retail price nexium 40 mg astelin suppositories buy how to get off percocet addiction fastest luvox uk delivery how much will dramamine cost where to buy ginseng plants best trandate prices seroquel xr price australia trandate new zealand proventil precio mexico purim drugstore.com generic nolvadex online order coumadin online with visa acheter trimox pas cher augmentin side effects long term use india pharmacies online that sell suhagra what is luvox made of purchase erection packs 1 moduretic dosage antibiotics for ear infection requip generic cheap costs nizoral tabletas 200 mg post cycle therapy norvasc cialis soft gel flonase coupon code amazon boots promo code 2013 side effects of atorvastatin 80 mg cloridrato de ciprofloxacino monoidratado 500mg bula tetracycline buy online no prescription delivery discounts apcalis sx from europe abilify without a script online drugs keftab western australia can i pay for girl scout cookies by check bactroban for sale online how much will erexor cost nizoral 2 shampoo no prescription maxalt echeck buy flagyl online cod research grade diakof aldactone spain over counter ordering femara online ophthacare with paypal payment is it illegal to order generic voltaren buy januvia tablets online amantadine india albendazole and praziquantel side effects aqua band my oh my purchase nizoral lowest price what condition does benadryl treat requip pas cher italie buy retin a 0 05 paypal minocycline roche precio argentina migraine medication maxalt mlt generic from cephalexin best price precose mail order generic aygestin no prescription doxazosin synthroid dosage calculation cephalexin 500mg dosage for uti promethazine with codeine over the counter substitute for protonix side effects of cytotec after abortion finax 1.0 mg tablet of finasteride obagi/spear dermatology tretinoin cream usp 0.1 methotrexate and alcohol usage overnight buy clomid without perscription generic name for ditropan xl drugstore publicis attentat order amantadine pill over counter finast buy cheap viagra online suppliers of olanzapine in us comprar rosuvastatin online where to buy minocin with visa creme retin a janssen cilag buy benicar 5 canada pharmacy 24 hours promethazine w codeine syrup uk oxymorphone vs hydromorphone iv lexapro vs wellbutrin weight gain buy cialis sublingual mexican pharmacies wellbutrin sr buy uk purchase cipro hc singulair costco price viagra samples quick ship 3-5 days results rx eye doctor ingredients differin for sale australia types of medication for anxiety in children where toradol guaranteed online aristocort rxlist can buy antibiotics online uk abroad viagra available over counter south africa what class of drugs is protonix to buy buspar buy rumalaya liniment boots pharmacy nizoral to buy in australia prednisolone generic usa chloroquine drugstore.com best online canadian pharmacy review drug can you order prescription drugs online from canada nizoral shampoo free shipping all-natural fertility pills where to get malegra fxt pct what is amaryl 4 mg tab for mail order generic noroxin can buy renagel online purchase generic cefixime age for buying aspirin where to buy lithium medication generic for alphagan p 0.1 luvox medication online can you buy ginseng walmart can you buy alli uk mail order cafergot purified calcium carbonate pills ranitidine bonus pills buy female cialis online without a prescription what is cipralex 20mg used for costco pharmacy alli price elocon uk online best online pharmacy generic flagyl er order generic medrol what type of diabetes is metformin used for pharmacy mexico remeron buy canada no prescription for doxazosin the alliance institute for integrative medicine oh comprar anacin portugal precio de cialis en costa rica best price feldene acheter furosemide 40mg when did nexium go generic zovirax online prescription mexican pharmacy no prescription oxycodone indocin where to get tegretol express canada trazodone canadian medications without prescription pcm pharmacy utah xanax overdose apcalis sx how to buy claritin boots comprar retin-a 0,05 en argentina what is the generic name for unisom unisom for men in usa buy periactin from india order deltasone online canada lozol in canada where to buy acai berry juice generic atorlip-20 safe benicar generic side effects styplon overnight pharmacy discount coupon for viagra clomid tablets 50mg betapace order by phone buy robaxin 750 mg mobic tablets 7.5mg methocarbamol 750 mg get you high alli slimming pills review india yasmin price no prescription glucophage lotensin prices at costco fda approved medication for anxiety in children most common side effects of fluoxetine lincocin pill shortage depakote weight gain average buy unisom boots pharmacy top 10 online retin-a 0,025 sites what does a zantac pill look like endep tablets 10mg formula 100 ephedra diet pills reviews maxalt medication where to buy eldepryl pill shop discount code us pharmacies online that sell crestor side effects of xeloda tablets safe to buy generic levaquin from usa are there over the counter fertility pills buy cheap cytotec where to buy cytotec in metro manila ultra low dose brahmi depo provera discontinued cozaar sales generic equivalent for lipitor cheap trandate no prescription what is the difference between duac and benzaclin best generic diflucan review withdrawal from propranolol buy renova paper overnight without cheap paroxetine can you buy accutane online uk does premarin cream come in generic generic lipothin safe zebeta sale prescription sarafem without a prescription levitra side effects heartburn symptoms of asthma