About The Overhead Program

With 30-plus years of experience from the Shoulder Center of Kentucky’s physicians and staff, the Center developed a method of training for baseball and softball pitchers, tennis players and other overhead athletes. This method combines identifying and treating shoulder and elbow injuries with the latest in scientific research. The Overhead Program staff includes board-certified orthopedic surgeons, established physical therapists and certified athletic trainers, as well as a former Major League Baseball pitching scout who oversees the athletes' development programs.

We focus on identifying areas of weakness, addressing those areas thoroughly through therapeutic exercise, and then implementing a custom-made throwing program specifically tailored for each individual athlete and offer programs for individual athletes as well as for teams.

Fees and Services

Exercise Program Session:

A strength and conditioning program will be developed that will address any current areas of weakness or inflexibility as well as other areas of the body which are important for optimal overhead sports performance. The program will be based on the kinetic chain principle, where the entire body will be focused upon rather than individual areas. These sessions are supervised and the program is progressed by the Shoulder Center of Kentucky staff.

Fee:  $10.00/session 

  • Throwing evaluations and biomechanical checks will increase with more teaching of grips and pre-throw programs.
  • Continue to add exercises and protocols to the program
  • Letter to Parents from Michael Howell

Congratulations to Tyler Guilfoil, Orthopedics Throwing Program participant, now drafted by Houston Astros!

Lexington, KY, July 19, 2022     
Tyler Guilfoil was drafted yesterday by the Houston Astros in the 2022 MLB Draft! Honing his baseball skills since Little League play, Tyler has been a long-time participant in Lexington Clinic Orthopedics’ Throwing Program. Playing four years at Lafayette High School (Lexington, KY), two years at Lipscomb University (Nashville, TN) and then transferring to University of Kentucky this past season (21-22), some of his achievements during his college tenure include:
  • First-Team All-America (Baseball America, NCBWA, Perfect Game)
  • Second-Team Midwest All-District (ABCA/Rawlings)
  • National Stopper of the Year, Finalist
  • Second-Team All-America (Collegiate Baseball)
  • First-Team All-SEC
  • SEC Pitcher of the Week (Week 12)
We celebrate these accomplishments with Tyler and wish him well in his career with the Houston Astros!


Program Schedules

Click on the month below for a printable schedule:
Contact Mike Howell for available times at mihow@lexclin.com or call (859) 258-8520.

Featured Exercises


Meet Michael Howell

Michael Howell oversees the conditioning programs and overhead clinic for the Shoulder Center of Kentucky. He brings a wealth of experience to his role, having served as the coordinator of rehab programs for major league players with the Boston Red Sox, L.A. Dodgers, Atlanta Braves, Toronto Blue Jays and Cleveland Indians; as a scout for the Atlanta Braves; and as a member of the coaching staff with numerous high schools and youth teams. During Mike’s six seasons with Chain Baseball in Savannah, Georgia, seven teams won age-division national championships, 182 players earning college baseball scholarships and 15 players signing professional baseball contracts.

Mike works closely with the physicians, physical therapists and certified athletic trainers at Lexington Clinic and the Shoulder Center of Kentucky to identify and address physical and mechanical concerns, helping to prevent injury in overhead athletes.

Contact Mike Howell for available times at mihow@lexclin.com or call (859) 258-8520.


Lexington Clinic is Central Kentucky’s largest and oldest medical group. With 350+ providers in more than 30 specialties, we have been taking care of 600,000+ visits annually in the Lexington community since 1920.

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Lexington, Kentucky

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