Stay Healthy. Stay on the Field.
We give players three ultrasound imaging check-ups each year, wherever is convenient, to better inform your workload decisions and keep you on the field.
Each season has a pre-season baseline, a mid-season check-in, and a post-season review.
Three scans across one season
Every visit pairs an ultrasound of the throwing elbow with a baseball-specific physical exam by a physical therapist. The value is in the change from one scan to the next.
What is a musculoskeletal ultrasound?
It is the same safe, painless technology as a pregnancy ultrasound, used on the elbow instead. No needles and no radiation.
- See the tissue. Just like a pregnancy ultrasound, we can see the quality and size of tissue like the UCL, the ligament rebuilt in Tommy John surgery.
- Watch it respond to stress. We can see in real time how the tissue responds to load, such as how far the UCL stretches when we apply stress.
Pre-season
We set a baseline for the arm. Every thrower has normal adaptive findings, so the first scan shows what normal looks like for this elbow.
Mid-season
Once the workload has built up, we scan again, compare against the baseline, and adjust the plan if something has changed.
Post-season
We look at how the tissues held up to the stress of the season, and advise on off-season management.
- We come to you, at home or on the field.
- Each visit takes about 45 minutes and is painless, with no radiation.
- You get a written report, and we walk you through it.
Who it's for
Any one of these is a good reason to start.
- Young throwers. Assess the growth plate, as it is the most vulnerable.
- Travel ball and high school. Year-round throwing increases tissue stress.
- College and professional. The jump in volume as you level up adds significant load.
- Anyone who throws hard for their age. Velocity is a well-documented risk factor.
- Post-op throwing progression. Monitor your healing tissue as the stress of throwing starts increasing.
Is your pitcher throwing hard for their age?
Throwing faster than the number for their age is worth a closer look. Source: Axe, Hurd & Snyder-Mackler, 2009.
Pain is usually the last sign of an elbow problem.
By the time an elbow hurts, the tissue has usually been under stress for weeks or months. Scans compared against your own baseline show the change earlier.
The rise in UCL injuries among high school and college throwers from 2009 to 2016.
Sources: rise in UCL injuries — Zaremski et al., 2017; Tommy John rate — J. Roegele Tommy John Surgery List, 2025 season, share of pitchers who appeared in MLB or spent the season on the MLB injured list.
Choose a season package
Inaugural season pricing, 50% off, runs through the end of the 2027 season. Every package includes the same clinical core: three visits, ultrasound, physical exam and a written report.
Three visits, each with an ultrasound interpreted by a RMSK-credentialed clinician, a baseball-specific PT exam, and a written summary. Includes free Pitch Count Portal access.
Everything in Protect, plus an arm-care program built from your athlete's exam findings, the PitchSight Arm Care Kit, a mid-season video check-in and an off-season throwing plan.
Everything in Prepare, plus six sessions with a contracted pitching coach working from a clinical directive, a direct line through the season, and an end-of-season report that is yours to keep.
PitchSight is a screening and decision-support service, not a diagnosis. Out of pocket; insurance is not billed.
Built by a pitcher's physical therapist and an imaging specialist
Josh Ostrom, PT, DPT, SCS, CSCS
Josh has spent more than a decade with throwing athletes, from Little League to MLB.
Peter Aguero, PT, DPT, RMSK
Peter is one of a small number of physical therapists who hold the RMSK musculoskeletal sonography credential.
Not ready for a scan? You can track workload for free.
The Pitch Count Portal logs each outing, applies MLB Pitch Smart guidance, tracks your workload and flags when rest is warranted. It is free and open to any athlete.
Open the portal ↗Common questions
Do you need symptoms to benefit?
No — whether you're a parent asking about your player or an athlete checking your own arm, it's for throwers who feel fine. By the time pain appears, the tissue has usually been under stress for weeks or months, so earlier information means more options.
Is this appropriate for youth players?
Yes — and it is where it matters most. In youth athletes, the growth plate is the primary structure at risk, not the UCL itself. We assess both, using age-appropriate stress testing throughout.
What if something shows up?
All baseball players have normal adaptive findings on imaging for their throwing elbow. We establish a baseline, then look for excessive signs of stress in later scans. Some findings may mean temporarily reducing pitch count or innings, avoiding higher-risk positions, or adjusting the arm-care plan. More serious findings may lead us to recommend a temporary shutdown from throwing and/or a referral to a sports-medicine physician.
Can we do just one scan?
Not through PitchSight. If your athlete has a specific complaint, a single scan can help, and that's what The Collective PT & Performance is for — we'll refer you there. A one-time screening scan on an athlete who feels fine is a different story. Structural findings are common in healthy throwers, so without a baseline there's no way to tell what's normal for that athlete from an early warning sign. The useful information comes from watching how the tissue changes over a season against that baseline, so we sell a season rather than a single screen.
Is this covered by insurance or HSA/FSA?
PitchSight is an out-of-pocket service and does not bill insurance. We can provide an itemized receipt on request. Whether it qualifies for HSA or FSA reimbursement depends on your plan — confirm with your plan administrator.
Ready to get a scan on the calendar?
Every player starts with a quick call. Tell us about your season and we'll find a time that works.
Book a scan