finasteride bestellen nederland arava for men sale in uk what is combivent inhalation aerosol very cheap haldol arava order online ashwagandha extract pills buy luvox online cheap on line registered farmacies spain suppliers of phenergan in us air max mens shoes are alligators dangerous how to get lukol in australia discount zocor from lipitor pfizer aricept sales what is the generic name for baclofen starlix 120 mg tablets low dose inderal for anxiety mail order buy allegra d betnovate new zealand augmentin dds syrup side effects lioresal without rx canada accutane cost low cost overnight medrol coupons for jenuvia medicine where levitra super active hydrea capsules price conceive fertility pills for men & women buy xenical in india telmisartan hydrochlorothiazide tablets safe online pharmacies canada pletal cost without insurance places where alligators live accutane before and after body acne ovulation calculator if on clomid revista veja on line para assinantes lamisil india motilium comprare reviews on caverta rhinocort nasal spray side effects anacin without a script top ten male erection pills casodex from usa wellbutrin sr discount no prescription donde puedo comprar el ginseng can you get high off doxycycline hyc can you buy lamisil over the counter in canada cream order isoniazid lowest price para que es el medicamento amantadina diovan manufacturer ceftriaxone resistant gonorrhea treatment prometrium ordering no prescription buy brand levitra next day what is amoxil drugs diltiazem african american omifin en hombres aspirin capsules synonyms cost of nitrofurantoin aciphex by mail lotrel without prescription aricept 100 review buy corega ipod shuffle medrol without prescription miami generic doxazosin us buy zaditor no prescription donde comprar danazol albendazole uk the chepest decadron benfotiamine no prescription canada where to buy topamax in canada safely acai berry tablets side effects is there a generic for plavix in the us what is cyklokapron for fml forte prescription coupon generico del voltaren legal to buy trial erection packs 3 how many gabapentin 300 mg to get high purchase allegra line cheap retin-a ge sale uk valacyclovir dosage herpes outbreak what is the classification of tenormin zofran safe dose for children side effects of lisinopril hctz 20 25 advair diskus medication where to buy acheter lisinopril mexican pharmacies sell steroids voltaren xr 100mg order real cialis how to relieve arthritis in fingers maximum safe dosage of metformin what does coumadin do to pt can you abuse promethazine tablets is mail order tofranil safe buy cheap allopurinol pills buy generic nootropil with bonus cheap celadrin sale uk vermox 100 mg beipackzettel cipro dosage for diverticulitis zetia from europe use brand advair diskus coupon online acheter pas cher suhagra como comprar livros para ler no ipad order cialis sublingual overnight amaryl side effects allergic reactions coversyl plus bula can you only get lotrisone on prescription take liquid nolvadex pct malegra fxt roche precio argentina paxil new zealand amantadina sulfato vademecum omnicef suppliers overseas hyzaar blood pressure medicine glucophage 1000 mg weight loss buy ditropan without a prescription from canadian pharmacy generic strattera overnite shipping how to get propecia prescription online zerit italiano the online drugstore abilify sale urispas can you buy muscle relaxants over counter acheter lioresal baclofen pillhouse reviews viagra soft where to buy in canada licensed pharmacy bentyl zerit for men sale in uk sandoz pioglitazone side effects betamethasone valerate ointment bp 0.1 bactrim coupon code order medrol medication by mail where suprax lithium pills wiki liquid nizoral review lowest priced methotrexate brand name isoniazid online flagyl tablets for dogs metronidazole flagyl forte 500mg dose purchase generic zenegra price dilantin 100 mg buy floxin online usa atorlip-10 tablets side effects cefixime free shipping 99 cent viagra over the counter lisinopril substitute accutane pharmacy prices list buy online viagra plus generic cloridrato sertralina 50mg bula levitra or viagra or cialis requip gambling lawsuit post cycle therapy proventil xenical drug classification grand court order calanthe texas lady era delivery london imitrex peak sales generic viagra express shipping pain medication no prescription needed trileptal medicine side effects avalide tablets online generic diovan hct cheap cleocin dosage recommended depo provera shot reviews 2012 to buy levitra plus motilium pill shop discount code buy glucophage capsules female cialis order canada can i order diflucan online proscar birth control online canada zovirax overnight side effects of digoxin and lasix prescription drug yasmin benicar patient reviews effetti indesiderati propecia wellbutrin shelf life stopped taking zyrtec now i itch buy hyzaar 100mg online side effects of olmesartan medoxomil 40 mg bactrim comprimidos dosis buy proscar online uk no prescription casodex online pay paypal ditropan drug store online how to take seroflo mg does seroquel xr cause weight gain erythromycin online store acheter rumalaya forte how to use yasmin as morning after pill farmacie veterinara online bucuresti generic names for phenergan uk version of pariet myambutol package insert best place to buy fluoxetine in uk order pain pills online cheap seretide diskus vs advair oregon state parks cialis professional online usa no prescription buy over the counter brand advair diskus online where to propecia in canada can you order benadryl buy silagra online no prescription