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How to Build a Fall Pitching Program

For many high school and college pitchers, the months between one season and the next are the longest relatively uninterrupted stretch of training they get all year. No conference schedule. No Friday night start. No bus ride home at midnight. Just time, and that valuable time is the point of this series.

Ball resting on pitching rubber before fall ball game.

How to Build a Fall Pitching Program

What the preparation window is actually for, what the research does and does not establish, and how two experienced practitioners use the months nobody is watching

PILLAR ARTICLE · From Fall to Opening Day · OatesSpecialties.com


Executive Summary

For many high school and college pitchers, the months between one season and the next are the longest relatively uninterrupted stretch of training they get all year. No conference schedule. No Friday night start. No bus ride home at midnight. Just time, and that valuable time is the point of this series.

The purpose of that window is not to work harder. It is to work smarter — to find what is actually limiting an athlete, and spend the time building those specific things, so that when the focus shifts from building to competing, he is ready for it. That means understanding what pitching asks of the body, building the qualities that answer those demands, and keeping an honest count of how much an athlete has thrown.

The preparation window is for building. Competition is for using what you built. Those are different jobs and they need different work.

Different aspects change on different clocks. Some can still improve in a small window before opening day. Others needed to start months earlier.

Pitching produces a real, measurable response in tissue. That is not a reason to be afraid of throwing. It is the reason preparation exists.

Four things shape what an athlete can express: maturity, exposure, recovery, and capacity. A serious problem in any one of them limits the whole.

Exposure has to be counted across everything a pitcher throws, not just in game pitches.

You do not need to read this article as a program. Read it as the map for deciding what your program needs to solve.

A Note on What This Is and Is Not

This is training guidance, not medical advice. Nothing here diagnoses an injury or clears an athlete to play. Content is developed for baseball athletes ages thirteen and above, with high school and collegiate pitchers as the primary application, coaches as the primary reader, and parents as an important secondary one. The evidence comes almost entirely from male baseball pitching, and where a finding comes from another population we say so. Younger athletes need lower volume, lower intensity, and closer supervision. Stop any exercise producing sharp, unusual, or worsening pain, or that cannot be performed with good technique. Persistent pain belongs with a qualified professional.

A Note on Timing

This article uses the fall as its example, because that is when most of North American baseball has its longest gap between seasons. Seasons open at different times in different states and divisions. Everything here applies to whatever your longest uninterrupted window happens to be, wherever you coach.

🎧 Prefer to listen? Audio version of this article:


Prepare, Compete, Restore

Think of a pitcher’s year in three jobs: building capacity, spending it in competition, and recovering from having spent it. Capacity and expression are the two words this series keeps returning to — the preparation window builds the first one so the season has something to draw from.

Your longest gap between seasons is that building window, and it is usually the best stretch for changes that take months rather than weeks — strength, mobility, and the tissue adaptations the rest of this article covers. This article owns that window. The second overarching article in the series covers the handoff into competition. The specific articles listed later each take one topic this article only introduces and go much deeper into it — the research behind it, what it actually means for your athlete, and how to apply it. Think of this article as the overview and those as the full explanation of each piece.

In this building window, it’s important to recognize that different parts of the body change at different speeds. Strength can move within weeks. Connective tissue takes far longer — muscle runs on one clock, tendon on another. That is the honest version of the timeline: some qualities can still change before opening day, and others needed to be started already.


Four Things That Shape the Season

Everything in this series comes back to four constraints. This is our working framework for thinking about readiness, not a formula and not a prediction.

Maturity. Where an athlete sits in growth changes which tissues carry the load. One study looked at youth pitchers averaging twelve years old, which is below the age range this series is written for. It found forces during throwing large enough to affect the growth plate. That is the soft area near the end of a growing bone where new bone is added. In a mature arm, that same load lands somewhere else. Age on a birth certificate does not tell you which arm you are coaching.

Exposure. How much has this athlete actually thrown? Not just game pitches, but all of it.

