side effects of cardizem er is mupirocin ointment over the counter buying levitra from cipa in canada prevacid interactions with other medications buy viramune boots pharmacy ordering prednisone canada accutane india cost brand cialis canadian source celexa bonus pills zestoretic prices usa tamoxifen without prescription buy diarex tablets canada type antibiotic doxycycline lamisil dose for toenail fungus cialis vs levitra cialis information trimix blending tables acticin no prescription canada how to get nootropil drug buy avodart online overnight buy trazodone online usa trihexyphenidyl dosage administration lanoxin generic name p57 hoodia sale there generic glucophage triamterene medicine online what is vardenafil aurochem generic zyban generic dilantin switzerland buy tretinoin 0,025 in ireland sale brand viagra buy xanax bars online no prescription what is the name of the generic drug for plavix is generic forzest effective clomiphene citrate dosage for pct can buy promethazine over counter ms phd in pharmacy in canada awam ki adalat veena malik how long does it take for inderal to start working viagra tablets online uk atomoxetine cochrane review atorvastatin buy india what is aldactone tablets cost of kamagra oral jelly cheap voveran sale uk comprar rowenta lithium where to buy alligator clips in singapore uk version of blopress depression anxiety medication names discount canadian pharmacy imuran how to use doxycycline where to apply topical phenergan does canada accept american express gift cards get lamictal las vegas para que se usa el orlistat methotrexate injections and sun exposure accutane tablets us online buy abilify cheap antipsychotic protonix dose po over the counter antibiotics for urinary tract infection cheap actos 45 mg pioglitazone order zestril online with visa cefixime capsules side effects ligament of marshall coumadin ridge what is the shelf life of motrin 800 levothyroxine medication online celebrex next day buy finasteride online india what is methylprednisolone tablets 4 mg used for haldol cost comparison rosuvastatin overnight use actoplus met coupon online can you buy lisinopril over the counter in germany vermox generic usa purchasing omnicef online uk what prescription drugs are over the counter in mexico sale order apcalis sx mg pills can you buy geriforte online benzac generic release date buy cafergot without prescription i pill differin website anastrozole bodybuilding dosage pravachol buy canada can you buy bupropion in ireland how long does it take for the effects of zoloft to wear off olanzapine in italia buying colchicine in manchester tadacip results zerit from canada generic fosamax dosing generic cozaar usa pharmacy clonidine tablets on line to buy lipothin raspberry ketone ingredients health canada risperdal consta propecia canada cost low cost liv i pill tretinoin 0,025 website cymbalta pills online in the usa hydrochlorothiazide pct buy comprar nizagara en argentina where is seroquel made viagra canadian check pravachol 100mg cheap mail order generic alli unisom delivery uk confido in croatia epivir-hbv online in us best online pharmacy generic singulair floxin otic dose clomiphene citrate 50 mg side effects men buy allopurinol no prescription fast delivery astrazeneca seroquel lawsuit 2011 canadian aciphex drug licensed buy zetia 100 does omeprazole work better than ranitidine chlamydia treatment pills side effects alavert tablets 10mg can you buy clonidine catapres drug betapace iv dose augmentin dosage dose cleocin cialis professional direct pharmacy pharmacy puerto rico gran canaria is skelaxin over the counter do i need a prescription for vantin when will actoplus met be generic meclizine hcl pyridoxine hcl risperdal quicklet lady era reviews speman medicine online tinidazole without cod diarex no prescription compare prices what conditions does prilosec treat ordering cialis super active kaufen canadian pharmacy generic orlistat manufacturers rosuvastatin price india levitra vardenafil hcl celexa side effects children lasix side effect fatigue free coupon for nymphomax forzest 40 mg pharmacy buy eurax uk pink viagra for women in india buy reglan syrup moduretic echeck buy erexor delivery generic plendil buy trazodone tablets online donde comprar rumalaya forte buy elocon online canada amaryl coma proventil prescription drug buy dilantin quick buying brafix in manchester what is atarax made of effexor xr generic release date approved cheap omnicef uk ventolin prescription australia get lexapro cheaper carafate online legally seroflo prices usa avalide prescription only flagyl for body odor sale generic coreg data no prescription zenegra sale to buy geriforte in uk triamcinolone acetonide dental paste uk hydrochlorothiazide 100 mg what is lamictal xr used for buy arjuna online usa amoxil rxlist tenormin pills online in the uk nitrofurantoin generic release date viagra online bestellen zonder recept how to take zyban what are the side effects of zoloft coming off of it viagra shipped from canada side effects of biaxin insomnia list of tesco stores selling nizagara motilium online overnight order glycomet medication by mail buy speman 80 mg online keftab tablets from buy plavix now generic best place to buy diclofenac acheter exelon patch buy silagra no prescription us pharmacy online prescription astelin overnight fedex consultant what is aleve pills for buy cardizem paypal accepted pilex doctors online purchase ciprodex capoten for sale uk seroquel xr usa cytotec medicine use achat de viagra au us pharmacy drugs online buy nolvadex 40 generic detrol in usa saw palmetto dose for hair loss buy pilex next day avalide purchase in canada no prescription skelaxin discount voucher tegretol and alcohol withdrawal what is nizoral ointment used for us pharmacies online that sell aciclovir acai next day cheap alesse sale uk purchase rhinocort nasal spray minocycline belongs to which drug classification how to get dostinex in australia mestinon overnight pharmacy where can i get eulexin pills proventil australia price is there a generic for valtrex generic form of propranolol grifulvin v tablets from buy what does norvasc pill look like best site get erexin-v aciclovir order online buy remeron 50 malaseb spray for cats buying mentax using paypal nizoral discounts codes buy cheap dapoxetine using pay pal best site get pariet pharmacies atarax generic remeron drug price retino a for acne evecare with no rx us pharmacy online carafate buy azulfidine uk cheapest brafix tablets uk best generic omnicef sites maxalt results forum sildenafil citrate buy online cheap best cialis viagra levitra purchase accutane 4 mg online dutas by mail mobic pill shortage actavis promethazine for sale buy zoloft new zealand online pariet drugs which uk site to buy diovan donde comprar avodart complications of crestor mail order generic retin-a ge what is the best online pharmacy in australia diltiazem canada head office buy didronel greece where to buy medrol with amex cialis jelly tablets tegretol cr 200 mg tabletta anticoncepcional yasmin comprar pyridium for uti pain precose over counter uk help purchase plavix latanoprost xalatan side effects asacol by mail order generic for asacol 400 mg purchase aciphex 40 mg tricor online forum fosamax over the counter best site to buy cephalexin dutas shopping viagra 100mg how long does it last avandamet online bestellen purchase septilin risk of erythromycin in pregnancy omifin para que sirve buy 1000 live crickets buying presciption pain killers online vasotec dosage for high blood pressure tetracycline dosage chlamydia tinidazole vs metronidazole for amoebiasis buy alli tablets in us lasix max dose cardura for men sale in uk revia uk online seroquel weight gain prescription solutions pharmacy residency is it safe to order feldene betoptic generico italiano who were the indian allies of the french in the french and indian war side effects of isotretinoin roaccutane sinequan on the internet glyset buy canada what class of drugs is lopressor zestril without a script lerk thai catering india vpxl price there any side effects asthma inhalers best site to buy phenamax retino-a cream 0,025 overnight pharmacy nitroglycerin discount no prescription liquid phenergan review ciprofloxacin ear drops for dogs difference between cialis professional cialis quiero comprar clonidine best place to buy tadacip generic pyridium usa pharmacy what does the antibiotic bactrim look like cost of rosuvastatin periactin online forum discount dapoxetine pills sweat tamoxifen reviews baclofen side effects diamox order online no prescription casodex drug classification discount viagra soft tabs generic dilantin vs brand name novartis diovan sales friv 10009 zebeta now co uk betnovate c skin cream side effects nolvadex discounts codes order pravachol tablets buy benadryl for daily use is there a drug comparative to zetia buy cheap dutas pills order benzac tablets bentyl lawsuit canada proscar delivery uk how much does albendazole cost erythromycin ointment purchase order paroxetine from uk without prescription when last will and testament generic actos be available oxytrol online in us zerit shoppers drug mart propranolol discount code what is mylan paroxetine 20 mg levitra plus to buy in england sale asacol what does celexa do to your period chat room - canada drugs suppliers of triamterene in us discount canadian pharmacy singulair tadalafil generic cialis 20 mg chlamydia doxycycline 100mg passion rx and lexapro genuine order amantadine prescription aciphex no rx skelaxin generic name for what http www rxlist com claritin d drug htm med-rx funding llc acheter plavix sans ordonnance low dose naltrexone cancer xenical at boots the chemist buy chloramphenicol australia is tinidazole legal in uk order augmentin no rx canadian pharmacy zovirax tablets dosage genital herpes is fucidin cream used for impetigo buy depakote with paypal can you get high from taking lisinopril innopran xl billig kaufen ordering biaxin canada canada discount rx cheap triamterene buy online buy wellbutrin sr in singapore can we trust levaquin online motilium pills buy online glucophage from usa pharmacy betamethasone cream foreskin order crestor online purchase wellbutrin xl online online pharmacy pharmacists internet pharmacies is generic abana effective lithium where to purchase max daily dose of reglan best prices on allegra long time side effects reglan what is the correct dosage of minipress cheapest place to buy sarafem triamterene australia pharmacy ampicillin noprescrition needed usa online pharmacy can order parlodel online sildenafil citrate online cheap over counter kamagra danazol dosage hereditary angioedema buy saw palmetto online in india prescription cheap stromectol buy buy sarafem in india online buy brafix online pharmacy class action lawsuits against accutane canada most reliable place to buy prometrium online online himplasia india buy zocor in ireland erexin v review birth control mircette side effects is it safe to order mentax lopressor buy no prescription buy zyloprim buy calan 50 prescription for accutane online dutas purchase natural erection pills australia duphalac dosage for toddlers actosol label benadryl allergy tablets ingredients dapoxetine tablets side effects promethazine with codeine syrup dosage rogaine 2 max dose buy combivent boots synthroid medication teaching ciplox for sale uk over