united states suhagra without a prescription from india cheapest place to buy levitra professional buy generic hytrin online buy generic micardis online pharmacy europe steroids hyzaar for sale australia lotrisone lotion how supplied do you need rx terramycin is flovent a prescription drug lamictal without rx buy generic lamisil no prescription treat buy letrozole online no prescription my alli discounts weight loss roxithromycin generic cheap costs remeron soltab wiki ordering free delivery actos without lopid para que se usa order drugs online forum quinine tonic water side effects wellbutrin sr dose increase discount viagra super active where to allegra retin-a 0,025 for sale missed two doses of fluoxetine buy suhagra quick side effects of metformin pcos order metformin uk pharmacy where to purchase metoclopramide can we trust epivir-hbv online where can i buy lidocaine ointment prevacid prices cvs tenormin with no rx cheap ginette-35 sale uk cleocin gel for sale acquisto suhagra sicuro online risperdal dosage forms over the counter inhalers cvs biaxin buy on line wellbutrin reviews for smoking percocet 512 effects amoxil usa pharmacy what are seroquel pills for donde comprar coreg sale tadapox online paroxetine in the uk now generic altace safe zithromax reviews and dosage where can i get brafix ed drugs available in india order tretinoin 0,025 canada best place to order cefixime in us zofran non perscription countries buy bystolic paypal accepted viagra plus tablets online online generic avapro singulair interactions other drugs brand micardis for sale cheap aciphex uk my pham tenamyd canada vietnam dose of tinidazole for giardiasis doxycycline uses for acne doxazosin now co uk cialis bill me later ampicillin generic uk buy valtrex with what is prandin made of viagra 50 mg pfizer preis can i become a pharmacy technician online proscar fast uk rumalaya 100mg cheap parkering vigra flyplass lowest prices generic cialis levlen refill pack diltiazem without a script abilify better than olanzapine prescription yagara prices herbal viagra cheap gasex free delivery order strattera online no prescription lotrisone buy canada costco pharmacy mestinon price can i buy generic cialis with mastercard how to use cialis 10 mg is valsartan as good as diovan antivert discounts codes better than renagel can you buy chloromycetin can buy flomax online brand levitra for sale usa pro slim acai reviews generic lithium aa batteries viramune prices cvs kamagra gold without prescription canada what does renagel do Purchase pyridium 100 mg diabecon weight gain prednisone tabs 5mg for dogs maximum dose of aygestin order eulexin online in usa cymbalta 30 mg tablet order lasix without rx with mastercard cheapest town to live in the uk buy fucidin ointment no prescription exelon roche precio argentina canadian viagra online how often to use albuterol inhaler comprar amitriptyline original what is coreg medication for how to take bentyl mg kamagra usage i missed my synthroid dose ditropan generico online how to get viagra prescription minocycline hcl 100mg tablet orlistate without prescription brand levitra without a script cheapest finpecia to buy acheter calan viagra pills online in the usa diflucan 150 mg and pregnancy safe place to buy viagra online forum rizatriptan dosage artane industrial school archives buy lioresal mg evista weight gain side effects ginette-35 mg tablet purchasing fertomid online generic trental buy canada what is the medication voltaren used for over counter isoptin buy seroquel online from india promethazine codeine cough syrup uk cialis side effects medication can valtrex get you high viagra super active generico italiano voveran overseas azulfidine mg tablet american premarin feldene gel reviews indian generics online colospa is there a generic for lithium side effects of neurontin in dogs zyrtec 20 mg dose severe asthma attack clomid for men testosterone therapy apo doxycycline 100mg caps nike air max 95 em tokyo cialis professional sale generic viagra sublingual on the internet buy minipress patch can you buy casodex leukeran rxlist pharmacy technician online schools colorado what does mobic pill look like ordering tulasi how to purchase sinemet online viagra canada prescription no wellbutrin online canada where to get ginseng clonidine adhd side effects we transfer prednisone prednisolone equivalent get free birth control online shallaki medication meclizine no prescription reviews cystone for men sale in uk premarin side effects reviews eurax cream for scabies what is depo provera injection used for buy cardizem with e check generic pills for bactrim v-gel dosage too high pulmicort phone orders design of a transdermal delivery system for aspirin as an antithrombotic drug lotrel buy without estrace medication side effects buy wellbutrin xl no prescription what is the medicine accutane used for malegra dxt drugstore.com where to buy accutane in malaysia where can i buy alesse sarafem tablets from buy long term side effects of paxil cr cvs pharmacy in vancouver canada buy minipress 200 anafranil clomipramine ocd what is avandamet pills used for buy hyzaar online amazon sale atarax buy paxil cr 12.5 mg pharmaceutical wholesalers in uk donde puedo comprar xenical en monterrey buy suprax online amazon order cozaar online in usa to buy gasex is there now a generic for lexapro bupron sr cost in canada flovent discount coupon cialis jelly canada overnight delivery buy medicines online mumbai uk version of voveran sr lithium medicine for bipolar disorder purchase abilify 6 canadian pharmacy buy cialis for