our approach integrates mobility, stability, eccentric strength, and neuromuscular control to ensure our throwing athletes are moving well, generating power efficiently, and reducing injury risk.

If you or your young athlete want to optimize throwing mechanics and prevent injuries this season, schedule an appointment with our team today! We’ll assess your movement patterns and create a tailored plan to keep you on the field and performing at your best.


Ready to optimize your throwing performance? Contact River Forest Health and Wellness today!



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FREQUENTLY ASKED QUESTIONS - FAQs​

What is River Forest Health & Wellness?

River Forest Health & Wellness is a multidisciplinary chiropractic, physiotherapy, acupuncture, and massage therapy clinic in River Forest, Illinois. Since 2010, our team has provided personalized, evidence-based care designed to improve movement, relieve pain, and help patients return to the activities they enjoy.

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Where is River Forest Health & Wellness located?

Our clinic is located at 7353 Lake Street, River Forest, IL 60305. We regularly serve patients from River Forest, Oak Park, Forest Park, and nearby Chicago communities.

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What services does River Forest Health & Wellness offer?

Our services include chiropractic care, physiotherapy and rehabilitation, acupuncture, massage therapy, McKenzie Therapy (MDT), Dynamic Neuromuscular Stabilization (DNS), dry needling, shockwave therapy, myofascial release, cupping, neurodynamic treatment, IASTM/Graston techniques, prenatal and Webster Technique care, and pediatric care.

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What conditions do you commonly treat?

We commonly help patients experiencing low back pain, neck pain, sciatica and other nerve pain, headaches, shoulder pain, hip and pelvic pain, knee pain, plantar fasciitis, tennis elbow, sports injuries, repetitive-strain problems, pregnancy-related discomfort, and movement limitations. Your provider will evaluate your condition before recommending treatment.

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How is River Forest Health & Wellness different from a typical chiropractic and Physical therapy clinics?

We combine chiropractic care with movement assessment, rehabilitation, acupuncture, massage therapy, and other evidence-based treatments. Patients receive one-on-one care and an individualized plan based on their examination, daily activities, movement patterns, and goals.

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Do you offer physical therapy or physiotherapy?

We provide physiotherapy-based rehabilitation focused on restoring mobility, reducing pain, improving strength, and helping patients function more confidently. Treatment may include corrective exercise, movement retraining, manual therapy, education, and self-management strategies.

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What is McKenzie Therapy?

The McKenzie Method of Mechanical Diagnosis and Therapy, commonly called MDT, is an assessment-based approach for spinal and extremity problems. The provider evaluates how repeated movements and positions affect your symptoms, then uses those findings to develop an individualized treatment and self-management plan.

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What is Dynamic Neuromuscular Stabilization?

Dynamic Neuromuscular Stabilization, or DNS, is a rehabilitation approach based on developmental movement patterns. It is used to improve breathing mechanics, core stability, joint control, posture, and coordinated movement.

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Do you provide acupuncture and dry needling?

Yes. River Forest Health & Wellness offers acupuncture and dry needling as part of its treatment options. Your provider will determine whether either technique is appropriate for your symptoms, health history, and treatment goals.

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Do you offer prenatal chiropractic care?

Yes. We provide gentle prenatal chiropractic care, including the Webster Technique. Treatment is intended to support pelvic and musculoskeletal function and help manage pregnancy-related discomfort. It is not a substitute for prenatal medical care from an obstetric provider or midwife.

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Do you treat children and teenagers?

Yes. River Forest Health & Wellness provides gentle, age-appropriate  care for infants, children, and teenagers. Care may support healthy movement, development, and recovery from injuries.

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Is care available in Spanish?

Yes. Spanish-speaking care is available to help patients communicate clearly with their provider and better understand their evaluation, treatment plan, and home-care recommendations. Contact the office when scheduling to confirm availability.

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Does River Forest Health & Wellness accept insurance?

We are in-network with many PPO plans, including Aetna PPO, Blue Cross Blue Shield PPO, Blue Choice PPO, Blue Cross Blue Shield Federal, Empire Blue Cross Blue Shield, UnitedHealthcare PPO, UMR, and Golden Rule plans. Coverage varies by plan, so patients should contact the clinic and their insurer to verify current benefits before treatment.

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River Forest Health & Wellness does not accept Medicare and most medical supplemental plans. Its providers are non-participating with Medicare and cannot bill Medicare or Medicare supplemental plans. Cigna may be billed out of network when permitted by the patient’s plan. Massage therapy is private pay and is not billed to insurance.

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Do you offer self-pay treatment?

Yes. Private-pay options are available, including for massage therapy and services that may not be covered by insurance. Contact the office for current pricing and information about your specific treatment.

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Do I have to receive chiropractic manipulation?

No. Chiropractic manipulation is only one of many treatment options available at River Forest Health & Wellness. If manipulation is not appropriate for you—or you simply prefer not to receive it—that is completely fine. Your comfort and preferences are important to us.

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Our team has many other tools to help reduce pain, improve movement, and support your overall health. Depending on your needs, your care may include physiotherapy-based rehabilitation, corrective exercise, gentle mobilization, soft-tissue therapy, acupuncture, dry needling, massage therapy, McKenzie Therapy, Dynamic Neuromuscular Stabilization, shockwave therapy, or other techniques. We will discuss your options and create a personalized treatment plan with you.

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What should I expect at my first appointment?

Your first appointment generally begins with a discussion of your symptoms, medical history, daily activities, and goals. Your provider will perform an appropriate examination and movement assessment, explain the findings, and recommend a personalized care plan. The exact evaluation and treatment will depend on your condition and the service you schedule.

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How do I schedule an appointment?

You can schedule through the appointment link on riverforesthealth.com or call River Forest Health & Wellness at 708-488-0900. You may also email info@riverforesthealth.com with general questions. Please do not use email for urgent medical concerns.

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What are your office hours?

River Forest Health & Wellness is open Monday from 8:00 a.m. to 8:00 p.m.; Tuesday from 7:00 a.m. to 7:00 p.m.; Wednesday and Thursday from 8:00 a.m. to 7:00 p.m.; Friday from 8:00 a.m. to 5:00 p.m.; and Saturday from 8:00 a.m. to 3:00 p.m. Hours may change, so confirm availability when scheduling.

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What is your cancellation policy?

The clinic requests at least 24 hours’ notice when canceling or rescheduling. A missed appointment or late cancellation may result in a charge. If an emergency prevents you from attending, contact the office as soon as possible.

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When should I seek emergency medical care instead of scheduling an office visit?

Call 911 or seek emergency medical care for symptoms such as chest pain, difficulty breathing, signs of a stroke, loss of consciousness, a severe or rapidly worsening headache, major trauma, sudden loss of strength, or loss of bowel or bladder control. River Forest Health & Wellness does not replace emergency medical services.

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