the counter version of flonase canada drugs zyrtec with prescription when is the earliest i can take a pregnancy test calculator ayurslim delivery uk generic micardis for sale on line ventolin 100mcg inhaler what does seroflo buy paroxetine without a subscription where to get antabuse prograf uk next day delivery actonel roche precio argentina atorlip-10 without script buy panic meds now indian medrol depomedrol mg ml generic seroquel from canada buy pain medication with no rx what if i missed my synthroid dose what works better viagra ou cialis can you get high from trazodone ssri what causes remeron weight gain minocycline no script diflucan cost target nizoral 1 hair loss reviews diabetic patient sextabletname zenegra pharmacy order magdalena viraga is it safe to order strattera xeloda pills drugstore renova cream strengths where to buy erection packs 1 fluoxetine in india getting prescription drugs from mexico what is estrofem used for in ivf eldepryl for depression buy proscar australia what is ciprofloxacin eye drops prescribed for my minocin coupons best generic viagra site buy generic malegra dxt online buy canada no prescription for xeloda can you buy himcocid antivert cost in canada is zantac sold over the counter what is himcolin made of low dose amitriptyline anxiety gradually buy real viagra salzarex tadalafil can i drink alcohol with medrol dose pack pyridium uk next day delivery inderal anxiety panic cozaar annual sales combined i pill bupropion website sex enhancement drug for women free pack trial viagra buy ephedraxin online cheap diclofenac sodium 50 mg for back pain retino-a cream 0,025 tablets order actos 300 mg canada order indocin why has female cialis been discontinued how to take bupropion xl buy motrin 15mg online ginseng prices 2012 ky wellbutrin generic reviews dilantin new zealand why shortage of alli does generic viagra reviews cheap deltasone buy online breast cancer tamoxifen recurrence ciprofloxacin side effects prescription mobic 15 is ventolin inhaler over the counter cefixime no prescription compare prices pulmicort inhaler reviews combivent legal us propecia without insurance mail order elavil online can order ciplox online glycomet 100 does saw palmetto cause weight gain betoptic pharmacy prices list buy zyvox no prescription nett buy mexitil 200 mg metformin for diabetes online what is metronidazole 250 mg used for in dogs cheap buy antabuse save 100 mg minocin purchase brand viagra pills bula de serophene ordering drugs from mexico by mail hoodia prime coupon code nolvadex side effects long term use alesse brands india where to get hydrochlorothiazide pct azulfidine limited india problems online pet pharmacies what is clorfenamina diflucan now grifulvin v medication methotrexate online overnight online pharmacy no prescription hydrocodone diovan 80 mg price in india pletal generic release date get florinef toronto discount card for singulair discount card long time side effects plavix can you buy cialis online in canada viagra soft generic uk trental tablets uses low price ortho tri-cyclen uk best price for real prednisone purchase dutasteride hair loss cheap cod what is etodolac 500 mg tablet used for 15 rx pharmacy san antonio tx promethazine cheap uk safe nexium no prescription asthma inhaler with no prescription what does a keflex rash look like depakote and alcohol drinking generic uk paypal hydrochlorothiazide order non generic amoxil amitriptyline shoppers drug mart proventil medication asthma is rumalaya gel a prescription drug apcalis sx brands india clyde 1 travel doxycycline hyclate and birth control pills high altitude medication diamox what is the correct dosage of avapro mircette brand positioning inderal tablets anxiety what is nolvadex pct side effects of paxil for women dipyridamole low dose birth control cardura tablets 150 mg 100 mg prazosin can i make kamagra soft female viagra suppositories buy celexa for sale valtrex tablets 40mg rx plus pharmacy shannon half price brand cialis lexapro echeck onde comprar hoodia pfizer viagra 25mg tamoxifen generic brand acyclovir works better than valtrex is generic atorlip-10 available in usa order liposafe overnight buy viagra cialis online uk get coreg las vegas what drug category is trental catfish max menu diltiazem er 240 mg capsules what does phenergan do to youtube etodolac overnight delivery order synthroid on line usa buy zyloprim hong kong puedo comprar best place buy flovent pct proventil doctors online how to order furosemide online purchase actos 30mg where to get keppra pct what does relafen look like depression and anxiety medication symptoms where could i buy amitriptyline without prescription generic calan no prescription options if viagra doesnt work to buy prescription astelin nasal spray pills that give you an instant erection levitra tablet in india mail order yagara all side effects of accutane order nitrofurantoin online uk pilex 10 mg cost neurontin medication half life voveran sr 100 composition bupropion missed dose side effects brand name himplasia online alesse buy online lortab vs vicodin best cialis super active prices overnight tadalafil best generic viagra professional review pharmacie de garde geneve rive droite cost of deltasone lipitor tablets wiki valtrex 500 mg for cold sores generic flovent 110 mcg side effects of imitrex while pregnant missed last dose of clomid prednisone over the counter walmart red pill vs blue pill quote mobic tablets price cvs pharmacy prevacid montelukast sodium dose cleocin medicine children cephalexin capsules 500mg uti lamisil to buy in australia lamictal sales 2009 what is esomeprazole for generic cialis buy canada buy amitriptyline 50 over the counter antifungal medicine for oral thrush get reglan toronto abilify 10mg reviews rabeprazole generic otc how to buy hydrocodone online for cheap the online drugstore fosamax online pharmacy no prescription needed viagra professional duetact dosage instructions buy albendazole with discount online rank intermolecular forces from weakest to strongest clonidine extended-release tablets for pediatric patients with attention-deficit/hyperactivity disorder actonel combi film coated tablets fucidin buy no prescription order eulexin canada rimadyl for dogs dose doxycycline hyclate 20 mg tab how long will it take azithromycin to cure chlamydia betnovate n for dark spots nimotop with paypal payment prilosec prices usa aciphex shortage over the counter medicine that acts as medrol walmart mail order pharmacy careers best tinidazole prices healthy male waist best place buy amaryllis bulbs aciclovir crema 10 mg online pharmacy prazosin skelaxin legal us lilly pharmaceuticals cialis metformin side effects tiredness long time side effects compazine where can you get zyrtec what does reminyl look like cephalexin prix en pharmacie en france celebrex uk no prescription ordering allopurinol here in canada purchase baclofen cheap prescription generic medrol dose mentat costco buy ephedraxin for daily use ephedraxin uk boots what does strattera feel like celexa canadian source augmentin nourrisson 100 mg/12 5 mg par ml epivir-hbv limited india zanaflex women buy where to buy avandamet in canada safely what is the best over the counter depression medicine buy nizagara 100mg pills how to get codeine cough syrup online reviews on tadacip zyrtec took two pills buy bentyl online pharmacy how long does it take for maxalt mlt to work pfizer coupons what are some of the side effects of tetracycline and when is it contraindicated fastest tadacip uk delivery what is flonase made of zyban order on web low price ponstel uk is kamagra legal in spain aspirin 100 mg heart use femcare coupon online pregabalin vs gabapentin fibromyalgia order voveran online uk famvir discount meclizine no prescription overnight delivery advair diskus western australia cozaar prices us vasotec 100mg cheap diclofenac gel lowest price online buy cheap aciphex trimox limited india chloromycetin canada overnight delivery purchase digoxin lowest price what class of medication does tamoxifen belong to glucotrol xl generic name generic cipro for sale on line cheap viagra pills for sale avapro mail order india best drugstore makeup brand yahoo how to take seroquel xr for sleep acticin side effects long term use valtrex over the counter uk cheapest paroxetine drugs buy mircette paypal accepted levitra and cold medicine glucotrol xl paypal can you take acticin daily what does the word purim mean in hebrew finax for purchase buy lanoxin from mexico online stanley hunt dupree rhine and associates inc canadian health care act generic aciphex 20 where can i buy livrelief is there a generic version of januvia how to buy wellbutrin online tricor buy usa buy albendazole mexican pharmacies bupron sr new zealand do i need a prescription for viagra matrix blue pill red pill line ditropan for sale online buy proventil online in usa can you buy desyrel is mail order luvox safe buy cardizem lowest price cheap fincar no prescription viagra para hombres sirve para mujeres cardizem cd 24-hour sustained-release beads capsules retin a for acne erythromycin tablets online metformin over the counter equivalent how to take erythromycin 500 mg us online pharmacy no prescription kytril pharmacy online uk cialis buy antibiotics online reviews know overseas pharmacy no prescription reglan cheap benadryl 100 mg narcotics online pharmacy no prescription no prescription lukol sale singulair weight gain nolvadex tablets india waterloo order of battle allied army deltasone pharmacy prices list fosamax legal us why is there a shortage of celebrex actos cost generic from plendil generic drug name for cymbalta wellbutrin fast heartbeat what is singulair medicine for buy clomid in ireland pink viagra for sale all types cialis soft pills comprar naprosyn original en madrid can you buy avapro confidence generic buy cheap flonase spray generic viagra prices in canada feldene flash tablets order seroquel xr nizagara precio mexico usp prednisone tablets p1i300 tetracycline online order order cholestoplex tablets minocycline for sale 1 cheap acticin online pharmacy lasix in london kaufen robaxin medication pregnancy all types prandin pills tesco car insurance compare lexapro 5 mg tablet buy eurax online amazon buy desyrel new zealand online modern use of clomiphene citrate in induction of ovulation lithium discount voucher floxin otic prices where to buy augmentin drugs online buy isoniazid with visa vigra tablet for man in india lincocin con eucalipto cialis 20mg usa hydrochlorothiazide without a prescription from mexico zanaflex generic 2013 drugs robaxin pills how to by methotrexate online bentyl by mail buy tulasi next day where is furosemide metabolized and excreted malegra fxt supplier in uk toxicity of low dose methotrexate in rheumatoid arthritis what is diclofenac sodium 75 mg prescribed for mexico cafergot pharmacy allegra versace boyfriend acheter bentyl pas cher natural therapy for low testosterone can you buy viagra online legally uk chloramphenicol from canada better than albenza what is cipro used for in medicine where to mentat ds syrup through buy aceon online where to buy viagra super active in canada safely septilin generico italiano ciprofloxacin wikipedia indonesia detrol cheap price legal to buy clomid low price mirapex uk how does accutane work in the body female viagra usa pharmacy ventolin for sale worm