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Services

Three visits. One season.

PitchSight is diagnostic musculoskeletal ultrasound for throwing athletes — imaging that sees the structures inside the elbow in real time. We come to you: convenient, painless, zero radiation. Every package is a full season — pre-season, mid-season, and post-season — because a single scan taken out of context is hard to interpret on its own. What carries information is how your athlete's tissue changes across the year, measured against their own baseline. Each visit pairs the scan with a baseball-specific PT exam, and every athlete gets the Pitch Count Portal to track workload in between.

Ways to work with us

Pick your level of coverage.

The clinical core is identical in all three. Same visits, same exam, same ultrasound, same RMSK interpretation, same findings report — at every price. The packages differ only on coaching, access, and convenience.

Protect
$975
three visits · one season

The clinical core. Three visits — pre-season, mid-season, and post-season — each with a dynamic-stress ultrasound, a baseball-specific PT exam, RMSK interpretation, and a written findings report. Includes Pitch Count Portal access with workload tracking.

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Perform
Coming soon
capped at 8–10 athletes

Everything in Prepare, plus six sessions with a contracted pitching coach working from a clinical directive, a direct line through the season, an upgraded kit, and an end-of-season report that's yours to keep to help guide your future throwing.

Join the waitlist

PitchSight is a screening and decision-support service. It is not a diagnosis and does not replace evaluation by a physician. Screening cannot predict injury — a normal result does not mean an arm cannot be hurt, and a flagged result does not mean an injury is coming. What it produces is information about the tissue three times a season, where families otherwise have pitch counts and the athlete's own account of how the arm feels. Where a finding warrants it, we refer you to a sports-medicine physician or physical therapist. PitchSight is an out-of-pocket service and does not bill insurance. Without a baseline it's harder to tell what's normal for that athlete — so if you'd like a single scan, you can schedule one at The Collective PT & Performance.

The scan

What every scan looks at.

01

UCL integrity at rest and under dynamic valgus stress

02

Growth plate gap measurement at rest and under valgus stress

03

Bone contour and early stress signs at the growth plate

04

Joint swelling or fluid buildup

05

Flexor tendon stress signs or injury

Between scans

Track the workload between visits.

The Pitch Count Portal is free and open to any athlete. Log pitches and high-intent throws after each outing and it applies MLB Pitch Smart guidance, tracks acute-vs-chronic workload, and flags when rest is warranted. It holds workload data only — no clinical records. Your findings reports are delivered separately through Carepatron, our HIPAA-secure clinical records system.

Open the Pitch Count Portal →

What is Acute:Chronic Workload Ratio (ACWR)?

Acute:Chronic Workload Ratio compares an athlete's recent training load (the past 7 days) to their longer-term average load (their previous 28-day average) to estimate whether they're being pushed too hard, too fast. For throwers, workload can be measured in pitch counts and/or high-intent throws — and a spike in acute load relative to chronic load has been associated with increased injury risk, particularly at the shoulder and elbow. A single high-effort outing is not the problem. The body needs time to adapt, and a sudden jump from a normal week to a much heavier one can outpace it. ACWR gives coaches, parents, and clinicians an early, objective signal — a "yellow flag" — to build in recovery before that mismatch turns into an injury. While ACWR isn't a perfect predictor, it's one useful piece of a bigger monitoring picture — which is why PitchSight pairs workload data with a physical exam and imaging.

Begin

Ready when you are.

Every player starts with a short call so we can get your season on the calendar.

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Specialists
Josh Ostrom, PT, DPT, SCS, CSCS
Peter Aguero, PT, DPT, RMSK
Reach
Greater San Diego
info@pitchsightbaseball.com
(619) 519-1716
PitchSight · See More. Know Earlier. · San Diego
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