Dr. Mishock: Baseball Pitchers — Shutdown or De-load?

Baseball Pitchers: Shutdown or De-load?

At Mishock Physical Therapy & Associates, the sports performance team uses evidence-based de-load and arm-care programs for pitchers of all levels.

These programs are tailored to each athlete based on factors such as innings pitched, physical maturity, rest between outings, and injury history.

De-loading programs should be adjusted for each athlete, and pitchers developing new pitches or undergoing velocity training should delay pitch development until after the de-load phase.

The de-loading phase is also an ideal time to address mental fatigue, improve sleep, and develop better body awareness, as noted by Lyman et al. (Am J Sports Med, 2002) and Escamilla et al.

Author's summary: De-load programs help pitchers recover and improve performance.

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The Mercury The Mercury — 2025-10-29

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