

200. Dr. Keith Meister on How Pitching Injuries Have Evolved - and What to Do About Them
10 snips Jan 28, 2025
Dr. Keith Meister, a prominent orthopedic surgeon and team physician for the Texas Rangers, dives into the alarming rise of pitching injuries. He discusses how modern training has shifted injury patterns from traditional ligament issues to more acute pains, emphasizing early detection. The conversation covers innovative surgical techniques, the role of biologics in recovery, and the importance of adapting training methods, including eccentric training, to ensure athlete safety. Dr. Meister also suggests rule changes to manage pitch counts and enhance player health.
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Data Relevance
- Current baseball injury data is largely irrelevant, especially pre-2020.
- Focus on recent data reflecting the "internal brace era" and evolved pitching styles.
Injury Shift
- Most elbow injuries now start at ball release, not layback, indicating a shift in injury mechanics.
- The primary problem is often the flexor tendon, not the UCL, leading to violent, explosive injuries.
The Raw Egg Test
- Dr. Meister recounts Johnny Sane's advice: if you can't throw a raw egg without breaking it, you're gripping too hard.
- This grip is now necessary to create the spin and movement demanded in modern pitching.