Glenohumeral internal rotation deficit (GIRD)
I created the Active Life Orthopedics Guides to help the people I can't see in my practice — practical guidance on recovering from orthopedic injuries and conditions — from a triple-board certified orthopedic surgeon — so you can get back to the active life you love. New titles releasing throughout 2026. 📚 Explore the series: https://www.amazon.com/stores/Dr.-Dav... Glenohumeral internal rotation deficit (GIRD) is a cause of shoulder pain in overhead athletes. It’s most often seen in baseball pitchers, but tennis players and other throwing athletes can have it too. http://challenge.drdavidgeier.com/ds/... I want to help you! Please click the link above and take a few seconds to share the biggest challenge or struggle you’re facing with your injury! http://www.drdavidgeier.com/GIRD-glen... Click the link above for more information about GIRD and other resources about sports and exercise injuries. Get The Serious Injury Checklist FREE! How can you know if your injury should get better in a few days or if it's more serious? This checklist can help you plan your next step to recover quickly and safely. http://www.sportsmedicinesimplified.com Please note: I don't respond to questions and requests for specific medical advice left in the comments to my videos. I receive too many to keep up (several hundred per week), and legally I can't offer specific medical advice to people who aren't my patients (see below). If you want to ask a question about a specific injury you have, leave it in the comments below, and I might answer it in an upcoming Ask Dr. Geier video. If you need more detailed information on your injury, go to my Resources page: https://www.drdavidgeier.com/resources/ The content of this YouTube Channel, / drdavidgeier (“Channel”) is for INFORMATIONAL PURPOSES ONLY. The Channel may offer health, fitness, nutritional and other such information, but such information is intended for educational and informational purposes only. This content should not be used to self-diagnose or self-treat any health, medical, or physical condition. The content does not and is not intended to convey medical advice and does not constitute the practice of medicine. YOU SHOULD NOT RELY ON THIS INFORMATION AS A SUBSTITUTE FOR, NOR DOES IT REPLACE, PROFESSIONAL MEDICAL ADVICE, DIAGNOSIS, OR TREATMENT. You should consult with your healthcare professional before doing anything contained on this Channel. You agree that Dr. Geier is not responsible for any actions or inaction on your part based on the information that is presented on the Channel. Dr. David Geier Enterprises, LLC makes no representations about the accuracy or suitability of the content. USE OF THE CONTENT IS AT YOUR OWN RISK. If you or your young athlete has GIRD, he or she will often complain of vague shoulder pain with overhead activity. Throwers might notice decreased control or velocity on their throws. Rarely they notice a loss of shoulder motion. When the doctor examines the painful shoulder, he will assess shoulder motion, especially internal and external rotation. Throwers often have increased external rotation but decreased internal rotation compared to the nondominant shoulder. A significant loss of internal rotation, though, suggests GIRD. In this video, I discuss this common cause of shoulder pain in overhead athletes, the diagnosis and treatment options so you or your child can return to play.

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