Dr. Kevin J McGovern, PT

12/15/2025

If we truly want to save adolescent arms,
we have to go far beyond pitch count.

Pitch count is an arbitrary number.
It tells us nothing about:
• how efficient the pitcher was
• how much stress the arm absorbed
• whether the athlete was breaking down on the mound

That’s why arms keep getting injured while following the rules.

What we should be measuring is:
• Efficiency (OP10) — how many outs were earned per pitch
• Pre-game strength & movement
• In-game fatigue changes
• Post-game recovery markers

These tests are:
✔️ Simple
✔️ Fast
✔️ Inexpensive
✔️ Easy to implement at any level

And they would save thousands of arms every year.

Pitch count is a starting point —
not a safety system.

Efficiency + objective testing is how we protect pitchers.

12/15/2025

Let’s get something straight.

Neuropathy is NOT a medication problem.
It’s NOT a “learn to live with it” problem.
And it’s NOT a mystery.

Neuropathy is a circulation + nerve signaling problem.

And here’s the part most people never hear:

👉 Nerves cannot heal if they are starved of blood.

That’s why pills fail.
That’s why creams fail.
That’s why injections fail.

They treat symptoms…
Not the cause.

At Perfect Motion Sports Therapy, we use advanced Shockwave Therapy to do what drugs never will:

✔️ Restore blood flow
✔️ Stimulate nerve regeneration
✔️ Wake up dormant nerves
✔️ Reduce burning, numbness, and tingling

This isn’t theory.
This is measurable physiology.

We can literally see circulation increase — often immediately.

That’s why we do something almost no clinic will risk:

⚡ Your FIRST Neuropathy Shockwave Visit is FREE
📸 Includes infrared imaging to prove blood-flow change

If you’ve been told:
“Nothing can be done”
“You just have to live with it”
“Try another medication”

You were sold management.

We sell solutions.

⚠️ Fair warning: once you experience real blood flow returning to the nerves, you’ll never look at neuropathy the same way again.

👉 DM “NEUROPATHY” or call now
Limited availability. When the schedule fills, it fills.

12/15/2025

Dr. Kevin McGovern is here to help Acton recover faster, heal naturally, and live pain-free.
Call to schedule an appointment today: (978) 651-1812

12/14/2025

PSA: Chronic pain? Failed physical therapy? Still not back on the field?

Here’s the hard truth most people never hear:

👉 The root cause was never actually fixed.
👉 And the proper neurological sequence of movement was never restored.

Pain doesn’t persist because you’re weak.
It persists because your body is moving out of sequence.

There are two foundational movements that must be mastered — regardless of injury, sport, or goal:

1️⃣ Scapular Depression
2️⃣ Proper Cue → Contraction → Sequence

If the scapula cannot depress correctly, the nervous system compensates.
If the contraction sequence is off, joints absorb stress they were never designed to handle.

Without these two:
• You will keep chasing symptoms
• You will plateau in rehab
• You will never perform at your true capacity

This is why so many people “complete PT” but never truly recover.

All physical therapy is NOT the same.
Movement quality, neurological sequencing, and precision matter.

If those aren’t addressed first — everything else is noise.

12/14/2025

12/14/2025

⚾ SCENARIO 1: THE CURRENT PITCH COUNT RULE

• Pitch limit: 85 pitches
• Game length: 6 innings
• 6 innings = 18 outs

OP10 math:
18 outs ÷ 85 pitches = 0.21
0.21 × 10 = 2.12 OP10

👉 2.12 is NOT efficient
That’s a lot of pitches just to get outs.
More pitches = more stress on a growing arm.

⸻

⚾ SCENARIO 2: SAME GAME — BETTER EFFICIENCY

• Same 6 innings
• Same 18 outs
• Target efficiency: OP10 = 2.5

Reverse math:
18 outs × 10 = 180
180 ÷ 2.5 = 72 pitches

👉 Same game. Same outs. 13 fewer pitches.

⸻

🧠 THE TAKEAWAY (THIS IS THE POINT)

Pitch count only tells you how many pitches.
It does not tell you how hard the arm had to work.

OP10 tells you efficiency.
Efficiency is what protects arms.

If we truly want to save arms,
pitch count alone is not enough.

12/14/2025

Most pitchers don’t get hurt because they “did too much.”

They get hurt because no one was medically overseeing what they were doing.

They followed programs.
They listened to coaches.
They trusted advice.

But there was no medical authority monitoring mechanics, workload, or fatigue over time.

That’s the gap Mound Ready fills.

Mound Ready is not a throwing program.
It’s not drills.
It’s not group coaching.

It’s ongoing medical oversight for pitchers—designed to catch what others miss before another injury happens.

If your pitcher has already been hurt once,
this is not optional.

Mound Ready.
Built to save arms.

12/14/2025

🚨 PUBLIC SERVICE ANNOUNCEMENT 🚨

“The arm must be up on time.
When the arm lags behind the body, the elbow pays the price.”
— Dr. James Andrews, Orthopedic Surgeon

Late arm action is not a style issue.
It is a load-management problem.

When the front foot lands and the torso rotates before the arm is ready, the elbow becomes the brake.

That’s valgus stress.
That’s UCL overload.
That’s how Tommy John starts.

Nearly every pitcher I evaluate with chronic elbow pain shows:
• Late or slow arm action
• Poor sequencing
• The arm trying to “catch up” to rotation

Velocity doesn’t protect you.
Talent doesn’t protect you.
Timing does.

If the arm isn’t on time, injury is only a matter of reps.

This is why guessing, copying big leaguers, or trusting internet drills gets kids hurt.

Evaluate. Correct. Protect the arm.

—
Dr. Kevin J. McGovern, PT, CSCS
Velocity RX | Mound Ready
Saving 1 million arms

12/13/2025

Everyone says they “care about arm health.”

Very few actually investigate it.

If rehab worked, you wouldn’t still be searching.
If the program was right, pain wouldn’t keep showing up.

That’s why Mound Ready was created.

Not for everyone.
Not for the masses.
Not for kids collecting opinions.

This is medical oversight for pitchers who refuse to guess anymore.

Spots are limited by design.
Because real oversight takes time.

Mound Ready
Always Ready. Always Healthy.

12/12/2025

🟢 Best OP10 (Most Efficient)

May 1, 1991 — 7th no-hitter vs Toronto Blue Jays
• Pitches: 122
• Outs: 27
OP10 = (27 ÷ 122) × 10 = 2.21
This is an incredibly efficient no-hitter for Nolan Ryan — high strikeout total (16) but still a relatively low total pitch count given strikeouts. 

⸻

🔴 Worst OP10 (Least Efficient)

June 1, 1975 — 4th no-hitter vs Baltimore Orioles
• Pitches: 147
• Outs: 27
OP10 = (27 ÷ 147) × 10 = 1.84
While this is technically lower due to a very high pitch count, this result means more stress on the arm — more pitches per out than his cleaner outings.

12/12/2025

David Cone. Perfect game. 88 pitches.

On July 18, 1999, David Cone retired all 27 batters on just 88 total pitches.

That’s not just history — that’s elite efficiency.

Using the OP10 formula:

OP10 = ((Outs + Errors) ÷ Pitches) × 10
OP10 = (27 ÷ 88) × 10
OP10 = 3.07

Sub-4.0 is elite.
Low pitch count = less stress on the arm.
Efficiency like this is why some arms last.

Velocity doesn’t save arms.
Efficiency does.