Glenohumeral internal rotation deficit (GIRD)

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.
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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.

[@DrDavidGeier]

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[@vijaygambhir6092]

Thanks

[@jennahambrook8641]

I am currently suffering with GIRD. It was diagnosed by an orthopaedic surgeon after an MRI scan. I play indoor cricket and last year played in the World Cup - the preparation for this entailed many camps and excessive bowling (overhead activity). It got to a point where the pain was so severe every time I bowled a ball. I took a break from bowling at the camps and was diagnosed with an overused rotator cuff. It was only after an extended period of no bowling with no improvement in the amount of pain that I was told this meant it cannot be overused rotator cuff. I went for an MRI and was diagnosed with GIRD. Through stretching exercises I have almost full range of motion back when compared to my left arm, and am now on the strengthening part of my recovery process. My biokineticist says I should be back bowling by early next year. I have not played properly since September 2017.

[@DrDavidGeier]

Sounds like you are making good progress!

[@austinshows30]

Please update, have you fully recovered?

[@chloewestbury7774]

Hiya, I'm a cricket player and struggle to get my arm to rotate smoothly when I bowl. Although I don't feel any pain. Do you have any suggestions of what this could be? Thanks

[@user-ls5kp8rl4o]

Is the pain in the shoulder in one area. My son points to the same spot in the back of his shoulder. Thanks

[@DrDavidGeier]

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