medication vermox cheap valtrex 1000 mg buy nitrofurantoin patch side effects of cialis daily use pill differin online mexico does haldol make you gain weight cuantas pastillas de cytotec debo tomar si tengo 5 semanas indinavir uk buy benzoyl metronidazole wiki buy prandin online pharmacy buy meds online no rx order dog antibiotics online how long does it take for celexa to work on anxiety over the counter replacement for zoloft pharmacy has best price cymbalta can i get pregnant on seroquel which uk site to buy viagra safe buy cyklokapron online get adderall prescription without health insurance trazodone shortage uk 2013 acheter baclofene buy brand avodart viagra without insurance prospecto voltaren 50 mg ceftin without a perscription aciphex pas cher trental for dogs buy aricept non perscription countries buy cardizem bulk low cost order periactin online where to buy pilex online canada side effects of promethazine pills viagra professional usa india meds direct buy brand purim canadian alliance church is worship costco pharmacy arava price nitroglycerin order online generic levitra information viagra in singapore can you buy lotrisone canada drugs long time side effects ashwagandha glucotrol xl online pharmacy neurontin without a prescription from canada cost of zoloft at cvs buy promethazine with codeine s g petch durham is generic viramune effective western drug prednisolone online practice pharmacy technician exam cheap proscar usa buy colospa from india buy cheap atacand tinidazole dose pediatric no prescription requip sale buy tenormin canada med cab aldactone buy cytotec without aldactone next day shipping antibiotics for sinusitis uk chances twins using clomid mircette birth control generic overnight pharmacy ventolin cipro take with or without food valtrex dosage recommended how much is innopran xl tablets what is aldactone abilify non perscription countries starlix canadian pharmacy blood pressure medication propranolol side effects amantadina sulfato o clorhidrato mecanismo de accion buy methotrexate without rx amantadine generico italiano lamisil over counter prescription tinidazole tablets dose viagra professional to buy in the usa without a prescription lisinopril uk online hoodia and blood pressure medicine viagra tablet for women in india generic tamoxifen uk paypal diarex medication canadian pharmacy online prescription lisinopril suhagra online forum methylprednisolone acetate brand name how to order doxycycline without prescription can you buy antidepressants online buy misoprostol 200 mcg what kind of medicine is amitriptyline how to get off paxil cold turkey exelon doctors online current price liv acquistare viagra generico in italia viagra on sale in usa ?clomiphene for women in store roxithromycin comprar comprar lariam original en madrid buying zithromax uk canadian pharmacy diabecon synthroid spain casodex medication cancer innopran without a script metformin hcl coupons medrol legal us low-dose methotrexate a mainstay in the treatment of rheumatoid arthritis order fucidin online without rx synthroid pills forums effets secondaires cordarone 200 nizoral better than minoxidil saw palmetto indian name suppliers of dutas in us average cost of generic wellbutrin what is the best erection pills over the counter yahoo spironolactone hirsutism nhs how to take chloroquine for malaria prophylaxis brahmi tablets 150 mg non generic cialis online original atacand online cefixime prescription drug bacterial generic claritin in usa buying januvia from canada no prescription wellbutrin xr rxlist 77 canada pharmacy buy prescription list cheapest calcium carbonate advair wiki celadrin from usa pharmacy chloramphenicol eye drops in canada vantin uk buy where omnicef finpecia in canada tenormin dosage too high eldepryl over the counter cefixime tablets usp 200 mg side effects where to buy levaquin online canada viagra plus tablets uk list popular anti anxiety drugs what is retino-a cream 0,05 for what is tenormin amsa fast pastillas alli pills not available generic cholestoplex in usa blue pill 100 ert pharmacy that sells viagra soft nombres de viagras naturales triamterene 100 review can you buy propecia canada tadalis sx online ordering buy cheap glucotrol xl no prescription low cost clozaril view topic half price forzest billig actonel online kaufen fertomid shortage 2012 serophene cost in canada cheap viagra shipped fast does diclofenac cause weight gain low dose of zoloft for anxiety celexa weight gain reviews finax ordering no prescription order non generic ciplox finasteride tablets cost india antabuse online in canada what is purple acai for online generic lexapro amlodipine 5 mg tab cam minocycline cost without insurance online pharmacy isotretinoin biaxin for purchase craigslist new york state cialis pub quebec spider venom better than viagra what guys should know first lozol no prescription reviews ?lisinopril hctz cause cough baclofen tablets bp aldactone medication acne 10 mg benadryl for dogs side effects of flagyl gel herbal viagra does it really work erectile dysfunction aids uk retino ac gel uses cardizem overnight i pill fertomid website cheapest place to buy cleocin max dose zestoretic finast australia pharmacy sinemet roche precio argentina canadian pharmacy predinosone voltaren rapid prices eulexin shortage 2012 ditropan shoppers drug mart buy cheap carafate no prescription revatio non prescription drugs available canada non prescription isoptin pharmacy betnovate no prescription needed buy benadryl quick dissolve strips how to take wellbutrin xl 150 we found love lyrics az tetracycline overnight lotensin roche precio argentina order maxalt on line canada v-gel coupons why does elavil cause weight gain benzac mail order cialis professional to buy in australia zetia prix en pharmacie en france kamagra tablets online uk best foundation for dry skin medium coverage sinequan uk brand name ventolin inhaler without going doctor cheap vardenafil purchase medrol dose pack is generic micardis available in usa buy alligator uk lasix for horses drug sildenafil online forum rx cart arimidex amaryl discount medications what does differin .3 do lowest price motrin generic viagra sold in us where to buy provera with echeck where can i buy combivent how to take topamax for bipolar buying pamelor in manchester augmentin over the counter celebrex medicine dosage order overnight elavil online no rx voveran online atrovent without prescription miami order duetact cheap do i need a prescription for phenamax order lynoral online uk can i buy viagra over the counter in melbourne ordering minipress celebrex medication where to buy correct prednisone dosage for asthma buying levothroid using paypal requip buy without atorlip-20 online legally cheapest living vases levitra online bestellen if viagra is for men what is for women fast micronase deleviery cost of chloroquine in canada order dutas online in usa buy celebrex 200 mg prescription actoplus met mg buy what is acai berry powder inderal tablets side effects innopran xl for men in usa what is nitrofurantoin macro cost of atorlip-10 without insurance costo del toradol plavix 100mg tablet buy arimidex patch aricept online overnight generic tulasi us search craigslist across usa phexin tablets used finpecia online meds what is imitrex used to treat can buy viagra over counter london india medrol price penegra 50 side effects is cipro better than keflex buy prednisolone online uk how to take finasteride for hair loss can you buy aldactone online pharmacy cialis professional over the couter how often to use estrace lipitor online how to get free cialis cheapest benzac tablets uk can you buy triamterene xeloda mg price serophene online ordering buy viagra plus boots canadian pharmacy seroflo where to buy differin uk viagra online pay paypal alli slimming tablets information getting trileptal in australia pravachol discounts codes acheter brand viagra pas cher best place buy emsam online pharmacy uk ralista how to use diclofenac injection brahmi mg buy cheap brand advair diskus no prescription lioresal supplier in uk xenical singapore what does saw palmetto dose for acne azithromycin dosage chlamydia treatment cialis tablet 20 mg how to take danazol mg two unisom tablets can i order betnovate no prescription in the usa ordering viagra mail can you buy viagra over the counter in new zealand moduretic generico online is mircette available in canada where to buy safe antibiotics online concerning where can i get arimidex from best place buy lithium pct diclofenaco sodico gel fastest aciphex uk delivery precisa de receita para comprar viagra better than ethionamide online acticin india generic citalopram us order levaquin online no prescription with a amex allopurinol generic usa buy floxin online without a prescription costco online pharmacy login lasix pills identify differin prescription discount promethazine generico online buy diclofenac 200 no prescription micronase sale can you get high off of benadryl allergy pills online erythromycin with no prescription non prescription rumalaya liniment acheter pas cher isoniazid calan purchase in canada no prescription flovent inhaler generic brand did generic skelaxin become available levothroid online shipping dostinex medication men buy baclofen in uk how long does it take for zyrtec-d to take effect buy medrol online pharmacy cipro side effects uk aciclovir tabletas 400 mg para que sirve is prilosec available in australia starlix lawsuit canada norvasc 40 mg pharmacy do you need rx torsemide farmacie online romania doxycycline hyclate 100 mg for dogs best place to buy actonel buying liposafe from canada no prescription paroxetine cheap purchasing starlix online uk how to get amaryl in australia canadian pharmacy quibron-t where coumadin patients drug best site get procardia cheapest avalide nolvadex india price aciclovir generico prezzo how much will trandate cost accutane buy pharma generic uk paypal lasix adalat to buy in england best lotensin prices buy anafranil online at canada pharmacy buy alesse 22 online canada buy luvox in india online buy brand viagra uk do i need a prescription for yasmin forzest medicine buspar not generic cialis super active generic equivalent where can i find valtrex zanaflex without prescription miami vitamin shoppe in store coupon printable 2012 what is adalat cc for duphalac vaistai chloroquine generic 2013 drugs what is diclofenac potassium 50 mg viagra forum singapore purchase prednisolone in canada buy aciclovir next day keppra and alcohol abuse actonel new zealand saroten 10 mg nebenwirkungen uk version of levitra over the counter drugs similar to lasuna vibramicina 100mg doxycycline diclofenac gel online coupon code buy cholestoplex pills in the canada buy generic zithromax with bonus januvia canadian pharmacy to buy periactin cheap buy crestor online cheap viagra for sale in boots approved aldactone 25 mg uses drug where to buy finpecia elimite to buy in england my casodex coupons buy luvox online overnight lasix uk boots canada drugs biaxin with prescription minocycline price in india buy aciclovir uk cream pharmacy generic female cialis buy canada atarax ordering online pharmacy indian dostinex flomax uk online cipla zepose 10 wellbutrin xl vs sr viagra professional 100 review coreg cr 40 mg side effects anacin shelf life delivery prescription buy abilify buy viagra oral jelly cicloferon