Integrated Performance - Sports Physical Therapy & Performance Training

Integrated Performance - Sports Physical Therapy & Performance Training Sports Physical Therapy
Baseball Performance Training and Strength
Bringing years of Pro-level experience to athletes of all ages

Is your son accidentally fatiguing his rotator cuff before he even steps onto the mound?A lot of young throwers grab hea...
09/05/2026

Is your son accidentally fatiguing his rotator cuff before he even steps onto the mound?

A lot of young throwers grab heavy bands and crank out reps until their shoulder is burning, thinking that's how you get ready to throw. But pre-throwing band work isn't supposed to wear the arm out—it’s supposed to wake it up.

When preparing the shoulder, you want to use a light band. The goal is to bring blood flow to the area and spark muscle activation without draining the rotator cuff before high-intent throws.

One of our favorite pre-throwing movements is the row to external rotation.

This exercise specifically fires up the back side of the shoulder, giving your pitcher the stability he needs to hold a solid, safe layback position when he releases the ball.

What does your son’s current pre-throwing band routine look like? Let us know in the comments below!

You've just learned that you have a Labral Tear in your glove arm. What's next? 🤕Many high school athletes mistakenly be...
09/04/2026

You've just learned that you have a Labral Tear in your glove arm. What's next? 🤕

Many high school athletes mistakenly believe that since it's the non-throwing shoulder, they can simply "tough it out" or skip proper rehabilitation. That can be a misstep. Always consult with your physician to determine whether surgery or a non-surgical approach is the best option for you.

If surgery is necessary, the silver lining is that it's your glove arm, not your throwing arm. Labral tears in throwing shoulders can have prolonged consequences, so this can be a crucial factor in your recovery. If you're facing surgery on your non-throwing shoulder, here's what your recovery might look like:

Phase 1: Protection & Movement (Weeks 0-6)
In this initial phase, the focus is on protecting the repair while also starting gentle, passive range-of-motion exercises. You'll gradually let your arm hang, aiming to keep the joint mobile without putting stress on the labrum.

Phase 2: Activating the Muscle (Weeks 6-10)
Once you’re out of the sling, we introduce isometric exercises. This involves pushing against an object without moving the joint, offering a non-fatiguing method to build strength, particularly at the joint’s vulnerable end ranges. This helps in establishing that crucial "front side" foundation.

Phase 3: Hitting & Throwing Ramp (Weeks 12-16)
This is the pivotal phase. We begin a light throwing ramp to ensure stability in your glove side. For hitting, you’ll start with dry swings and progress to using a tee. Your lead arm must manage high-speed deceleration, so we'll focus on increasing volume before intensity.

Phase 4: Return to Game (Months 5-6)
By this stage, your strength and mobility should be back on track. You’ve followed the recovery ramp, preparing you to face live hitters without compromising your front side.

Staying consistent is key. Those who diligently work on their individual exercises and perform daily check-ins are often the ones who return to the field even better than before their injuries.

If you're grappling with a labral tear and don’t have a solid plan, don’t just wait for it to "feel better." We’re here to help you adjust your training so you can maintain your athlete status while healing.

Check the link in our bio to schedule an evaluation, and let's get you back on the mound! ⚾️

When your son is dealing with an arm injury during crucial recruiting years, watching him sit on the bench is terrifying...
09/03/2026

When your son is dealing with an arm injury during crucial recruiting years, watching him sit on the bench is terrifying.

You worry that a shutdown now means falling behind, missing college scout eyes, or never getting his velocity back. As healthcare professionals ourselves, we deeply understand the anxiety of wanting the absolute best, evidence-based care for your athlete so his hard work isn't wasted.

At Integrated Performance, our team brings pro-level experience from our time in Major League Baseball with the Minnesota Twins, working with players all the way from Little League to the professional ranks. But our real passion is guiding the next generation of high school and collegiate throwers.

We don't just wait until the end of rehab to start performance training. We integrate high-level athletic performance into the rehab process from day one.

For example, we worked with a high school pitcher sitting in the low 80s before suffering a major arm injury. By seamlessly blending performance training into his rehabilitation, he didn't just get back on the mound—he came back throwing in the low 90s and earning college recruiting offers.

An injury doesn't have to derail his path to college baseball; it can be the reset that unlocks his full potential.

What is the biggest concern or question you're facing right now with your son's injury and recovery? Let us know in the comments below!

09/03/2026

Watching your son sit on the bench with an injury is tough, especially when you feel like every missed week is costing him ground in his baseball career.

Most parents assume rehab means doing light, isolated exercises on a treatment table until the pain goes away—and then hoping he's somehow ready to jump right back onto the field. But standard rehab exercises alone won't prepare him to advance his career or handle the real demands of baseball.

In order to fully prepare an athlete, we must introduce high-level performance training before he returns to the sport.
Just because one joint or muscle is healing doesn't mean his entire athletic development goes on pause. We use every week of rehab to build core stability, maintain power, and correct hidden movement deficits across the rest of his body.

That way, when he gets cleared, he isn't just catching up—that’s where his performance really takes off.

What has been the hardest part about keeping your son motivated and moving forward while dealing with an injury? Let us know in the comments below!

09/02/2026

If your son is only doing arm circles before he throws, he’s leaving velocity on the table—and putting his arm at unnecessary risk.