daily use online lipitor copay discount card ordering prescription actoplus met nolvadex for gyno prevention ordering provera india buy roaccutane cheap alfumet is lesofat effective tinidazole without cod overnight pharmacy that sells zanaflex elocon salep untuk apa benadryl prescription only what color are dramamine pills delivery order deltasone cod toradol quando usarlo does walmart sell non prescription colored contact lenses simvastatin atorvastatin dose reviews on xeloda generic proscar uk paypal generic lotensin overnite shipping low cost albendazole mg zyvox medication order furosemide dose response curve indocin sr side effects proventil dosage for bronchitis prevacid generic uk where can i buy a birth control pill case cheap uk acticin online singulair pediatric asthma buy diovan 100mg online how to use diltiazem gel best site get himcocid prilosec cost in canada buy ditropan bulk doxycycline 100 mg tablet side effects zithromax z pack what are indocin tablets used for cymbalta side effects women where can i buy tamoxifen in the uk isoniazid not generic benadryl weight gain torsemide for sale australia order cardura 8 mg sandoz lisinopril 20 mg is celebrex better than mobic voltaren drug schedule evista woldwide shipping bayer healthcare annual report 2012 paxil tablets 150 mg zofran shortage fda what is advair diskus classification buy lithium ion batteries in bulk generic propecia 5mg price buy womens viagra uk tadalafil chewable tablets 20 mg ventolin hfa 90 mcg inhaler prices cordarone pas cher italie prilosec legal us generic cialis reviews over the counter buy cheap actos side effects of astelin what does allegra mean jaunty reviews on pamelor what are the side effects of estrace nitrofurantoin australia how to buy cytotec sale triamterene cijena pilex tableta diclofenac tablets 150 mg best site get cymbalta what is the average cost of celebrex order chloroquine overnight where to buy promethazine codeine syrup online chlamydia symptoms men treatment purchase retino a cream 0 05 lowest price glycomet generic reviews is generic revia effective antibiotics flagyl for sinus i fection zixen trimix mechanik review is nortriptyline better than amitriptyline celexa drugstore allegra no prrescription medrol dose pack dosage directions nasonex vs flonase vs omnaris generic for diovan hct 320 25 buy 3 aciphex mg trazodone tablets purchase on line cheap apcalis sx uk where can i buy seroquel online without a prescription round blue pill with a v on one side and 2531 on the other generic flonase buy canada how many bupropion 150 mg to get high is generic wellbutrin as good as name brand premarin cream price comparison how to use zantac 75 lloyds pharmacy body composition monitor manual donde comprar cytotec en quito ecuador nimotop from usa pharmacy depakote er canada pharmacy voltaren 75mg ec tablets albuterol sulfate inhalation solution uses generic coumadin safe zyban 100 preisvergleich discount aricept canada prozac cost usa 800mg norfloxcin trimethoprim exelon stock buy sell or hold prescription medicine for migraines what is doxycycline hyclate used for chlamydia doxycycline drug class we buy any car locations baytril for pigeons 1 guy 1 jar video mobile tricare pharmacy program express scripts com rxlist celebrex drug nexium cost canadian buy buspar without rx tenormin tablets 100mg atenolol better than propranolol is nymphomax legal in uk generic viagra no prescription orlistat on prescription purchase aricept identify original cialis pletal by mail what is combivent aer boehringer content and code tim wallis buy diclofenac over counter purchase azithromycin online order non generic allegra is generic leukeran effective saw palmetto for hormonal acne reviews low dose amitriptyline anxiety endep how much does effexor xr cost xalatan drops storage top 10 online danazol sites canadian pharmacies for lipitor desyrel by mail order insulin pen timer cheap reglan no prescription prometrium shelf life aleve over the counter dosage cialis sublingual pill shop discount code buy azithromycin online uk no prescription best place to buy viagara how to take rocaltrol mg propranolol brand order cialis cost per pill effexor xr side effects first week cephalexin from china purchase buspar on line in canada best price for actonel united pharmacies finpecia ditropan australia pharmacy buy kamagra fast delivery buy flagyl er online from usa overseas pharmacy no prescription hydrea para que serve cloridrato de sertralina 50 mg how long does it take for sarafem to work lowest priced ditropan renagel tablets 40mg imitrex over counter medication metformin dosage for type 2 diabetes buy atarax hong kong canadian online fedex cvs mail order pharmacy phone azithromycin 3 day dose pack dosage retin-a ge for men in usa aciphex pills drugstore avalide order brand amoxil non perscription countries color contact lenses online no prescription metaformin online no prescription clozaril patient monitoring system australia flomax mr relief provera canadian medications without prescription ketoconazole boots exelon online usa para que se usa el prevacid without a script canadian online adalat how to make nitroglycerin from peanuts neurontin for sale usa prednisone on the internet where to purchase arjuna buying pfizer viagra in canada viagra en vente libre aux usa order seroquel online no prescription with a amex brand cialis best online non prescription pharmacy mentat ds syrup prices cvs generic for avalide 300 buy lipothin online reviews viagra cheapest price diovan hct side effects cough what is recommended dosage of cipro for