Recovery. Sleep, school stress, travel, and how an athlete feels two days after an outing. This one runs underneath everything else and rarely gets counted.

Capacity. Strength, mobility, control, and the ability to repeat effort without losing foundational movement patterns.

A serious problem in any one of these limits the whole. A strong athlete who has not slept is not prepared. A well-rested athlete who threw two hundred innings this summer is not prepared either. You cannot make up for one with more of another. Together these four shape how much of what an athlete built can be expressed when games start.


What a Coach Can Do With the Maturity Question

Of the four, maturity is the one coaches find least actionable, because you cannot assess growth-plate status from the dugout, and we are not suggesting you try. Growth history changes the context in which you interpret throwing loads. It is not a substitute for clinical assessment.

What you can do is treat age as a starting point rather than a tissue report. Ask about recent height and weight changes, prior growth-related symptoms, and the last twelve months of throwing.

A quick example. A sophomore who grew two inches over the spring is a different case than a senior who has not changed size in a year. Same roster, same practice plan, two different arms. Recent growth makes changes in that sophomore’s soreness and throwing response especially worth paying attention to. Persistent pain in one spot is a reason for evaluation, not a training adjustment.


What Pitching Actually Costs, and Why That Is Not a Warning

Start with what a single outing does to an arm. Everything else in this article depends on that answer, and most people have only ever heard the frightening version of it.

A study of thirty high school pitchers, average age sixteen, measured the elbow before and after they threw one hundred pitches. Using an ultrasound method that estimates tissue behavior, researchers found a change they interpreted as increased laxity in the ligament on the inside of the elbow. That change was statistically significant. A forearm muscle measure moved the same direction but did not reach significance, and we hold that distinction all series.

A separate study by the same group followed pitchers for the next twenty-four hours and found that stability measures returned toward their starting point within that window.

So pitching produces a real, measurable change in what these studies measured, and those measures returned toward baseline inside the window the researchers followed. That is measurement recovery, which is not the same as saying every biological process is finished. It also does not follow that soreness is normal, that pain is normal, or that every change is harmless, and none of it predicts a torn ligament. The researchers were careful about that, and so are we.

This is where a lot of baseball content takes a wrong turn, reading that finding as a reason to be afraid of throwing.

We read it differently. Throwing a baseball hard is a demanding athletic act, and demanding acts produce responses in tissue. That is not a defect in the sport, and it is the reason preparation exists at all.

The response is one thing to weigh when deciding how fast to build. It is not an argument against building.


The Number That Scared Everybody

For years the standard explanation ran like this. Cadaver work puts the failure point of the elbow’s inner ligament near thirty-four newton-meters, which is a measure of twisting force. The torque calculated at the elbow during pitching runs far higher than that. Therefore every hard pitch loads the ligament to near its breaking point.

The math is real. The conclusion is half right, and the half it misses is the important one.

The torque calculated at the elbow during pitching is a measure of the whole joint’s resistance to being pulled apart — the combined effort of the ligament, the muscles, and everything else crossing that joint. It is not a direct measure of what the ligament itself is carrying. The forearm muscles take a large part of that total load directly.

But when researchers measured how much of that strength pitchers actually have, it was not meaningfully greater than what a pitch demands. On a fastball, fully protecting the ligament would take slightly more than a maximum effort from those muscles. Ten of the pitchers tested could not produce enough to unload it completely on fastballs and most other pitch types.

So the muscles carry most of it. They do not carry all of it. For most pitchers on most pitch types, some load reaches the ligament, and it stays below what it takes to tear one in a single throw.

That is why researchers describe elbows failing the way they do. Not from one pitch. From thousands of them, each leaving a little behind.

Notice this closes a loop from a few paragraphs ago. The forearm measure in that hundred-pitch study is the same muscle group doing the work here. Whether training it changes injury risk has not been tested. That it is part of the structure is not in question.


