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MLB's new pitch clock rule is leading to increased arm injuries among pitchers, with notable velocity drops observed. The change has fundamentally altered pitching mechanics and workload.
Friends, Iāve been thinking. And Iāve thought a lot about this, and was reminded watching Skenes velocity dip nearly 2 MPH against the Redbirds on Thursday afternoon. Pitcher arm injuries in MLB have always been a thing. But it feels more prevalent lately, and it certainly seems to be claiming some serious names.
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Since 2023, pitchers have been operating under a pitch clockā15 seconds with the bases empty, 20 with runners on, later adjusted to 18 seconds with runners. Major League Baseball got the pace it wanted. But it didnāt just speed up the gameāit fundamentally changed how pitchers work. And now the question is simple:
Are pitchersā arms paying the price? Pitching has always been violent on the body. The UCL doesnāt just fail randomlyāit breaks down from repeated high-torque stress, especially as fatigue builds and mechanics begin to slip. That part hasnāt changed.
What has changed is how quickly pitchers have to reset between those high-stress throws.
With less time between pitches, thereās less opportunity for the arm to recoverāeven in small ways. That brief reset matters:
Take that away, and the strain compounds. Now add:
It becomes easier to see how wear and tear can accelerate.
The pitch clock has changed the pace of the game and fundamentally altered how pitchers work, potentially leading to increased arm injuries.
As of 2023, the pitch clock is set to 15 seconds with the bases empty and 20 seconds with runners on, later adjusted to 18 seconds with runners.
Yes, there has been a noticeable increase in arm injuries among pitchers, suggesting that the new rules may be impacting their health.
UCL injuries often result from repeated high-torque stress on the arm, especially as fatigue builds and pitching mechanics begin to slip.

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At the same time, the modern game has pushed pitching to its limits. Max effort is no longer the exceptionāitās the expectation.
Pitchers are chasing:
Research has already suggested that higher velocity and spin rates can correlate with increased injury risk. MLB itself pointed to those factorsānot the pitch clockāas the primary driver of injuries in 2024.
So, does the pitch clock cause arm injuries? The answer isnāt clearāyet. A 2024 study found no significant spike in Tommy John surgeries or elbow injuries in the first season under the new rules.
But newer research is more concerning. A 2026 analysis suggested a delayed effect, where injury rates may increase over time as reduced recovery intervals accumulate stress across seasons. In other words, the damage may not be immediate, but it could be building.
Regardless of the cause, the results have been hard to ignore. Recent high-profile cases include:
And in 2026:
Garrett Crochet ā Strikeouts (Ks)
Itās not just isolated cases; itās a pattern. Thatās where things get concerning. Pitchers like Paul Skenes and Garrett Crochet represent the next generationāhigh velocity, high spin, high stress.
And the question isnāt just if injuries will happen. It might be when. The pitch clock probably isnāt the sole cause of rising arm injuries. But itās also not irrelevant. MLB sped up the game. Pitchers kept pushing their bodies to the limit. And somewhere in the middle, the human elbow may be reaching its breaking point.