kidney infection can you buy lisinopril online pharmacy generic buy floxin online amazon estradiol valerate transgender purchase rumalaya forte cheap where to buy buffered aspirin buy hyaluronic acid online reviews wellbutrin mail order biaxin reviews for men where is allegra manufacturer mobic for sale uk Purchase orlistat 120mg buy cipro us viagra coupons 2013 best prescription pills get high alli without prescription miami blopress no rx mycelex-g legal in england losartan hydrochlorothiazide spc viagra patent expiration date europe kamagra soft uk buy buying aspirin in germany red ginseng online actoplus met for sale usa depo medrol dose pack directions online pharmacy europe review how does viagra work nitric oxide amoxil capsules 500mg side effects avapro pill shortage do i need a prescription for kytril kamagra gel in italia precio de flagyl suspension boots propecia price buying cholestoplex flagyl buy online us eltroxin side effects 2011 propecia for sale in ireland can i get high off hydrochlorothiazide serophene on line no script amitriptyline or trazodone for sleep cyklokapron drug schedule z pack for children generic zantac buy canada how to get off nexium betapace where to purchase canadian pharm support group store generic zanaflex prescription micardis now birth control questions online chat glucophage capsules ventolin max daily dose to buy zyrtec american allies during world war 1 van you buy valtrex canadian american arava indocin delivery london how to get stromectol drug yasmin in croatia zithromax pediatric dose pneumonia where to buy kamagra chewable in canada safely minocin antibiotic dramamine 40 mg dose american omnicef micronase dose cephalexin 250 mg dosage for dogs is it illegal to order generic lanoxin abana medicine side effects motilium tablets online buy elocom cream online tricor corporate services malaysia where is allegra k from doxycycline canada eurax order on web terramycin eye ointment shortage does minocycline 100mg work acne zyprexa lawsuit settlement 2011 ciproxin 500 mg un antibiotico cheapest allegra d trimox drug oversea what is clonidine prescribed for community east indianapolis coumadin clinic augmentin drug in germany pharmacy motilium 100 tablets is levaquin better than cipro for uti voveran free shipping can i buy fucidin cream over the counter in uk moduretic over counter uk how to take vasotec mg emsam for daily use canada luvox canadian online minomycin to buy from europe generic for allopurinol zyloprim 300mg cabana non generic evecare order online buy finpecia in australia tofranil for sale uk dramamine tablets side effects is clomid good for women over 40 estrace cream discount coupons medicament alli pas cher discount code for cozaar tofranil new zealand average cost of advair diskus where can you buy promethazine with codeine cough syrup para que se usa el dostinex cheap lady era uk clomiphene citrate for males xenical prix en pharmacie en france is ophthacare a prescription drug do you need rx pilex where to buy cheap generic tadacip buy viagra super active tablets online sildenafil-fire-100-side-effects rogaine 2 online pay paypal cialis for daily use + bph rumalaya liniment pharmacy prices list cialis on sale pay-pal cheap pills generic diamox acetazolamide 250mg levitra plus medication order overseas pharmacy no prescription aciphex antabuse order canada can buy confido online escrow refills coupon code keflex 500mg pregnancy best generic wellbutrin sr fasigyn tinidazole 500mg accutane buy online canadian pharmacy buy amitriptyline 15mg online fast buspar delivery generic drug for seroquel xr can you get ginseng over the counter buy cialis professional online with mastercard buy triamterene with paypal betnovate for sale australia healthtrans discount pharmacy card amaryl m 4 mg /1000 pharmacies online generic arimidex mims online digoxin dostinex sale where to buy cheap generic myambutol can you snort neurontin to get high what is the drug voltaren used for buy diclofenac gel bulk accutane drugs like cipro generic price walmart buy compazine with visa ponstel discount arjuna italiano comprar protonix original brahmi usa cvs prices mambo 36 20 reviews tadalafil tablets mg malegra dxt tablets uses elocon next day shipping side effects coming off citalopram help coming off zoloft brand names of water pills best way to take pills to get high what is korean ginseng tea used for benemid perth australia viagras naturales farmacias cheap ivf meds in usa order erection packs 11 from drugs overseas pharmacies no rx tamoxifen canada pharmacies cheap pills prescription carafate priority que precio tiene el medicamento alli paxil medication guide fake alli on amazon levlen now prinivil birth control online us where do i diovan in usa effexor banned uk can strattera be abused prednisona alonga 10 nizoral tablets, no rx differin online price target australia liv dolls motilium retail pharmacy puerto rico can you get propecia on prescription pill identifier pictures vicodin where is the safest place to buy viagra online aricept en mexico is effexor xr generic available tablets acquistare tadalis sx in italia sertraline without prescriptions i pill arava website prednisone buy no prescription diflucan 150mg capsule canidian pharmacyuk how to use propecia for hair loss celadrin generic wikipedia drugs buy accutane 30 mg online digoxin to buy from europe pariet rabeprazole real cialis for sale ondansetron dose pediatric motrin over counter dosage aldactone without prescription zyprexa bonus pills lansoprazole capsules spc eurax usage can taking metformin help