How Two Practitioners Approach the Same Problem

Research describes what happened in a study. It does not tell a coach what to do on Monday.

What follows is practitioner interpretation, not peer-reviewed evidence. We chose these two because both have decades with throwing athletes, both publish their reasoning openly, and they do not agree on everything. Both run training businesses.

Ron Wolforth of the Texas Baseball Ranch describes soft tissue as being in constant flux. In his framework, tissue takes roughly six to twelve weeks to respond and adapt to the stresses placed on it. He organizes a training week around a cycle of heavy, light, and medium days, with rest between the heaviest efforts. In his framing, how steeply the workload climbs deserves more attention than it usually gets. He describes the ramp-up as the part that matters most.

Wolforth is also blunt about what a preparation window is not. A pitcher must systematically prepare the soft tissue of the shoulder and elbow, he argues, because in his framing rest is not the same thing as preparation.

Asked what the best arm care exercises are, he says the question strikes him as odd, like asking what he should eat for lunch. These things are personal, and an arm care process should be too. That is worth sitting with, from someone who has trained pitchers since 1993.

Randy Sullivan of the Florida Baseball ARMory works from the principle that soft tissue reshapes itself according to the stress placed on it. Put simply: tissue responds to what you ask of it, and it responds to being asked nothing as well.

His practical position is that complete shutdown removes a mechanical signal he believes tissue needs in order to reorganize productively. He favors a controlled signal over no signal, and emphasizes distributing stress across the whole body rather than concentrating it in one place.

Be careful here, because that is a practitioner position rather than a settled finding. Whether complete rest or low-volume maintenance is better during a short layoff depends on recent exposure, health, stage of growth, the calendar, and the reason for the break. No evidence establishes a minimum amount of throwing for a healthy adolescent over two or three weeks. Our article on the holiday break treats it as an open question.

The two do not agree on everything, and we will not pretend otherwise. Where they converge is worth noticing. Both count more than in game pitches, both individualize by response rather than by a chart, and both treat the climb back from time off as the moment requiring the most care.

A practitioner can explain research, challenge it, or apply it. A practitioner cannot upgrade what the research established. We will hold that line all series.


What the Preparation Window Can Build

Strength that shows up on the mound. The practical point first: lower body qualities are associated with velocity, but no study establishes that raising one strength measure raises velocity. A review of seventeen studies involving more than nine hundred pitchers found associations between lower body measures and pitch velocity. Hip strength was among them, along with stride length, lead knee action, and how the pelvis and trunk relate through the delivery. Those studies measured athletes at a single point in time, so they show relationships rather than proving that changing one produces the other. Worth knowing honestly: a study of thirty-three college pitchers set out to test whether lower body power predicted fastball velocity. In that study, body mass was the strongest individual predictor. Getting bigger and getting stronger are not the same project.

If strength is what you can produce, the next question is whether you can get into the positions that let you produce it.

Positions you can reach and hold. Mobility work has a mixed research record, and a full article covers why. A review pooling three studies of professional pitchers found one shoulder rotation measure associated with injury. Studies in high school players have disagreed with each other, with one group finding a rotation deficit risky and another finding it protective. One study following two hundred twenty-eight young players found limited ankle motion in the back leg to be an independent risk factor — a reminder that this is not only a shoulder conversation.

What this actually tells a coach: the research has not settled on a single mobility measure that reliably predicts problems, and the strongest positive finding did not even come from the population you coach. That does not mean mobility does not matter. It means no single screen should be treated as a verdict, and mobility limitations are worth checking across the whole body — hips and ankles included — rather than assumed to live only in the shoulder.

Command as a trainable skill. This window is generally the stretch where a bad pitch costs the least, which makes it the time to experiment. One caution from the research. A study of practice variability in a throwing task found the group with the least variety reduced error the most, running against the researchers’ own expectation. More variety is not automatically better, and how much suits an athlete appears to depend on the athlete. In practice: experiment now, watch what actually improves, and keep what works for him rather than what worked for somebody else.


