Archive for Injuries
Right-hander Michael Pineda threw a 25-pitch bullpen in Tampa on Friday and reported no issues with his injured back/shoulder muscle, Joe Girardi told reporters yesterday. He also threw some breaking balls off flat ground. “No news is good news,” said Girardi to Chad Jennings. “I didn’t get any bad news today, so that’s good news.”
Pineda, 25, started a new throwing program about two weeks ago. He’s been out since late-April and at one point advanced far enough in his rehab that he was pitching in Extended Spring Training games, but he suffered a setback and has been sidelined since. Because he is essentially starting from scratch like the beginning of camp, Pineda is still a few weeks away from minor league rehab games. The best case scenario is a return to the rotation in mid-to-late August. Given his history, I’ll be happy if he comes back at all this year.
Yesterday we learned Masahiro Tanaka would be sidelined for at least several weeks due to partially torn ligament in his elbow. He is going to attempt to rehab the injury on the recommendation of three doctors rather than undergo Tommy John surgery. On Friday, Tanaka issued a statement apologizing for the injury:
“As recently announced from the team, I will be going through some treatment and rehab on my injured elbow over the next several weeks. I give everything I have every time I take the ball. With that, I also know that there will always be a risk of injury when playing this game that I love. Right now I feel that the most important thing for me is to keep my head up, remain focused on the task at hand and devote all my energy into healing the injury in order to come back strong.
“I want to apologize to the Yankees organization, my teammates and our fans for not being able to help during this time. I accept this injury as a challenge, but I promise to do everything I can to overcome this setback and return to the mound as soon as possible.”
Shades of Hideki Matsui apologizing for his broken wrist back in 2006.
After traveling from Cleveland to New York to Seattle within the last 48 hours, Masahiro Tanaka‘s elbow was finally examined by team Dr. Ahmad on Thursday night. Brian Cashman confirmed his ace right-hander has been diagnosed with a partially torn ulnar collateral ligament by Ahmad and two other doctors. All three recommended rehab — not Tommy John surgery — because the tear is small.
Tanaka, 25, will receive a platelet-rich plasma injection on Monday and eventually begin a throwing program. If all goes well, he could be back on a mound within six weeks, so the best case scenario has him back in pinstripes in late-August. Cashman noted other pitchers in the organization have successfully rehabbed from similar tears without saying who those pitchers were. Surgery can not be completely ruled out until the rehab program is complete. Here is what Cashman said during his conference call, courtesy of Chad Jennings:
“He has seen three physicians, our chief physician, Chris Ahmad, David Altchek and he has seen Neil elAttrache. All three are in agreement with a diagnosis of a new injury; a partially torn ligament in his throwing arm. The recommendation on the treatment is a rehab protocol that would begin with one PRP injection and a throwing program after an exercise routine. The ligament tear in question is considered small and we, the Yankees, have had success with pitchers that have had this.
“It doesn’t rule out the possibility of Tommy John (surgery) in a failed attempt, but all three doctors agree on the diagnosis and the rehab protocol. We are going to follow their recommendation and none of them recommend surgery at this time. They’re all hopeful that in roughly maybe a six-week period that we will have a pitcher back if he responds positively.”
The most notable example of a pitcher who successfully rehabbed a partially torn ligament is Adam Wainwright, who was able to continue pitching for a half-decade before going under the knife. Ervin Santana has pitched with a partially torn ligament the last few years as well. The odds are strongly in favor of Tanaka needing elbow reconstruction at some point in his career — once a ligament tears, it’s usually only a matter of time before it goes completely — but Cashman said all three doctors do not feel surgery is necessary at this point.
I understand the fear that all they’re doing is delaying the inevitable by trying rehab, but given where they are in the season, having the surgery now would likely knock Tanaka out until sometime next August. Three doctors all agree surgery is avoidable and that Tanaka has a chance to return to the mound this season. Surgery is always the last resort — you don’t want to cut into the elbow of a world class pitcher unless you absolutely have to — and if there’s a possibility it can be avoided, they have to try.
Now, obviously the injury hurts the Yankees on the field immensely. Tanaka was by far the club’s best pitcher and they were already without CC Sabathia (knee), Michael Pineda (shoulder), and Ivan Nova (elbow). None of those four is returning anytime soon. Somehow 39-year-old Hiroki Kuroda is the only member of the Opening Day rotation left standing. Tanaka’s partially torn ligament is not the worst case scenario, but losing him for at least six weeks is a devastating blow to a pitching staff already thinned by injury.
The Yankees have placed Carlos Beltran on the seven-day concussion disabled list and recalled Yangervis Solarte from Triple-A Scranton, the team announced. Beltran suffered two small facial fractures during a fluke batting practice accident yesterday — he hit a ball off the cage and it ricocheted into his face. He will be eligible to return after the All-Star break.
Solarte, 27, was sent down last week and went 12-for-20 (.600) with three doubles and a triple in five games for the RailRiders. It would be totally awesome if that got him going and he comes back to hit like he did earlier in the season. Beltran has not played since Sunday due to a minor knee/hamstring problem, and he also missed about a month due to the bone spur in his elbow earlier this year. The 37-year-old is hitting .216/.271/.401 (79 wRC+) with nine homers in 61 games this season.
Carlos Beltran has two small facial fractures after being hit by a ball that ricocheted off the cage during batting practice, Joe Girardi announced. They still need to make sure he did not suffer a concussion, but there’s a chance he will avoid the disabled list. The All-Star break is only four games away, after all. This team, man.
5:01pm: The Yankees have placed Tanaka on the 15-day disabled list with elbow inflammation, Joe Girardi told reporters. He had the MRI earlier today but the team doctors have yet to review the results. “I’m not saying it’s a significant injury, but there’s soreness,” said the manager. “It’s not how you draw it up, but injuries are a part of the game.”