you get pregnant purchase plavix canada brand name orlistat india adalat tablets breastfeeding where to buy live crawfish in houston tx leave aspirin mask overnight valtrex coupons 2011 side effects of prednisolone acetate in cats ortho tri-cyclen usa cvs prices eldepryl sold over counter fish cycline forte for humans where i can buy plavix 75 can buy seroflo online free coupon for maxalt will promethazine 25mg tablets get you high tinidazole no rx indian generics online terramycin coumadin warfarin foods to avoid amoxil dose for strep throat in children compare prices avandamet pravachol next day valacyclovir hydrochloride 500 mg. dosage donde comprar cytotec en mexico apcalis sx on line purchase mail-order midamor revatio maximum dosage side effects of prilosec generic roche accutane sales chelsea drugstore band xenical medicine buy ventolin inhaler asda lasix overseas buy yasmin online no rx viagra on the web alli weight loss success stories who has aleve on sale walmart pharmacy price lipitor discover adventure classic cols hydrocodone no prescription needed buy emsam in uk where to prazosin advair diskus in the uk buy decadron inhaler canada prednisone generic and trade name what is tadalafil made from rx online pharmacy canada zocor order can buy ginette-35 online acivir pills online order glucophage xr what type of medication is hydrochlorothiazide depakote sales 2009 buy generic nolvadex australia diclofenac with paypal payment cheap rumalaya forte no prescription buy oxytrol boots prednisone dosage in dogs for allergies generic extendaquin side effects of minipress xl amoxil for purchase without a prescription buy hydrochlorothiazide visa buy viagra jelly 100 pfizer viagra malaysia bottle of promethazine price order phenergan uk pharmacy what is the medicine zovirax used for order kamagra online uk blopress from canada over the counter sex drive pills for men isoniazid price philippines meclizine over the counter suprax 100 dose how many robaxin does it take to get high online drugstore mastercard propecia purchasing actoplus met online order vasotec online with visa blue diamond shaped pill kgr 100 how long does cytotec take to start to work sale avandamet canadian generic alli medication information mail order lexapro preciso de receita para comprar clomid mircette acne control viraga lipothin sublingual dosage nizoral 100ml 2 ampon how to get finpecia drug citalopram with or without food best price for glucotrol xl buy genuine sumycin uk order voveran tablets prednisolone dosage adults diclofenac online australia serevent tablets price order zoloft from what is the prescription dosage for aleve acai rx compare prices viagra professional luvox dosage anxiety where to buy lipitor online without rx midamor 100mg buy orlistat delivery negative propecia reviews tadalis sx online order what is the generic name for doxycycline hyclate generic levitra super active overnite shipping local viagra philippines cost of xenical how to order prednisone 10 mg order voltaren online with visa how long does it take to get off lexapro bentyl to purchase without a prescription azithromycin buy online uk medication advair diskus generic rimonabant weight loss buy nolvadex pills in the uk best pharmacy to order unisom can you drink alcohol with amoxicillin 875 mg propecia medication women levitra generic cialis viagra buy vantin next day propecia women postmenopausal drugstore makeup brush online pharmacy nz christchurch estrace phone orders probalan online in us usaviagra zovirax drug class keftab where can i buy it donde conseguir viagra sin receta argentina fast glucotrol xl delivery zebeta without prescription seroquel dose for bipolar depression discount snovitra super power mg how much does crestor cost in canada cialis comprar espaa positive reviews on yasmin glucophage next day clomid in canada forum buy lisinopril hydrochlorothiazide tablets hyzaar company finpecia mg canada beconase aq discounts codes generic purinethol safe cleocin gel best price indian pharmacy female viagra fluoxetine online what is finax tablets finasteride bestellen 2010 american alliance of museums logo can you order ditropan nifedipine side effects bnf no prescription fosamax sale generic for allegra d side effects roaccutane buy buy prilosec online at canada pharmacy buy atarax online no prescription us where allegra buy generic reglan get serevent las vegas benadryl dosage rxlist order lithium tablets without a script online order allegra is retino-a cream 0,025 available over the counter where zyloprim can we trust pilex online clomid suppositories buy saw palmetto berry buyers florida cost of seroquel australia lopressor sale prescription where can you buy cefixime trandate low dose birth control legal buy atorlip-5 online canada brand viagra lawsuit canada comprar atacand original en madrid rx doctor blades side effects of ashwagandha tablets prednisone cost walgreens prandin online usa best place buy duetact pct ginkgo biloba & korean ginseng tablets severe nerve pain meds fastest singulair uk delivery american midamor how to take provera pills viagra online in the usa liquid baclofen review metformin medicinenet com where buy levothroid finast in italia bactrim buy on line can you buy dostinex in ireland online mestinon purchase online venlor purchase buy orlistat online no prescription united states side effects cialis medication flomax mr side effects 6 mercaptopurine crohn;s disease order elimite pills costco pharmacy prescription drug prices generic luvox cr aricept $ price us como comprar finasterida can i take weight loss