The Half of the Delivery Nobody Trains

Those three qualities are about producing and controlling force. There is a fourth that works in the opposite direction, and it gets a fraction of the attention.

The ability to slow down. After ball release, the throwing arm decelerates very rapidly as rotational speed falls and the arm continues through the follow-through. The muscles behind the shoulder contribute substantially to that braking, working while they lengthen. Think of how your legs work walking downhill. This is a whole-body process rather than one muscle group acting alone, and studies of energy flow during pitching show that the structures at the shoulder and elbow absorb and redirect substantial mechanical energy in that phase.

Both practitioners named above independently describe this area as under-trained.

Here is the most honest study we found on training it. A Division I program ran a shoulder routine through the fall and measured rotation strength before and after. The changes were smaller than the smallest change the measurement could reliably detect. We include that because it sits in exactly the window this article is about.

What did move, in a separate high school program, was endurance. Posterior shoulder endurance rose at four weeks and was still measurable at twenty. Our judgment, not a finding: that may be the better target. A cuff is not asked for one maximal effort. It is asked to hold the shoulder together in the sixth inning, and this window is when that gets built.


A Weekly Rhythm

Knowing what to build is half the job. The other half is how the week is shaped around it, because the same work spread differently produces a different arm.

What we would take from the practitioner approaches described above is the shape rather than the numbers. A higher-stress day, then a lower-stress day, then recovery and a look at how the athlete responded, then the next higher-stress day. Not every day is the same day. The heaviest work needs room around it. What makes a day heavy is the response to the one before it rather than the date on the calendar.

On intensity. This is our own view, not a research finding or a practitioner’s method: begin any new movement or implement around fifty to sixty percent of full effort, held there long enough to establish the pattern before intent goes up. That number comes from our own observations rather than from research, and we would rather label it than dress it up. The principle underneath is the part that matters: the first exposure to anything new should not be the maximal one. This applies to a returning athlete as much as a new one.

Once games begin, the job changes from building to maintaining. Avoid layering aggressive, unfamiliar work onto a competitive week without a clear reason, a gradual introduction, and staff oversight. A new lifting program, implement, or pitch generally belongs in the preparation window rather than mid-season.


A Word for Parents

One more audience, because parents are usually the ones making the call about a Saturday showcase.

If you are reading this because your son pitches, here is the part that matters most to you.

Preparation is not protection, and nobody can promise a healthy season. What it does is give an athlete a better chance of meeting the sport’s demands instead of being surprised by them.

Two things are worth your attention. The first is total throwing: games, bullpens, practice, lessons, showcases. Families underestimate it easily, because those are tracked separately if at all, and nobody adds them up. One study of youth pitchers found that pitch counts substantially understate the high-effort throws made across a season. A study of high school pitchers nationwide found that when preseason and in-season counts were combined, the large majority had at least one violation of the national guidelines.

The second is whether soreness resolves, lingers, or worsens.

You do not need to coach any of this. You need to know the volume and notice the pattern. Pain that is persistent, sharp, unusual, or worsening is a conversation with a qualified professional rather than a training adjustment.


How to Think About Equipment

None of what you have read so far requires equipment. But if you are going to use any, here is the order that keeps you honest, written by a company that sells some of it.

Choose the training objective first. Then choose a category of implement that fits it. Then, and only then, choose a product.

Evidence supports objectives and methods far more often than it supports any particular product. How much, how hard, and how often matter more than the label on the handle. Smooth, controlled, and stopped well before fatigue.

One distinction is worth carrying into every article in this series. Most research on training implements measures muscle activity while the exercise is happening. That does not tell you what changes after eight weeks of it. Different questions, and studies answering the first are silent on the second. Not tested is not the same as tested and failed, and we will not claim it either way.

The categories worth knowing, each covered properly in its own article: implements for warm-up and tissue preparation, for low-load stabilization and endurance, for deceleration and posterior shoulder work, for rotational power, and for monitoring. Monitoring tools organize information for a coach. They do not pass or fail an athlete, and no measurement clears anyone to compete.


