Glenohumeral internal rotation deficit, or 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.

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.

Also read:
Internal impingement of the shoulder
Tips for young overhead athletes battling shoulder pain

Athlete with GIRD of the shoulder
Athletes with glenohumeral internal rotation deficits will have decreased internal rotation of the involved shoulder.

I want to help you! Please take a few seconds to share the biggest challenge or struggle you’re facing with your injury! Click here!

Recommended Products and Resources
Click here to go to Dr. David Geier’s Amazon Influencer store!
Due to a large number of questions I have received over the years asking about products for health, injuries, performance, and other areas of sports, exercise, work and life, I have created an Amazon Influencer page. While this information and these products are not intended to treat any specific injury or illness you have, they are products I use personally, have used or have tried, or I have recommended to others. THE SITE MAY OFFER HEALTH, FITNESS, NUTRITIONAL AND OTHER SUCH INFORMATION, BUT SUCH INFORMATION IS DESIGNED FOR EDUCATIONAL AND INFORMATIONAL PURPOSES ONLY. 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. THE SITE IS NOT RESPONSIBLE FOR ANY ACTIONS OR INACTION ON A USER’S PART BASED ON THE INFORMATION THAT IS PRESENTED ON THE SITE. Please note that as an Amazon Associate I earn from qualifying purchases.