The Initial Evaluation:

What to wear?
Wear comfortable clothing such as t-shirt, sweats, shorts, and sneakers.

How long will my appointment last?
Your appointment can last about an hour for the initial evaluation and subsequent visits can last anywhere from 30-60 minutes.

Who will be evaluating me?
A licensed physical therapist will be examining you at your first visit.

What is the evaluation all about?
Our licensed physical therapist will ask a series of questions pertaining to your medical history and then test and measure your strength, range of motion, balance and coordination, posture, muscle performance, respiration, and motor function.

After assessing your condition, our physical therapist will develop a treatment plan. Either the therapist or the physical therapy assistant will implement the treatment plan with you.

Who is a physical therapy assistant?
Under the direction of a licensed physical therapist, a licensed physical therapy assistant may be involved to implement treatment plans for patients.

Who are physical therapy aides?
A physical therapy aide is involved in following through with routine support tasks as directed by the physical therapist.

How often do I need to come to therapy?
The frequency of your therapy will be prescribed by your doctor and determined by your therapist after your initial consultation. We understand the difficulties of adding one more thing to your "to do" list but encourage you to stick to a regime to achieve the most out of your recovery in rehab.

What does APN stand for?
APN is an acronym for Peter McHugh's three eldest children, Alyssa, Peter, and Nicklaus.

Questions & Answers for Baseball Injuries by Peter McHugh

How did you become interested in treating baseball injuries?
I went to college at the University at Maryland and played baseball there for four years. Over this time, many of our pitchers developed shoulder or elbow pain. When I graduated with a degree in physical therapy, I had a natural interest in treating baseball injuries from the experiences of my past.

What are the trends you are seeing with throwing injuries in baseball players at this time?
Over the years, we are seeing more and more injuries to the shoulder and elbow with baseball players. A lot of this can be traced back to the fact that baseball is now a year round sport, so overuse is one of the major factors. Injuries seem to be increasing at every age level, so besides overuse there also could be musculoskeletal impairments with an individual as well as perhaps some mechanical issues with a throwing motion, which may be contributing to an injury.

What do you recommend to a parent or athlete who begins to experience pain in their shoulder or elbow after or while throwing?
The number one recommendation I can make would be to avoid throwing through pain. Throwing through pain generally worsens the condition and may do significantly more damage. The best course of action is to always have the painful area examined by a physician or a rehabilitation specialist to determine the extent of injury and when it would be safe to return to throwing activities.

How can physical therapy benefit a patient experiencing pain in the throwing arm?
It is always best to be examined by a physical therapist that has experience and knowledge when it comes to treating throwing injuries. The therapist will be able to take a thorough history, examine throwing extremity and identify what are the probable factors that led to the injury itself. From this information, proper steps can be taken and a rehabilitation program can be developed to address the impairments identified.

How can a baseball player minimize the risk of injury or recurrence of injury?
The best way to minimize the risk of injury is preventative. Avoiding overuse is certainly one of the biggest factors. In addition, being examined by an experienced physical therapist with the knowledge of baseball injuries can help prevent injury by addressing musculoskeletal impairments which may lead to the injury in the first place. Once these are identified, the athlete can then continue with an overall program to maintain the health of their throwing extremity.