What We Have Already Said

This is not the first thing we have written about preparing an arm. Our earlier work on arm care covers the day-to-day processes themselves, including what practitioners do before and after throwing.

This article does not repeat it. This overarching article sets the framework and the sequence: objective first, then the training condition, then the method or tool. Implementation lives in that earlier work and in the articles below.


Find Your Next Question

That is the framework. Here is where each piece gets worked out.

Cluster The Question It Answers Articles
Assess What athlete is actually in front of me? What Actually Happens After You Pitch · The Audit · Why Can’t My Pitcher Stay Healthy · The Mid-Window Checkpoint
Build What can this window realistically improve? How Long Does It Take to Build Arm Strength · Does Lower-Body Strength Increase Velocity · What a Mobility Screen Actually Tells You · Why Deceleration Matters · How Do Pitchers Safely Add Velocity · What the Hips Have to Do with the Elbow · The Leg Nobody Thinks About
Throw How should throwing progress? How Should Lifting and Throwing Fit Together · How Do Pitchers Improve Command · How Much Should a Pitcher Actually Throw
Manage What should change as the break approaches? Three Weeks Off, How Do You Bring Him Back

After the break. Further articles cover the return to throwing, what competitive pitching demands, what to count, and how to decide whether an athlete is ready. Those are introduced by the second main article in this series, Pre-Competition Ramp-Up.

Each carries the same structure. What the research found, what it does not establish, how practitioners approach it, and one coaching consideration labeled as judgment.

Your window is open now. There is more time in front of your athletes today than they will have again until this time next year.


Annotated Bibliography

Sources are graded by how directly the study population and outcome apply to a high school or collegiate pitcher.

Hattori H, et al. Ulnar collateral ligament laxity after repetitive pitching. Thirty high school pitchers, average age 16.6. Descriptive laboratory study.
journals.sagepub.com

Population: high school pitchers, direct match. Measured: acute strain-ratio response. Does not establish: injury risk, tissue damage, or adequacy of recovery.

Hattori H, et al. Recovery of the medial elbow joint in the twenty-four-hour period after repetitive pitching in high school players. Twenty-six pitchers.
pubmed.ncbi.nlm.nih.gov

Does not establish: that biological recovery is complete when measures return to baseline.

Yanai T, Onuma K, Nagami T. Varus strength of the medial elbow musculature for stress shielding of the ulnar collateral ligament in competitive baseball pitchers. Medicine and Science in Sports and Exercise, 2025.
pmc.ncbi.nlm.nih.gov

Muscular varus strength was not significantly greater than peak varus moments during pitching except for curveballs. Ten participants could not fully unload the ligament on fastballs and most other pitch types. Authors conclude valgus loading of the ligament is likely unavoidable in pitching. Does not establish: that training forearm strength reduces injury.

Sabick MB, et al. Valgus torque and the physeal mechanism in youth pitchers. Fourteen youth pitchers, average age 12.1.
journals.sagepub.com

Population: below this series’ age range, used only to illustrate why developmental stage matters. Does not establish: that pitching causes growth-plate injury.

Aguinaldo AL, Chambers H. Correlation of throwing mechanics with elbow valgus load in adult baseball pitchers. Sixty-nine pitchers, three-dimensional motion analysis.
pubmed.ncbi.nlm.nih.gov

Population: adults, above this series’ range. Does not establish: that changing trunk timing reduces injury.

Manzi JE, et al. A systematic review of lower-body kinematic and strength factors associated with pitch velocity in adult baseball pitchers. Seventeen studies, 909 pitchers.
pubmed.ncbi.nlm.nih.gov

Design: review of cross-sectional studies. Does not establish: that increasing hip strength increases velocity.

