Why Velocity Is King — But Also The BIG Culprit Behind UCL Injuries

Dr. Christopher Ahmad
5 min readDec 12, 2024

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Beyond The Cut: A Blog Series Dedicated To UCL Injury Risks

Introduction: The Velocity Obsession

Baseball has always been a game of precision, skill, and power — but in the last two decades, one metric has reshaped the sport more than any other: velocity. A fastball used to be considered elite at 92 mph. Today, anything below 95 mph can seem pedestrian, with many MLB pitchers regularly topping 100 mph.

While this relentless pursuit of speed has electrified the game, it has come with a steep cost: an epidemic of UCL injuries. Throwing harder generates massive forces on the elbow, particularly on the ulnar collateral ligament (UCL). It’s no coincidence that as average pitching speeds have climbed, so have UCL tears and Tommy John surgeries.

In this blog, we’ll explore how chasing velocity impacts UCL health, the science behind throwing harder, and what athletes can do to balance performance with injury prevention.

College player Ben Joyce threw 105.5 mph in 2022

1. The Science of Throwing Hard

Throwing a baseball is one of the most explosive motions in sports. It involves nearly every muscle group in the body, from the legs generating power, to the core transferring energy, and finally, to the arm delivering the ball at breakneck speed.

Here’s what happens during a high-velocity pitch:

• Hip Drive: Power starts from the legs, driving through the hips.

• Torso Rotation: The torso rotates violently, transferring force upward.

• Arm Whip: The shoulder, elbow, and wrist accelerate forward in a whip-like motion.

The Key Metric: Elbow Valgus Torque

• During this process, elbow valgus torque — a twisting force on the inner elbow — can reach 50–60 newton-meters, far beyond what the UCL can handle alone.

• In a 100-mph fastball, the UCL endures stress equivalent to hanging six 10-pound bowling balls from the throwing hand.

The UCL isn’t designed to withstand these forces indefinitely, making repetitive high-speed pitching a perfect recipe for injury.

2. How the Velocity Arms Race Took Over Baseball

The MLB Velocity Surge

Consider this:

• In 2002, the average MLB fastball was just under 90 mph.

• By 2023, that average climbed to 94.5 mph, with many pitchers routinely throwing 98+ mph.

This surge isn’t by accident — it’s a result of baseball’s evolving culture:

1. Analytics-Driven Scouting: Pitch velocity is one of the most scouted metrics in the game. A faster fastball = a higher chance of getting drafted or signed.

2. Player Development Systems: Training facilities like Driveline Baseball and similar academies specialize in teaching velocity generation through cutting-edge biomechanics and technology.

3. Social Media Hype: Pitching highlights on platforms like Instagram and YouTube often focus solely on radar gun readings, feeding the obsession with speed.

A chart showing the average MLB fastball velocity 2002–2023 clearly indicating that velocity is king.

Youth Baseball’s Response

The velocity obsession isn’t limited to the professional level — it has trickled down to youth leagues, where players as young as 12 are now training year-round to gain an edge. Unfortunately, this increased emphasis on throwing hard has tripled UCL injury rates in youth pitchers over the past decade.

3. The Hidden Cost of Chasing Velocity

A. More Stress, Less Time to Recover

Pitchers throwing harder experience more strain on their UCLs, requiring longer recovery periods. However, many athletes fail to give themselves adequate rest, leading to microtears that build up over time.

B. Pitch Design and New Pitches

The evolution of pitch design has worsened the problem. Breaking pitches like the slider and “sweeper” require extreme wrist and elbow action, adding additional stress to the UCL.

C. Overtraining Culture

The “no days off” mentality can be lethal for the UCL. Rest isn’t just recommended — it’s mandatory. Without scheduled breaks, pitchers risk chronic overuse injuries that can derail careers.

4. Can You Build Velocity Safely?

The Good News: Velocity Isn’t Inherently Bad

Throwing hard isn’t the problem — it’s how and when pitchers throw that matters most. With the right combination of training, mechanics, and recovery, pitchers can throw harder while reducing their risk of UCL injury.

Here’s how:

1. Maximize Mechanics

• Proper mechanics create efficient throwing motions that reduce strain on the elbow.

• Pro Tip: Work with a biomechanics coach or use video analysis tools like Hudl or PitchAI.

2. Build Total Body Strength

• Strengthen the hips, core, and legs, which generate power and reduce reliance on the arm.

• Focus on shoulder stability and forearm conditioning for additional support.

3. Respect Recovery Cycles

• Follow strict pitch counts and limit the number of competitive innings.

• Take breaks during the offseason to allow the UCL to recover.

4. Focus on Long-Term Development

  • Avoid specializing too early — playing multiple sports reduces overuse injuries.
With the right combination of training, mechanics, and recovery, pitchers can throw harder while reducing their risk of UCL injury.

Case Study: A Rising Star’s Turning Point

One of the most striking cases I’ve encountered involved a top high school pitcher throwing 96 mph at 17 years old. He had offers from multiple Division I programs but was already experiencing severe elbow pain. His coaches pushed him to “tough it out.”

After undergoing a biomechanical analysis, we discovered that his elbow was absorbing far more torque than his UCL could handle. We adjusted his training regimen by focusing on hip drive, reducing pitch counts, and introducing a targeted recovery program. Today, he’s pitching injury-free at the college level, proving that velocity and arm health can coexist — with the right plan.

Conclusion: Balancing Velocity and Health

Velocity has become the game’s defining metric — but it doesn’t have to come at the cost of health. By understanding how high-speed pitching affects the UCL and taking proactive steps to manage workload, pitchers can reach their full potential and protect their arms.

Stay tuned for Blog #5, where we’ll break down the early warning signs of UCL injuries and what to watch for before it’s too late.

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Dr. Ahmad watching batting practice at the historic Dodgers Stadium during Game 1 of the World Series 2024

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Dr. Christopher Ahmad
Dr. Christopher Ahmad

Written by Dr. Christopher Ahmad

Dr. Chris Ahmad is one of the world’s top orthopedic surgeons, head team physician for the New York Yankees & NYCFC, and author of the book SKILL.

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