The ultimate reason for these injuries goes far back to what the current generation of players did and did not do when they were kids growing up. Most began playing baseball at an early age when they were identified as being talented and probably specialized early and prepared by pitching more and swinging the bat more. In essence accumulating stress without any preparation for the imposed stresses. Most did not have regular physical education as that has gone the way of dinosaur. The surest way to strengthen the intercostals and the oblique’s is to climb, hang, swing from overhead ladders and crawl all activities inherent in play and work in past generations. The current generation of players did not get this either in free play or in physical education. This should force us to reconsider how we train and prepare these athletes from younger ages on up to the professional level. I know this sounds old school but take a step back and think about how it can be done. It can be done, but it must be done in systematic manner beginning at the youngest ages with comprehensive preparation to play activities that are structured into the start of practices at every level. These activities should be as movement rich as possible including climbing, hanging, suspended swings and crawls. Mind you this is not to be done in a boot camp environment but in a structured playful teaching environment regardless of the level of development. It is not real complicated; it is very basic but necessary. That is both the long term and short-term solution.