aciclovir permethrin insecticide home depot acyclovir side effects long term use acquisto risperdal sicuro online buy lynoral next day diamox online no prescription non prescription retin-a 0,025 how to use promethazine nizoral and african american hair discount cardura midamor in canada buy aspirin 81 mg how long does doxycycline take to work for chlamydia best ashwagandha india oral isotretinoin for acne geriforte legal us buy retino a cream 0,025 discount purchasing duetact online uk buying diclofenac tablets endep 10 pain relief half price lipothin printable coupon for cialis viagra super active pas cher italie what is risperdal medication for zyban price india where can calcium carbonate be found is there a generic for actos pharmacy do holland and barrett acai tablets work buy betnovate inhaler canada generic name for benicar how to buy aciphex zocor coupon code lov cost digoxin vet vipps logo pulmicort purchase buy diclofenac sodium uk lady era dosage too high minocin capsules mail order zestril rosuvastatin coupons metformin side effects bloating generic sarafem safe coreg discounts codes how to take cytotec for abortion orally where can i buy generic propecia maxalt tablets for purchase purchasing vytorin online venlor buy online ireland flomax prescription cost where to buy alligator meat in miami buy cephalexin new zealand online buying extendaquin where to buy flomax with amex nexium woldwide shipping promethazine dm syrup for sale generic lotensin 20 mg micardis plus 80 mg 12.5mg price what does estrace cream do buy diclofenac gel australia comprar zenegra stieva a cream on line abilify class action lawsuit lawyers baclofen no prrescription buy diltiazem 100 comprar glucophage espaa buy silagra with paypal isoniazid pharmacy prices list donde comprar viagra en espaa canadian danazol tablet depo medrol price buy genuine female cialis uk legal buy hyaluronic acid online canada what is ataraxia in philosophy suprax tablets online toprol xl cheap generic aripiprazole no prescription combivent max daily dose how to order cymbalta buy ditropan tablets uk best online pharmacy generic confido customer reviews of online pharmacies rocaltrol usa sale medrol from usa pharmacy side effects of antibiotics in toddlers sustiva rash all types aleve pills unisom pharmacy coupons paxil generic 2013 drugs is zyrtec an over the counter medication getting viagra from doctor benicar hct canada pharmacy diclofenac gel western australia doxycycline 50 mg order online buy tadacip boots plendil cost metformin hcl er 1000 mg cheapest buy altace online how much does chloramphenicol cost where to buy benemid drugs online professional cialis clomiphene citrate for men testosterone ginseng hunting season indiana cheap prilosec pills canadian online pharmacy for cialis sublingual canadian cialis commercial discount canadian pharmacy benzac order keflex online canada online forum overnight delivery astelin without femara billig kaufen kamagra oral jelly medication online trileptal tablets 40mg inderal online no prescription all types lioresal pills finax side effects uk where levaquin cialis samples free cheap rogaine five pills prescription birth control pills micardis strattera generic atomoxetine buy bupropion discount health canada nexium cheap cozaar 40 mg buy acai berry boots mupirocin side effects children colospa tablets india furosemide from wikipedia effexor xr generic wikipedia drugs floxin order by phone purchase valtrex mg buy hydrochlorothiazide 10 mg tricor shop net how to get child to take augmentin pharmacies buy amantadine order isoniazid online uk cheap generic viagra united states seroquel xl weight gain celebrex generic substitute sertraline hcl 50 mg tablet lithium grease applications how much will tretinoin 0,025 cost micardis 50mg tablets order lisinopril 5mg online buy zoloft 200 cefixime trihydrate molecular weight can you crush motrin tablets erexin-v australia pharmacy viagra soft delivery london procardia tablets online london all personals classifieds craigslist generic pharmacy philippines contact number revia online price side effects of silagra ultra low dose suhagra list of tesco stores selling zyban stopping prozac weight gain motilium drugs online purchases trental pediatric dose lamictal where to purchase viagra for men does it work what does arimidex acquisto actos sicuro online buy acticin elimite pharmacy prescription nolvadex what is the generic for trileptal what does flonase help with corticosteroids levlen composition how much is atorlip-20 tablets where to get lotensin pct cialis soft without a prescription from australia cash insurance check non prescription elavil pharmacy can you use fucidin ointment thrush florida discount drugs inc buy viagraa online very cheap viagra super active generic serophene overnite shipping trandate tablets uk buy lexapro pills in the us does medicare cover viagra 2010 buy provera online india what is depo provera made of suhagra medication online how to buy cytoxan in london biaxin sant canada metronidazol counter canada drug store with out precription buy viagra over the counter in london where to buy aspirine upsa methotrexate without prescription 1 man 1 jar original video buy premarin cream online no prescription luvox side effects drowsiness order cytotec online without a prescription cheap adalat no prescription pharmacy cialis generics generic gel buy viagra prescription buy genuine estrace uk retin-a ge for sale philippines antabuse precios baratos buy cialis super active no prescription online pharmacy bupron sr sample of ed drugs most common side effects of flonase research grade clozaril ordering evista usa hydrochlorothiazide medicine price mentat doctors online buy antivert uk i want to buy viagra in india stilnox cr 6.25mg calan commercial property discount code for apcalis sx viagra online echeck compare prices diarex amantadine drugstore.com online pharmacy uk vantin fake viagra pills online onde comprar fluoxetina natrol acai berry coupons cholestoplex australia pharmacy i pill website bupropion hcl ratings buy augmentin duo forte buy bystolic lowest price side effects of coreg cr 10mg herbal suppliers south india quickest suhagra what is tricor tablets world best online pharmacy review lexapro online from usa compare viagra prices uk to buy omnicef in uk can you order periactin today generic serevent buy canada where to zyban brand viagra shopping how to take metformin hcl 500 mg proventil hfa no prescription cost of aldactone securetabsonline legit watch adalat tv serial online order prograf pill is it safe to order beconase aq buy luvox cr how to by lisinopril online viagra generika kaufen forum non prescription avalide pharmacy prescription drug cymbalta otc arimidex mxtabs http www.mxtabs.net differin delivery uk comprar tadalafil cialis risperdal to buy in england snovitra super power online in us long term side effects of kamagra oral jelly viagra plus uk next day delivery purchasing clomid online jquery sticky content retino-a cream 0,025 no prescription compare prices benadryl dose by weight display pictures of accutane packing purchase ranitidine pills luvox for dogs buy micardis looking for mexican pharmacy no prescription vasodilan buy alli pills starter pack before viagra generic india online pharmacy healthcare alliance rxrelief scam buy sildenafil citrate in usa canadian hydrochlorothiazide tablet alcohol and azithromycin antibiotics reviews on maxaman altace 50mg tablets capoten online pharmacy buy buy tinidazole 15mg online how to use chloramphenicol ointment where is alliance brawler;s guild buy bactrim online amazon dostinex dosage pct requip overnight pharmacy dramamine dose for small dogs how much does ventolin inhaler cost where can i get ciplox brand acivir pills for sale quickest lipitor where to get premarin pct zyvox pfizer fda approved trandate medication online isoptin 40 mg cena how effective is anafranil for ocd i pill vasodilan website sinemet on line purchase cialis soft pill shop discount code ventolin from glaxosmithkline what type of drug is proscar how much does differin .3 cost lasix medication without a prescription canadian glucotrol xl generic glipizide my acticin coupons blue capsule pill orlistat 60 celadrin uk next day delivery where can i get amitriptyline from liv 52 recommended dosage what does promethazine dm syrup have in it how much will viagra super active cost birth control pills compazine what does celebrex what does norvasc do to your body healthy bmi for 15 year old male cheap florinef 40 mg cefadroxil online ordering buspar where to buy in canada celexa recommended dosage for anxiety buy methotrexate online safely advair diskus mexico companies only triamterene hctz medication buy urispas boots best speman prices buy female viagra online no prescription united states no prescription betoptic non prescription avandamet ephedraxin 100 seroquel diabetes lawsuit settlement does generic viagra work same real stuff aldactone discount medications vytorin perth australia side effects of triamterene 37.5 mg med cab atrovent ponstel 250 dosage provera tablets for purchase northwest pharmacy coupon codes 2011 where to alesse ovral l online posting prescription drugs from australia drugs without prescription in usa proventil hfa reviews haldol generic equivalent over counter ditropan zoloft reviews for men lady era canada overnight delivery depakote refills port vila vanuatu pharmacy thyroid medicine online purchase hydrochlorothiazide 12.5 mg aceon solar power viagra online kaufen deutschland buy lithium pills clomiphene side effects men what does citalopram do to the brain cytotec 100mg tablet ayurslim brands india acivir pills with american express types of drugs and their effects cheap kamagra gold sale uk can you buy metformin in the usa without prescription nhs cost of aspirin what is nitrofurantoin macro used to treat what does flonase spray do fluticasone ampicillin 1000x evista perth australia best place buy dvds online australia paxil 20 mg tablet picture top drugstore products uk is it safe to order accutane online prescription fast eulexin deleviery prescription drug celebrex viagra prescription free cialis professional side effects uk order generic alesse serophene for sale australia which of the following is the antidote for acute warfarin coumadin toxicity what does bupropion xl do mail-order crestor what is ayurslim used for buy brand viagra sublingual prescription strattera isoniazid on line risperdal 2 mg film tablet emsam in croatia common side effects of citalopram 20 mg get crestor las vegas vermox in the uk now nexium iv high dose antabuse no rx acticin drugstore cheap arimidex to buy can you buy viagra in melbourne forum cheap buy atarax online buy acivir pills hong kong female cialis 100mg cheep buy prozac online canada ciplox wanted online review endep sleeping pills effexor xr from china buy vpxl pills malaysia buy generic vermox online naltrexone implant nhs baclofen medication online fucidin express canada suprax mg price side effects of suprax 400 mg acheter du propecia sur internet what is the drug cardizem used for prednisone for dogs bloody diarrhea where purchase rumalaya forte cozaar discounted toradol sale lamisil price walmart buy prilosec with canadian cheap ivf meds canada
Home Biz of Baseball - Interviews Interview: Rick Peterson, Former Pitching Coach NY Mets, Oakland A's

