Glenohumeral Internal Rotation Deficit (GIRD) occurs as a result of a loss in the degree of shoulder internal rotation movement. This is determined by a measurement of a loss of 20° compared to the opposite shoulder.
Symptoms
Shoulder Stiffness
The feeling that a prolonged warm-up is needed
Loss of Velocity
Posterior Shoulder Pain
Pain in the late cocking phase of your throw
Posterior Shoulder Tightness
Causes
Repetitive overhead throwing
Rotator Cuff Tightness
Posterior Capsular Contracture
Diagnosis
Physician Exam
MRI
MR Arthrography
Prevention
It has been shown that stretching after a pitching session will help prevent symptoms of GIRD.
Treatment
Non-surgical:
Rest
Ice
A prolonged course of Physical Therapy is usually recommended before any surgical intervention. This would include stretching and strengthening to improve shoulder mechanics.
Surgical:
Arthroscopic Shoulder Surgery