pills while taking synthroid anafranil and alcohol where to buy propecia online usa lukol order online is there a generic for cipro telmisartan 40mg hydrochlorothiazide 12.5 mg tablets zopiclone online united pharmacies what is flovent made of how to use tamoxifen generic viagra due date where can you buy alligator order viagra online canada generic calan non perscription countries arava generic name buy rogaine 5 new zealand online generic seroquel canada viagra stores india benemid with paypal payment cialis coupon voucher generic from v-gel buy ginseng with e check buy aciclovir tablets online uk 200mg cipla tadalafil price pill identifier blue round v 2531 cymbalta buy india purchase nolvadex uk thyroxine levels too low bilharzia medication praziquantel is there a generic form of zofran order buy elocon discount once daily valtrex reviews my alli diet supplement safe dapoxetine buy what types of sominex are there fluoxetine online usa how to buy colospa ordering lasuna maximum safe cialis dosage januvia generic actoplus met order on web acticin cost inhouse pharmacy uk customs acheter amaryllis belladonna ciproxin 500 mg tricor canada pharmacy unisom sleepgels review buy advair diskus mg online femcare without a prescription levitra plus sale drugs order maxifort frontier cheap alternative to cymbalta haldol australia price levitra vs viagra forum arimidex half life order cheap generic doxazosin online cholestoplex with no prescription doxycycline pill shop discount code prograf low dose birth control where to get luvox order minomycin online uk best tetracycline prices where can i get lisinopril low cost allopurinol online one stop pharmacy wolverhampton safe place order extendaquin does clomid affect ovulation timing fijian herbal medicine for abortion elavil headache medicine bristol-myers squibb pharmaceuticals ireland purchase methotrexate online is it illegal to order generic retin-a 0,025 buy tretinoin 0,05 no prescription starlix pharmacy order voltaren online without rx acticin online overnight most reliable place to buy levlen online is there a generic equivalent for benicar cheap cialis professional rxlist cytotec drug buy paxil 20 acne medicine similar to accutane cheap chloramphenicol buy online buy acyclovir overnight online where can lithium chloride be found comprar blopress portugal ranitidine 150 mg tablet gln atorlip-5 reviews get benadryl toronto buy abilify with tinidazole canadian source too much synthroid hair loss tadacip 20 cipla pharma can i order cleocin gel no prescription in the usa puerto rico board of pharmacy contact keppra generic side effects keppra generic coupons generic elimite overnite shipping cephalexin buy uk can i get elavil clomid no prescription usa pharmacy prednisolone drug store online zanaflex echeck cost of cozaar aceon drugstore cheap furosemide buy online best site get v-gel generic mycelex-g reviews of alli weight loss pills where to get aciclovir side effects of cyproheptadine in horses buy rumalaya forte pills online generic himplasia cost content and code is it safe to order betnovate zyban cost lipothin online shipping valtrex dosage herpes simplex keratitis meloxicam 15 mg buy suprax antibiotic 6 day prednisone pack dosage best prescription medicine for acne scars generic name for augmentin drug tenormin delivery stilnox buy online uk cialis sublingual dosage nimotop buy online ireland do you need rx atorlip-5 buy xenical slimming pills cardura xl 4 mg ra premarin dose mtf viramune roche precio argentina max safe dosage of cialis buy ginette-35 greece to buy kamagra oral jelly which uk site to buy ranitidine generic floxin cost lioresal drug store online generic from lynoral zithromax z-pak online zithromax z-pak 250 mg where can i get brand amoxil baclofen anxiety dosage differin gel for sale comprar cialis 5 mg brasil watch one man one jar video what is the generic for benzaclin order geriforte tablets yasmin le bon haldol online overnight use retin-a ge coupon online advair diskus 250 coupon rumalaya liniment dose antivert generico italiano buy diamox uk acetazolamide buy ophthacare paypal motilium 10 mg suppositories low cost overnight cefixime where to buy citalopram online uk viagra men does do bactrim cheap uk voveran online ordering side effects of prednisone for pets beconase aq generic release date how long does it take for plavix to work viagra suppliers australia what is carafate tablets used for overseas pharmacy no prescription keflex questionable content tumblr online pharmacies uk no prescription cheap genuine kamagra chewable online buspar prices cvs colchicine tablets dosage original retino-a cream 0,05 online the online drugstore malegra dxt buy hytrin online india citrato de sildenafila generico 50 mg preo buy painkillers online no prescription comprar zyrtec en argentina vantin deluxe massage recliner with eight motors & heat cardizem over counter prazosin capsules buy roaccutane online roche new asthma treatment flexeril dosage for tmj buy clomid online with echeck buy nitroglycerin patches aceon through erbumine order viagras online buy hong kong cheap dilantin sinemet woldwide shipping cialis 5mg tablets buy doxycycline online us generic drug cardizem cd vasotec 100mg cheep where can you buy viagra at walmart can you take albendazole daily cymbalta legal in england augmentin supplier in uk styplon no prescription canada how much does seroquel 200 mg cost is premarin generic drug let me watch this channel 1 pretty little liars nizagara on line in the uk purchase generic mirapex fucidin birth control online canada Purchase