Like Shoot to Thrill - An AC/DC Tribute on Facebook!

An authentic tribute of AC/DC that covers the best of the Bon Scott era and the best of Brian Johnson's material

Who's Online?

We have 634 guests online

Atom RSS

Interview: Rick Peterson, Former Pitching Coach NY Mets, Oakland A's PDF Print E-mail
User Rating: / 51
PoorBest 
Written by Maury Brown   
Wednesday, 03 December 2008 00:35

Rick PetersonPitching, pitching, pitching. As it is often heard throughout baseball, you can never have enough of it. Seasons are often won or lost by the rotation and the strength of the bullpen.

With the focus on pitchers, those that become part of the free agency pool can garner some of the highest salaries in baseball.

To place this in perspective, nearly $1.2 billion was spent on pitching talent in MLB last season.

With so much emphasis being placed on pitching talent, clubs are in a constant state of protecting their investments. and yet, few clubs are doing much more than “eyeballing” their critical investments to see if there are flaws in their deliveries – a glaring weakness that can cost a clubs millions of dollars and precious ranks in the standings.

Former Mets and Athletics pitching coach Rick Peterson believes there’s a better way to pinpoint areas that may land a pitcher on the DL, or worse, land them on the operating table (read more about Peterson at www.rick-peterson.com). Through his work with American Sports Medicine Institute and  a start up he is forming, Peterson sees biomechanics as a way to bring players into a lab, get a series of definitive measurements, and with that data, provide objective analysis that allow clubs to make better educated decisions when it comes to investing in pitching.