3:28pm: Masahiro Tanaka has left the Yankees to travel to New York for an MRI on his right elbow, according to George King. Jon Heyman says Tanaka told the team he was dealing with some discomfort following last night’s start, so hopefully this is nothing more than a precaution.
The Indians roughed Tanaka up for five runs on ten hits in 6.2 innings last night, though after the game he told reporters he “didn’t feel that bad.” Last time out the Twins got to him for four runs on nine hits in seven innings. That had been his worst start of the season up until that point. It’s worth noting Tanaka’s fastball velocity has wavered in his last few starts, but last night he actually had his highest average fastball velocity of the season at 92.46 mph.
Here’s the obligatory velocity graph from Brooks Baseball:
Tanaka has been relatively healthy throughout his career, though he did miss about a month with shoulder inflammation during the spring of 2012 while with the Rakuten Golden Eagles. His workload in Japan was a hot topic over the winter — Tanaka had thrown more than 1,300 innings before his 25th birthday, a number only Felix Hernandez has approached among MLB pitchers in recent years.
The Yankees have made sure to give Tanaka extra rest whenever possible this season — ten of his 18 starts this year have come with at least one extra day of rest — and only four times did he throw more than 110 pitches. They’ve been pretty careful with him as he transitioned from a seven-day schedule to a five-day schedule, no doubt about it.
Even if the MRI comes back perfectly clean, I would put money on Tanaka not making his scheduled start in Baltimore on Sunday. It’s the final day of the first half and the Yankees have an opportunity to give him a nice extended rest during the All-Star break. No reason not to take advantage of it at this point. It goes without saying that losing Tanaka for any length of time would be devastating.
- Mark Teixeira (knee) may need to have fluid drained again at some point. He had surgery to clean up some cartilage during the 2007-08 offseason and has had to have it drained every once in a while since. Teixeira hasn’t had any trouble since sitting out a game last week.
- Carlos Beltran (knee) was examined by doctors and told the swelling is only a minor issue. It’s his hamstring more than the knee and he remains day-to-day. “That happened to me before,” he said. “I came in [Monday] and had a lot of treatment. I feel better. I’m going to do the whole preparation and see if I can get into the lineup [Tuesday] … The doctor came and said these type of injuries, with anit-inflammatories, it can be back (to normal) soon.”
- Michael Pineda (shoulder) has been throwing off flat ground for more than a week now and everything is going fine. The Yankees are hopeful he can throw off a mound either later this week or early next week. “He’s playing catch,” said Joe Girardi. “He’s up to 90 feet. I think the hope is that at the end of the week, next week, we start to get him on a mound.”
- Matt Thornton was unavailable for a few days last week due to soreness. Not sure if it was his arm or what. Thornton warmed up in the extra innings loss to the Rays last Monday, never got into the game, then did not pitch again until Saturday. He missed time with an oblique issue last year but otherwise has been pretty healthy since about 2004.
Friday: Girardi acknowledged that Sabathia may need microfracture surgery on his knee, which would really bad and knock him out for an extended period of time. “Whenever you have degenerative issues that cause surgery, there’s always a little question (about whether he will pitch again), yeah,” said the skipper.
Thursday, 11:00pm: The MRI showed only swelling in Sabathia’s knee, Girardi said following tonight’s game. CC will go see Dr. James Andrews for another look since he performed the stem cell treatment.
5:19pm: During a radio interview this afternoon (via David Lennon), Joe Girardi said CC Sabathia woke up with fluid in his knee today and will probably go for an MRI. He threw 3.2 innings and 55 pitches during a minor league rehab start with Double-A Trenton last night. Girardi said it’s unclear what the next step will be.
Sabathia, 33, has been out since mid-May due to a right knee injury. He has a degenerative condition and received a stem cell treatment a few weeks ago. Obviously the fluid in his knee is a setback, even if it’s only a minor one. With Michael Pineda just starting to play catch and Sabathia’s knee still not right, the Yankees are in desperate need for rotation help. They can’t count on either guy coming back to help this summer.
In his second minor league rehab start, CC Sabathia allowed five runs (three earned) on five hits, one walk, and one hit batsman in 3.2 innings with Double-A Trenton. He struck out two and threw 33 of 55 pitches for strikes (60%). A scout told Matt Kardos that Sabathia sat 88-90 and topped out at 92 mph.
Sabathia just left the game, so there’s no word on how he and his injured right knee felt just yet. This start came on three days’ rest but Joe Girardi confirmed Sabathia will start on regular rest from here on out. I have to think he’ll make at least two and probably three more rehab starts before rejoining the rotation.
Carlos Beltran is still dealing with lingering soreness in his forearm after it forced him to shut down his throwing program last week, according to Zach Braziller. “It is frustrating,” said Beltran, “not being able to be in the field and having to deal with this and now the forearm, it takes [a lot] mentally, for me to come to the ballpark, get treatment, go to the [training room], whole routine I need to do to get ready for the game. I need to find a way to not think about it and just focus on what I need to focus on. Go out and compete and fight.”
Beltran, 37, went 3-for-4 with a double and a homer on Sunday, but is still hitting only .216/.274/.404 (81 wRC+) in 234 plate appearances this year. Coincidence or not, he’s been especially unproductive since flipping over the wall in Tampa back in mid-April. A bone spur in his elbow forced Beltran to miss about four weeks and has relegated him to full-time DH duty. At this point, getting him back into the outfield is a secondary concern. The Yankees need Beltran to start producing at the plate. Getting him (and Brian McCann) on track would have more of an impact than any trade deadline pickup, though the season is halfway complete and we still haven’t seen many signs of life.