abilify one mg lamictal dosage chart que pastillas sirven para abortar en colombia where to get rogaine 5 pct why has levaquin been discontinued nike wmns air max 1 leopard black white canadian statistics medication errors brand caverta buy comprar zetia 10mg printable advair diskus coupons western drug elimite fable the lost chapter acheter une alliance who buys illegal drugs from mexico top canadian pharmacy without prescription plendil side effects depression maxalt usage is generic viagra safe and effective hydroxycut pure hoodia 60 ct reviews abilify chi lo usa lantus solostar carrying case cialis sublingual usa sale topical tetracycline over the counter online pharmacy uk luvox can you die from overdosing on trazodone alcohol relafen online forum midamor barato pharmacy mexico minocycline zetia delivery can i order eulexin no prescription in the usa purchase topamax without a prescription benicar online bestellen online generic zyvox antibiotic caverta by mail flagyl 4 prospect generic drug combivent maxalt usa how to order rogaine 5 safe sinequan buy cialis professional generic australia colospa usa green tea acai berry pills reviews fluoxetine capsules usp 40 mg singulair for sale pharmacy technician jobs canada generic cymbalta safe levothroid tablets clozaril online legally what does renagel where to buy florinef without a prescription nursing care plan for coumadin toxicity avapro 100 mg lisinopril rx 534 cheap isoniazid buy amantadine online us no prescription promethazine vc codeine syrup side effects is clarinex better than claritin seroflo rotacaps 100 what are the side effects of promethazine 25mg how long does citalopram take to work for depression brand advair diskus on line acivir pills pas cher lipitor for you participating pharmacies cvs donde puedo comprar cozaar can you get lopressor decadron dose pack directions cytoxan on the internet buyers of cymbalta canada buy chlamydia drugs buy evista lowest price buyers of shuddha guggulu canada non prescription probalan buy protonix inhaler canada kesan pil perancang noriday acai berry site coupon code can we trust biaxin online thyroid medication order online no prescription ordering antibiotics from canada propecia finasteride cheap buy avandamet australia how long does it take imitrex to start working thrush from flagyl what does depakote er look like proscar cost comparison generic como comprar dostinex mais barato robaxin drug in canada pharmacy zenegra pharmacy lipothin for dogs buy quickest tetracycline trileptal 100mg buy how to use calcium carbonate williams g 2007 orlistat over the counter arimidex and thyroid medication what is phenergan 25 mg used for evista 100 review what are the side effects of quitting lexapro cialis soft noprescrition needed usa online pharmacy metformin xr without rx pravachol tablets on line to buy anacin without a prescription levlen pills information safe place order fertomid carafate suppliers overseas contact generic drug manufacturers india estrace no prescription online buy online inderal india accutane dosage by weight floxin no prrescription buy dostinex for daily use speman doctors online can you buy prednisone over the counter prilosec dosage for kids duetact online usa no prescription tofranil 100mg tablet where is downton abbey christmas filmed pantoprazole generic otc lasix birth control online canada best place buy clozaril pct diflucan comments ampicillin drugs facts mexican pharmacy no prescription tadapox silagra pill shop discount code how to take prednisone 50 mg citalopram 20 mg pills can cephalexin cause weight gain buy valium uk topix buy codeine promethazine cough syrup side effects of albuterol sulfate inhaler what is abilify abana without prescription medication metformin discount prices diclofenac sodium market in india meloxicam dose guinea pigs purchase tadapox cheap impotency ed where can i buy viagra online uk decadron 4 mg tablet nexium 40 mg tablet ne iin kullanlr ropinirole hydrochloride drug bank azithromycin dosage typhoid acai berry made in usa zofran from india where to buy liv dolls canada can you buy parlodel generic pills for maxaman where to buy periactin drugs online allopurinol online australia whats better cialis levitra or viagra cheapest stromectol in the uk mail order generic alesse can order pravachol online migraine medicine maxalt side effects where can i buy xenical in australia buy finax in australia online pharmacy uk tinidazole what does biaxin 500mg look like bupropion women buy xpel water pills directions normal dose of renagel bupropion weight loss 2012 lasuna refills furosemide with paypal payment online levitra canada doxycycline alcohol caffeine cialis price increase tricor reviews online no prescription order generic medrol clarithromycin alcohol side effects fast dapoxetine deleviery finpecia generic equivalent femara from europe diovan buy australia buy penicillin for people american rumalaya gel makes generic luvox taking 20 mg cialis daily buy fluoxetine hydrochloride online buy cymbalta tablets usa order snovitra super power tablets medrol dose pack for costochondritis how long does a dramamine trip take to kick in brand viagra soft for sale trazodone online canada valtrex during delivery cialis professional pharmacy online medrol online cheap buy lopressor metoprolol metoclopramide dose for migraine
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 812 guests online

Atom RSS

Interview: Rick Peterson, Former Pitching Coach NY Mets, Oakland A's PDF Print E-mail
User Rating: / 42
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?