Preparing a baseball player for game play is never just about getting the throwing arm loose. High-level throwing requires the entire kinetic chain working in sync.

Force starts in the lower body, transfers through the trunk, and finally releases through the arm. When a player skips a proper lower body and core warm-up, the shoulder and elbow end up taking on all that extra stress.

That is why a structured movement readiness dynamic warm-up is essential. It physically primes his legs, trunk, and arm to handle high-speed movement together so he can throw harder and stay healthy.

Parents and coaches, what does your athlete’s pre-throwing routine look like right now? Let us know in the comments below!

In the world of professional sports, Phil Plisky has access to the top experts on the planet. For him to choose Integrat...
09/01/2026

In the world of professional sports, Phil Plisky has access to the top experts on the planet. For him to choose Integrated Performance for his own family’s rehabilitation and performance needs is a testament to the specialized care we provide right here in Hamilton County.

We bring this level of world-class expertise to every athlete that walks through our doors in Westfield, Noblesville, Carmel, and Zionsville.

If you’re looking for a performance partner that the pros trust, send us a DM or click the link below to get started with an evaluation.

Pitchers: Is your spine "stacked" or is it "leaking"? 🧐⚾️At foot plant, your head, thorax, and pelvis should be vertical...
08/31/2026

Pitchers: Is your spine "stacked" or is it "leaking"? 🧐⚾️

At foot plant, your head, thorax, and pelvis should be vertically aligned. If you’re leaning too far to one side, you’re losing force and taxing your arm.

Most coaches call this a mechanical flaw, which it is, but at Integrated Performance, we see a mobility restriction more times than not. If your mid-back (thoracic spine) doesn't rotate, your body has to tilt to get the ball to the plate.

Swipe through our latest carousel to see how the pros do it and the one exercise we use to fix it. We serve the athletes of Westfield, Noblesville, Carmel, and Zionsville with data-driven care that gets you results.

SHARE this with a teammate who is struggling with consistency on the mound, and DM us to book your full biomechanical evaluation!

🔗 Link in bio for our Website/Eval

If your son is throwing high velocity and starting to complain about pain in his armpit, the back of his shoulder, or do...
08/31/2026

If your son is throwing high velocity and starting to complain about pain in his armpit, the back of his shoulder, or down his lower back, don't ignore it—or assume it's just normal soreness.

As a parent watching your son chase his dream of playing college baseball, every wince after a start feels terrifying. You worry that shutting him down means falling behind, missing critical recruiting time, or letting a minor issue turn into a major setback.

What many parents (and even healthcare pros) miss is that this specific pain is often a lat strain or a teres major strain.

When a pitcher throws with high velocity, releasing the ball is only half the battle. The real physical stress happens during deceleration—when the lat and teres major muscles have to absorb massive eccentric forces to violently pull the arm to a stop after release. When those muscles can't handle the workload, they strain, causing sharp pain in the back side of the armpit or down into the lower back.

The good news? A lat or teres strain doesn't have to hijack his season or jeopardize his career. In our latest blog, we break down exactly what this injury feels like, what causes it, and the step-by-step performance rehab protocol to get him back on the mound throwing pain-free.

Check out the full blog post at the link in our bio to keep your pitcher healthy and progressing!

Has your son experienced unexplained back or armpit pain after a heavy pitching outing? Let us know in the comments below!

08/29/2026

Low back pain slowing down your delivery? Check your hip extension!

When we stride down the mound, our back hip drives our body towards home plate. If we are limited here, our body tries to make up for it by extending out back. This ends up causing low back pain - and decreases to force transfer, messing up our mechanics.

A great stretch for this is the Rec Fem stretch.

Some key points on this:

1️⃣ Prop your back foot on something to gain leverage
2️⃣ Reach the same side palm up towards the sky as much as you can - this locks out your hips for a better stretch.
3️⃣ Pull the front of your hips towards your rib cage - this activates your core so that you get the stretch where it is needed and not your back!

Work on this to alleviate that low back pain!

Back pain still there after this stretch? Schedule an evaluation today! Link in b!0!

Were you rounding the bases and felt a pop on the backside of your thigh?Chances are, you had a hamstring strain. Hamstr...
08/28/2026

Were you rounding the bases and felt a pop on the backside of your thigh?

Chances are, you had a hamstring strain. Hamstrings are one of the most common lower body injuries for baseball players, and unfortunately can keep a player on the sidelines for a few weeks.

What's need to come back from them?

Depending on the severity, a hamstring strain can take anywhere from 4-12 weeks (mild ones can come back quicker than more severe).

With most hamstring injuries, building up strength will be crucial for return, but it does not stop there. This is where a lot of players will see a re-tear, they feel strong, test strong, but they have not reloaded the tissue back after building strength.

In order to get back to full playing time, you will need to slowly introduce sprinting back into your work, before playing in a game and trying to leg out an infield hit.

Once strength is built up, we can start to introduce 10 yard sprints, progressing to 20, then 30 yard sprints.

The most annoying part for a player is that they will not feel any pain in the hamstring but the moment they try to sprint, they reaggravate it. So be patient with them, or you will miss more playing time

Our expert therapists are here to help build your program back out. If are suffering from a hamstring strain, schedule an evaluation, we'll get you back to the field. Hit the link in our bio.

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733 E Main Street
Westfield, IN
46074

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+18126869550

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