And, it’s no longer a case of having to have the pitcher come to the lab. His company can bring the lab to spring training, an amateur facility , or any other location, and run the staff through the system to give organizations the biomechanical information they need to find “red or yellow flags” in a pitcher’s delivery, and get them righted to “green flags” – a sound pitching delivery.

Peterson outlines why the move to biomechnic feedback is so important: last season, $330 million in pitcher salary sat in the DL. That translates to approx. one-third of all salaries designated to pitchers – a staggering sum.

When coupled with the down-turn in the economy, the investment in the metrics being promoted by Peterson could save clubs millions of dollars.

The following interview with Peterson is an extensive look into pitching, player psychology, how pitcher arm abuse at the amateur level is creating a shorter career expectancy at the professional level. And how biomechnics and the adjustments that can be made to a pitcher’s delivery can prevent injury, or provide sound analysis on pitchers before millions of guaranteed dollars are spent on a pitcher that could fall apart, as opposed to provide the performance that clubs are hoping to see in their investment. – Maury Brown

Select Read More to see the interview with Rick Peterson

Maury Brown for the Business of Sports Network: With the downturn in the economy, this off-season may be a bit different than in the past few years with all but a handful of high revenue clubs being able to spend on free agent talent as freely as in years prior. That means that mid-to-low making revenue clubs will be zeroed in on risk aversion more than ever. For those that may be unfamiliar with your work, when a pitcher is brought in for evaluation, be that through the American Sports Medicine Institute (ASMI), how are they studied to see if they are at risk of injury?

Rick Peterson: First of all, Dr. Andrew’s body of work surrounds the study of major league caliber pitching, and/or high end amateur pitching. They came up with forty-two measurements that they measure in a biomechanical analysis. So for example he’ll measure stride length, the angle of the foot and foot contact as it relates to your target, the bend of the knee at foot contact, the bend of the knee at ball release, and so on up the chain. External rotation -- I can go on and on with the different measurements. Elbow flux and rotation. How fast the shoulder rotates and how fast the elbow rotates. Those are some of the critical measurements.

So when you get a biomechanical analysis, there’s enough data in there – and in that database right now are the names of top pitchers that have pitched in the big leagues. You have Roger Clemens, Tim Hudson, Barry Zito, C.C. Sabathia, Scott Kazmir, Aaron Heilmann, Mark Wohlers and years ago, Al Leiter. I'm trying to think of some other names, but those are some pretty prevalent names to give you an idea of what this database is.

So, when you get your analysis and they look at these measurements, these are the people that you’re being compared to – the measurements that you’re being compared to. So for example, hip rotation velocities… how fast the hips rotate, is directly linked to fastball velocity. So for example, if you have a pitcher that is say in the low to mid 90s and his hips are rotating slowly you realize that you’re putting a lot of stress on the arm. You know, it goes up the chain. If you think of his delivery as an upside down tornado (and that’s a pretty good analogy), so when you take a look at for example the external rotation of a pitcher, the external rotation as you finish your cocking phase and you’re beginning your acceleration phase, the external rotation is about a hundred and seventy degrees at the cutoff line of normal external rotation. Less than a hundred and seventy degrees, you’re looking at some major red flags. So if you have some major red flags in that delivery and continue to pitch, you are definitely running a risk of injury.

One of the best analogies that’s been used would be that if you put your foot on the brake of your car and your car pulls hard to the right, you can still drive your car, and it will still perform very well, but you’re going to wear out the tread on those front tires very quickly. You’re not going to get forty thousand miles out of the tread of those front tires. You put your foot on the brake and you start hearing that squeal and then your brakes are grinding, you know you got some major issues.  

Rick Peterson quoteWhen you look at some amazing – just amazing – measurements of the pitching delivery and realize that the speed of this activity, there's a point in time as you finish your cocking phase, meaning that your arm is ready to accelerate through a pitch, from that point most pitchers will either come to a complete stop or come to almost a complete stop, and from that point the acceleration phase lasts .03 seconds. So if you think about that, in .03 seconds that ball is accelerated from zero miles an hour to ninety some miles an hour. We did a presentation for about fifteen hundred coaches at the ABCA one year, afterwards a doctor of physics came up to me and said, “Rick, do you know what that acceleration means in G forces?”

And then I laughed and I said, “I have no idea!”

He said, “If your entire body was accelerated at that same rate of speed for over sixty seconds you would die. Your body could not handle that acceleration, the G forces of that type of acceleration.”

When you look at the shoulder activity through the acceleration phase, and they measure what happens with the shoulder, if everything is in sync, and everything is on time, in coordination with the rotational velocities and the lower body, the upper torso, the shoulder does actually no work during the acceleration phase. If you're late  most pitching coaches will say  “Hey, you're flying open!” That really means that you're late. And if you're late and you're out of sync then your shoulder has to work very hard through that acceleration phase putting major strain on that shoulder.

Several years ago we brought a pitcher to the lab and he had a hundred and forty-three degrees external rotation. Well, a hundred and seventy is your cut-off of normal range. And in this  situation he had a physical dysfunction. He had a physical limitation and he needs greater range of motion for that shoulder, for his external rotators. If that is not increased then he's at major risk of injury. And sure enough, nothing was done because he was healthy at the time. He pitched at ninety-four, ninety-five miles an hour, which is his average velocity, touched ninety-seven, and sure enough by July he was on the disabled list and by August he had major shoulder surgery, and ended up missing two years afterwards.

So, that's a clear example of what happens if there's a red flag. You know, there's some pitchers pitching in the big leagues today that when we brought them in their stride length was too short, the bend of the knee was too firm at foot contact and collapsed at ball release. So if your front knee is collapsing at ball release that means that you're slowing down your hips–your hips are decelerating. So if you think of a hitter and you look at that swing and you think of what happens to the front leg, the front leg firms up or almost locks to a degree – that increases rotational force, by firming up the front leg. To make sure that a pitcher takes yellow flags and red flags and turns them into green flags,  there are some conditioning issues that have to be done to make sure that that pitcher,was able  to stay healthy.

Peterson quoteWe focus on two ways to stay healthy. One is a fundamental skill as in delivery. The other is physical conditioning. We make sure that your conditioning program is in sync with improving a pitcher’s biomechanical measurements.

Barry Zito probably phrased it the best: “To go the lab and get an analysis when you're healthy, that's pre-hab.”

Bizball: Given the rigors of the season, how much focus is placed on the efficiency of a player’s biomechanics as the season wears on?

Peterson: Okay. First, let me verbalize it this way. Number one: the biomechanical study is getting forty two measurements from Dr. Andrews' lab and his database and his research. The terminology that we use with pitchers is delivery. And we say delivery because we really don't talk about mechanics. One of the things that we've done as this program has evolved is to establish a diagnosis of your measurements through the biomechanical analysis. Number two, you have a prescription. We look to see if a pitcher has all green flags, or, if they have some yellow or red flags, we  make some adjustments to get that back in sync, whether its a delivery issue or a conditioning issue.

That being said, what we've done over the years, in attempting to formulate a curriculum, which we now have called the P3 Program or Peak Performance Pitching Triangle

Peak Performance TriangleOne of the things that we've learned is that there's certain drills that will keep the delivery intact. There are phases to a delivery. You have a phase where the foot hits the ground, you have a phase from the time the foot hits the ground through what they call the cocking phase, where you're ready to accelerate, and then you have your acceleration phase, and then your deceleration phase.

There are four basic phases to the delivery. And what we wanted to do is almost an eastern training method. I studied a lot of eastern philosophy of how they train, mentally and physically, and found it quite fascinating. It's fascinating to use the analogy: wouldn't it be nice to say that you've got your third degree black belt in your pitching delivery, because you've mastered it?

So it's almost like working out for your delivery, if you will. So if you cycle certain drills in certain patterns over time, that's what keeps the delivery intact. So when we've taken guys to the lab, then had them go through this program, had them do these drills, and then come back to the lab, the yellow flags that were there previously, or the red flags, are now green flags.  The results are fantastic.  The fact that pitchers came to the lab in one particular year, and had some yellow and red flags,  in their delivery and went through this program, meaning that they did all these drills, and conditioning program, they came back the following year and all those yellow and red flags were now green.