King BW, Snow TK, Millard-Stafford M. Peak lower-extremity power unadjusted for body mass predicts fastball velocity in collegiate baseball pitchers. Thirty-three Division I pitchers.
pubmed.ncbi.nlm.nih.gov

Body mass was the strongest individual predictor in the model. Does not establish: that adding mass raises velocity.

Preseason shoulder range of motion screening and in-season risk of shoulder and elbow injuries in overhead athletes. Systematic review and meta-analysis.
ncbi.nlm.nih.gov

Positive finding pooled from professional pitchers. Authors caution against broad application across sports.

Preseason screening of shoulder range of motion and humeral retrotorsion does not predict injury in high school baseball players.
pmc.ncbi.nlm.nih.gov

Counter-evidence, and carries the summary of disagreement across research groups.

Ankle dorsiflexion deficit in the back leg is a risk factor for shoulder and elbow injuries in young baseball players. Prospective cohort, 228 players.
ncbi.nlm.nih.gov

Moreno et al. Applying different levels of practice variability for motor learning: more is not better.
peerj.com

Counter-evidence to the assumption that more practice variety produces better learning. Sex and age composition not reported.

Saito A, et al. Elasticity of the forearm flexor-pronator muscles as a risk factor for medial elbow injuries in young baseball players: a prospective cohort study of 314 players.
pubmed.ncbi.nlm.nih.gov

Population: ages nine to twelve, below this series’ range. Design: prospective cohort, Level of evidence 2.

Milewski MD, et al. Chronic lack of sleep is associated with increased sports injuries in adolescent athletes.
pubmed.ncbi.nlm.nih.gov

Population: 112 adolescent athletes, mean age 15, mixed sex and sport. Design: survey correlated with retrospective injury records. Does not establish: causation, or anything specific to pitching.

Erickson BJ, et al. Characteristics associated with noncompliance of current Pitch Smart guidelines in high school baseball pitchers throughout the United States.
journals.sagepub.com

Population: US high school pitchers, direct match. Does not establish: that violations caused injury in this cohort.

Fleisig GS, et al. Risk of serious injury for young baseball pitchers: a ten-year study.
pubmed.ncbi.nlm.nih.gov

Population: 481 pitchers aged nine to fourteen, below this series’ range. Design: cohort study, level of evidence 3. The reported association carries a wide confidence interval, which we publish every time we use the number.

Dominant-limb range-of-motion and humeral-retrotorsion adaptation in collegiate baseball and softball position players.
pubmed.ncbi.nlm.nih.gov

The basis for treating softball findings as directional rather than numerical in this series.

Practitioner sources. Ron Wolforth, Texas Baseball Ranch: texasbaseballranch.com and on personalized arm care: perfectgame.org. Randy Sullivan, Florida Baseball ARMory: floridabaseballarmory.com

Practitioner interpretation and application. Not peer-reviewed evidence.

Publisher disclosure: related equipment categories.

Every category described above is made by several manufacturers. Within our own catalog, the TAP® Shoulder Tube® is one example of a long-lever oscillation implement, and the KHAOS® implements are one example of a water-filled stabilization implement. We list them because we make them and it would be strange to pretend otherwise. The research supports the training objective. It does not support any particular brand, including ours.

About This Analysis

Created by the Oates Specialties team led by Robert Oates, M.Ed., Founder

Editorial oversight by Gunnar Thompson, BS, CSCS, General Manager
Certified Strength & Conditioning Specialist | Biomechanics Specialist

September 2026

Complete Credentials

ROBERT OATES, M.Ed., Founder: Founded Oates Specialties in 2003. Master of Education degree. Provides strategic direction for educational content and athlete development philosophy.

GUNNAR THOMPSON, General Manager: BS Kinesiology (Clinical Exercise Science). CSCS (NSCA), PES (NASM), CPPS certifications. Technical authority on biomechanics and performance science. Conducts review of all educational content for scientific accuracy.

Questions or corrections: gunnart@oatesspecialties.com

© 2026, Oates Specialties LLC

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