Have gone down to Tommy John. Insane and awful for the game.
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The organization my son plays for protects pitchers by:
1) We only play about 7 months out of the year - late August to November and late February to June.
2) We play about 2 tournaments per month.
3) The pitchers are held to very conservative pitch counts - around 30 in the fall; 30-35 in early spring which extends to around 80 in late spring.
4) Pitchers very rarely pitch twice in a weekend.
5) No pitcher is allowed to throw breaking pitches until 14U. Fastballs and change ups only.
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I may be way off base here but I think weight lifting needs to be looked at... Biceps, triceps, forearms getting bigger and stronger able to exert more pressure.... Ligaments gotta give at some point????