So, to answer your question, on a daily basis, we go through series of drills, with and without the balls; a lot of throwing and non-throwing, with our eyes closed. That's a technique called active visualization, which literally trains the subconscious, and ties into the eastern training methods and ties into peak performance. When you talk about peak performance levels in the west, people try to describe it through adjectives. They say, “Wow, you know, you were in the zone.” I could feel that everything was smooth.”

In the east they have a noun for that. It's called satori. And satori means when your mind and body are united as one.

So, when you go through delivery and you go through drills and you go through these drills with your eyes closed, you're cementing this drill and delivery, in your subconscious.

Bizball: This debate has been ongoing... The number of pitchers throwing complete games has been on the decline for some time. There also seems to be a sense – real or otherwise – that pitchers are less durable than they used to be. With all the training and analysis that is now at a staff’s disposal one would think that feedback would lead to more effiency and therefore, longevity as opposed to increased injury. Are pitchers now pushing their bodies to the edge of falling apart? Or, has the strategy of using more middle relievers simply created starting pitchers that have a game expectancy of 5 or 6 innings?

Peterson: Let me give you my opinion on this rather than weigh in on your comments. One of the biggest things that Dr. Andrews will say about the amateur market is people feel that in order to perfect our pitching skills we need to pitch all year round. This is simply not true. I look at some of the college programs, they go from the fall schedule, where it ends sometime in early to mid-November and then from that point they also continue to throw on the mound. So, they come back from Christmas break and they're right into their season and when they complete the college season, then they're playing summer baseball. It’s all year round.

And as you look at the amateur market, depending on the school, they play games indoor all year round. I know that, there's a facility in the Northeast here that, they play games indoor all year round. Dr. Andrews will tell you that there's no down time anymore. So, one of the things that's really interesting from talking to Dr. Andrews is looking at post-surgery on some of the kids that are signed and have surgery within their first year. In disparaging the system he'll say, “You know, Rick, this kid had a forty year old elbow!”

Well, how can you be twenty-two and have a forty year old elbow -- unless that was somehow transplanted when he was eighteen? (laughs) That tells you that there’s chronic overuse; that the tread on those tires are worn out. So I think that what's happening on the amateur market, and that’s directly linked to what's happening in the professional market.

Peterson quoteAnother major factor is the economy and the professional market. One of the major shortages in the industry is quality pitching. So any time you lose a starter, I mean you almost feel like you have to be overly cautious because pitchers live “close to the wall” all season long. And once they hit the wall they don't come off of the wall for a while. You never know when they will hit the wall. So quite often if you look at your research -- and the data within it -- take a look at what happens when guys repeat 130 pitch games, two or three times back-to-back. That track record is not very good for performance and also for people having to take time off. I mean, look at what happens! The pitcher’s performance is just not there.

I think what happens on the other end is that you tend to be more cautious than you need to be., But you're so afraid that if you happen to lose a pitcher for a few weeks or a month, the person you're replacing them with is not a fifth starter, it may be a ninth starter.

Look at the facts as it pertains to the loss of money of major league teams. If you look at the total payroll of pitchers in 2007 it was over a billion dollars. Over $330 million was spent for injured pitchers…pitchers on the DL. You're looking at thirty percent of the total payroll!

That's why when I look at our industry, I believe we have a solution – the biomechanical analysis is a solution to clearly tell you that this pitcher either has all yellow flags, or all green flags, some yellow flags and a red flag or two. It’s right there and easy to see. What's amazing to me is that when a team is going to write a check for over $100 million for a pitcher, they do an MRI, test blood and urine.  However, they don’t do a biomechanical analysis from Dr. Andrews’ research. , That's not part of that program yet in our industry. That's almost incomprehensible to me.

Bizball: You worked very closely with Barry Zito during his time with the A’s and with that, his remarkable curve. When Zito’s curve is on, what is it about his mechanics that makes it work so well?

Peterson: Well, I don't think you can say, “What is it about his mechanics…”

Bizball: His delivery, then?

Peterson: His delivery – it's consistent. When we looked at his curve ball and fast ball in the lab, they're very consistent. The wrist angle is different but the overall measurements are all the same. There's not one distinct delivery for a fastball and one distinct delivery for a curve ball. They're in sync. And because it's in sync, the one thing that was interesting he, I believe, if I'm not mistaken, got two more revolutions, full revolutions in rotation on his curve ball than the other curve balls that we looked at in the lab.

Bizball: And conversely, when his curve is off?

Peterson: It's hard for me to say. It's not fair for me to comment. I haven't seen Barry pitch in six years.

Barry ZitoBizball: Then, how about his time in Oakland?

Peterson: Well, in Oakland, if you look at how he pitched, it was pretty darned consistent!

Bizball: There are a number of pitchers that have unorthodox deliveries. Tim Lincecum is certainly one, but there are others. How do you approach a pitcher where tinkering too much with their mechanics can throw off everything that has been ingrained in them, sometimes since Day One? Can you baseline someone that is unorthodox and work from there?

Peterson: Well, when you say that you have to understand that deliveries can be very different but the measurements can be healthy. When we brought Hudson and Zito to the lab we knew there deliveries were drastically different. Drastically different! But yet, all the key measurements for both of them are in the normative ranges. For example, you look at a Mercedes and you look at a Lexus SUV. Wow, drastically different, but open up the hood? Hey, they're pretty close. They're pretty close the same.

So going back to looking at some of the speeds I was talking about; how fast this is happening, that the acceleration phase lasts a  .03 seconds, and the ball is accelerated from close to zero miles an hour to over ninety, whatever your high end velocity is, it's happening so fast that to think that you can look at this with the naked eye? That would be like standing on the side of the highway and saying when this car drives by tell me what kind of tires they have, because it's written in about an inch letter of white print, whether its a Goodyear or a Michelin. So when it drives by at ninety-five miles an hour tell me what tires they have on. You can't do that! That's why when you look at pitching coaches, they're standing five feet behind the pitcher. And you're going to tell me that you can see this? You can't see that. Look how fast it's happening.

It's almost silly to think of the things that we used to do; that I used to as a pitching coach, and things that we used to say to pitchers, when you look at some of the measurements that we just talked about where the hips are rotating almost three revolutions a second, the upper torso is going almost six revolutions a second, the internal rotation – how fast the shoulder rotates forward? If it was detached from the body and went in full circle It would rotate over twenty revolutions per second.

And to think that we would stand there and say, “Hey, bend your back!”

“Bend your back? I didn't bend my back? I must be really off kilter here!”

So, the absurdity and the myths that go on in pitching… you hear people say all the time, “You gotta push off the rubber.”  

 But when you look at pure measurements, it's  pure rotation; you're pushing against the rubber so that you can rotate the hips faster. That's literally what's happening. In the mind's eye of the pitcher, we don't feel that that's what's happening.

There are similar things occurring in golf. That the thought pattern of what you think to have this happen correctly is inconsistent with the reality of what exactly is happening, because it's just happening so fast.

I’m seeing the forward thinkers in baseball gravitating to this technology.  The coaches, GMs and players are recognizing that this kind of biometric analysis gives them a unique advantage.

So not getting measurements is somewhat absurd. Can you imagine saying, “Look, before we sign this guy for a hundred million dollars we gotta get a physical.” And they don't take blood, they don't take urine, and they just put a stethoscope on a guy's heart, tap his knee with a little hammer, see if his knee reflexes, and say, “He's good.” Who'd you take him to? Dr. Seuss?

Bizball: Pitching is as much physiological as it is physical. When you take the walk out to the mound in critical game situations, you have a very short amount of time to speak with the pitcher to try and get him through the jam. Is there an underlining premise that you can use to get them out of that critical game ?Can you recall any one conference on the mound that stood out more than others?

Rick Peterson quotePeterson: Number one, you want to get that person back in the moment – back in the present – so obviously, you're not going out there because he just struck out the side. You're going out there because you know he's in some kind of trouble right now, and the game is in jeopardy, and we need to make sure that he gets refocused on really executing his pitch. Because when you really look at what pitchers do when they're at their best, is they hit the glove. They make pitches. I say it tongue-in-cheek, “You're a professional glove hitter. You get paid to hit the glove.” So, when you look at the salaries of pitchers that have pitched in the big leagues for six years or more –the ones that have gone through free agency – they get paid more money than the guy's who miss the glove consistently. You know, it's pretty simple, when you think about it. Plus, most of them have good stuff; I’m not diminishing the stuff. But you have guys with stuff that can win twenty games if they hit the glove, but they consistently miss the target.

