“It’s a growing problem,” Dr. Charles Metzger, an orthopedic surgeon specializing in the upper extremities in Houston, told the Palm Beach Post. “It’s very common for younger and younger players to come in with elbow and shoulder pain and miss playing games as a result.”

One reason why more young children are complaining of elbow and shoulder injuries is because children are specializing in one sport or one position at younger and younger ages, leaving them more susceptible to injuries from overuse. They also play longer seasons, about 6.3 months on average for children age 7 to 15 years. And these young athletes are throwing curve balls and sliders at younger ages, which strains the shoulder joint. In some cases, these injuries may require physical therapy or even surgery. The best medicine, Dr. Metzger said, is prevention.

Experts say resting the arm regularly, cross-training instead of specializing in one sport or activity, and stretching the throwing arm after play can help minimize injury.

“If we can make it required that kids stretch after pitching a game, we can significantly lower the number of kids who have to quit baseball because [of] their arms pain or injury,” Metzger said. “My take-home message here is to do your stretches. They help.”

SOURCE: Pain Pumps › More young children suffering shoulder injuries from baseball

“It gives me a little peace of mind to go get (the surgery),” Hall told the Chronicle. “Seeing the MRI and seeing what I’ve been dealing with the last couple of years, it kind of puts me at ease to go get it fixed. That way I can get back out there (as) the player that I used to be and be healthy (and) go out there with two labrums.”

The labrum is located in the ball-and-socket joint of the shoulder. Since the shoulder socket is very shallow, a cuff of cartilage called the labrum allows the arm bone to move within the shoulder socket, giving it more stability and range of motion. The labrum, however, is susceptible to injury. Most labrum tears do not require surgery, but patients with persistent symptoms after trying other treatments unsuccessfully may need surgery to correct the problem.

Shoulder surgery often requires the use of pain pumps for post-operative pain management. The pain pump is implanted into the shoulder joint during surgery and delivers a steady amount of medication to the wound site.

A recent study published in The American Journal of Sports Medicine identified post operative pain pumps, or intra-articular pain pumps, as a likely cause of Postarthroscopic Glenohumeral Chondrolysis, a debilitating condition in which the cartilage in the shoulder joint breaks down, causing the bones in the shoulder to rub together. The condition can cause chronic pain and can limit mobility. Additional surgeries may be required.

The Astros will void Hall’s minor-league contract, as he will be out at least four months for surgery as opposed to just one month if he had tried rehab without surgery.

SOURCE: Pain Pumps › Astros Toby Hall opts for shoulder surgery to correct torn labrum