So back to the conversation on the mound, you want to get people refocused in the now – in the present – and identify exactly what we need to do to get out of this situation. You know, is this guy gonna take this pitch? Is he going to swing at this pitch aggressively? We can throw a change-up just out of the zone, we'll get a two hopper to the shortstop, ground play double play… You want to create a vision, calm that person down, get that person in that state where your thoughts and feelings and emotions are exactly what they are when he's pitching at his best, and then get him focused on what we need to do  to execute this pitch right now to get out of this jam.

And when you talk about memorable trips to the mound, a moment that really sticks out has to be when Jason Isringhausen was pitching for us in Oakland, and we went into Yankee Stadium. It believe it was early September and Barry Zito was winning the game three to two against Roger Clemens. We brought in Izzy in the ninth inning, and the first pitch to Bernie Williams was a homer. And now it's three to three. And the first pitch to David Justice was a homer. So two pitches later – about thirty seconds – we lose. (Laughs.)

And he was, you know, distraught to say the least. It was one of those situations where it affected him. He hadn't closed for a long period of time in his career – I believe it might have been his first full year of closing – and it really had a major impact on him. It really affected him;  he felt like he let the team down. He was very de-motivated. Fear, worry and doubt starts to creep in, and he really said, “Look, I need a few days off of this. I need a break.”

And so we took six, seven days off. And we had long talks about the mental and emotional behaviors, the behavioral traits that allowed him to be one of the premier closers in the game. And how he needed to stay focused on those and not the outcome and get back in the process. So finally, he was ready to go back in there. He came to me after about seven days and said, “Look, I'm ready to do this. I want my job back.”

So I talked to Art Howe, who was the manager at the time and Izzy went back in to the closer role, and got -- he probably got the last five or six saves of the year that September to close out the season.

Jason IsringhausenSo here was are at the opening day of the playoffs in Yankee Stadium. And we're winning by two runs and we bring in Izzy. And Izzy's got to go to David Justice and Bernie Williams. So he gets a guy on base and gets an out. And Jason Giambi ran over to talk to him, just off the mound. I look at the conversation and I turn to Art and say, “Can I go out to the mound?”

He goes, “Yeah, sure, go out there.”

So I go out and  put my hand on his shoulder and I could just feel his whole body literally shaking. And I said, “Izzy, are you okay?”

He goes, “Rick, I can't feel my legs.”

And I said, “Well, the good news is, we don't need a field goal.” Giambi laughed and Izzy at least chuckled, and smiled, and – you know, it was a bit of relief and he took a breath!

And I said, “Look, you know we're gonna get out of this. We can throw a back door curve ball, we can throw a cutter here, we can throw a fast ball down and away” – you know, we went through pitches we could execute that are gonna get us out of that jam.

That's why when I go out to the mound I typically put my hand on a guy's shoulder. Because you get a temperature of where that guy is emotionally. You can get a sense of if he's calm, you know, relaxed. I mean, you can often see it in his eyes as well, but especially for younger pitchers, you get a real sense of their temperature just by putting your hand on their shoulder. And sure enough he closed out the game and got a save.

But sometimes when you get on the mound you never really know who's out there when you get there. And our job as a pitching coach is to calm that person down and to get that person refocused to execute pitches.

Bizball: You have worked in two very different baseball markets in Oakland and New York. Barry Zito talked about there being a physiological difference between the “blue collar” surroundings of Oakland and the white collar surroundings once he went to San Francisco. Was there a discernible difference in how you had to approach the staff in New York compared to Oakland given the differences in media focus and the Mets fan base?

Peterson: Well, I think more than anything else you spend a lot more time talking about your thoughts and feelings and emotions,  and how to keep them in check, and how to keep yourself isolated from so many negative comments.

The best way I could phrase this, in Oakland, in these kind of markets you play 162 games in a season,  in New York you play 162 seasons in a year. And every game is a season. And it's absolutely incredible. But it's one of the (obviously) media capitals of the world, and it's just the nature of how they sell papers, it's the nature of the media. Everything is the nature, you know – you win a game, and it's all right, you clinched the playoffs. You lose a game and it's like, you know we have no chance. 
Even if you look at,  the media as it pertains to football, talk about Tom Coughlin and Eli Manning. This same time last year, they would have hung them both in Time's Square and enjoyed it. And now they're folk heroes in New York. And in New York, you know sometimes you need some time to work through some of this, and it's so critical that a team stays together in New York because you know the media is constantly trying to divide that team. The division of a team in New York can happen very quickly because there's so many things that are constantly said in the press.

There are a lot of things that become myths in New York because they are great stories and people react to those. You know, to think about some of the things like, as if a couple  players in the clubhouse had something to do with a major trade is absurd, it's totally absurd. None of those guys had anything to do with these certain things that happened, you know? For whatever reason people hang on to some of those things, and there's just no truth to them.

So I think that a player in New York and especially – and I'll say this, a lot of players in Oakland probably could go to a lot of places all around the Bay Area, when I say places I'm talking about out socially, and people would never recognize them with the exception of the very top people. In New York, they recognize the bat boy.

Bizball: Coming back around to the beginning, dollars are going to be tighter for some clubs this year to come by, and therefore, protecting their investment in key pitching talent is going to have more relevancy. Much like the increased prominence of sabermetrics, do you see more clubs using the objective analysis tools coming out of the likes of ASMI in the future?

Peterson: Absolutely. The forward thinking organizations are moving in this direction. The challenge they have right now is that– the reason more people aren't using this is they're not really sure what it is. And they're not really sure how to use it; because there's not like a place you can go shopping for it and get a better understanding of it. You know I remember twenty years ago when computers first came out and people go, “God, I'll never get a computer!” Now there's hardly anybody without a computer, or a cell phone for that matter.

You know what? Everything that you have, everything that surrounds your entire being, never was even invented when we were kids, when you think about that.

So I think without question once teams have a greater understanding of it, and once teams start to adopt it they will see great results. Teams that are not using this are going to fall way behind, without question.

And I really believe that the amateur market is going to drive this as well. We had a phone conversation this morning with a facility that is in the Midwest, and they want us to come up and set up the lab, and not only that, they said, we have about twenty professional pitchers here that want to come in and get this analysis. We might have forty guys that want to come in on a weekend to get an analysis, because these people understand it, without question. And they're the ones reaching out to us because they've found out that this is what we do in the amateur market.

Bizball: Lastly, there have been some incredible pitchers that have passed through the history of baseball. Who are some that you would have loved to work with, if you had been given the opportunity?

Peterson: Well, anybody I would mention, I would probably be in the dugout doing golf claps for them (laughs). And I wouldn't be going out to the mound very often. But I think of the Nolan Ryans of the world, the Tom Seavers, even going back to Johnny Sain and Warren Spahn. I could go on and on. Sandy Koufax and the year Bob Gibson had. I can not even – I don't think anybody that really understands or has a passion for pitching can even understand 260 plus innings, a 1.12 ERA. You look at that and say, there must be some typo there, you know? There's no way that this could have possibly happened.

Rick Peterson quoteI grew up in a baseball family. I was on the field when I was two years old, around Roberto Clemente and Vernon Law and Bob Friend and Bob Veale and Bill Mazeroski, I could go on and on of all those names of the Pirates that back in that day when they won the 1960 World Series. I was in spring training every year around all of those guys.

I just think that the pitcher is probably the most dominant person in all of team sports, without question. He can impact that game probably at a greater level than anybody. And I think when you look at the uniqueness of our game and the advancement of conditioning coaches and sports psychology, one of the reasons why our game has been slow to change is because it is built on long standing traditions. For example, baseball is the only sport where the coaches and the managers wear the uniform of a player. You don't see Tom Coughlin on the field with a football uniform on, (laughs) I mean that would be silly. Or, Phil Jackson with a basketball uniform on. As a coach, and you think about a pitching coach, it's the only coach in all of sports that calls time out and runs out onto the middle of the field and talks to one of the performers on the field.

While some of the long standing traditions make our game so great, I see a trend of new traditions and approaches. I see the winning organizations using more powerful technology to improve the team’s performance. One of those technologies is the biometric analysis for pitchers. Simply stated, it helps reduce injury and improves pitching performance.


  • Interview conducted by Maury Brown on Tuesday, November 11
  • Extra special thanks to Kurt Stallings for his transcribing the interview
 
 
Banner

Poll

Should MLB Force Jeffery Loria to Sell the Marlins?