Injury Updates: Tanaka, Nova, Prado, Sabathia

(Presswire)
(Presswire)

Got a bunch of injury updates to pass along prior to tonight’s series finale against the Red Sox. The updates come courtesy of Meredith Marakovits, Chad Jennings, Mark Feinsand, Jack Curry, Brendan Kuty, and Dan Martin.

  • Masahiro Tanaka (elbow) felt fine after playing long toss earlier this week. He is scheduled to throw off a mound in the bullpen on Saturday. “He does feel better. Our doctor said he basically just had arm fatigue, and that’s not abnormal for a pitcher. He does feel better. He played long toss the other day and felt good, so hopefully it’s pretty soon,” said Joe Girardi.
  • Ivan Nova (elbow) started a throwing program last week as part of his rehab from Tommy John surgery. “It was awesome to be throwing a baseball again. For me, I always worried about how I’m going to be. It feels a little weird, but once you start throwing, you’re more confident,” he said. Nova, who is right on schedule with his rehab, is making 25 throws at 60 feet every other day and will eventually start to stretch it out. He will spend the winter rehabbing in Tampa rather than going home to the Dominican Republic.
  • Martin Prado (hamstring) received some treatment yesterday and does not feel anything when he’s walking. He will test the hamstring with some baseball activities today — batting practice, running, fielding grounders, etc. — to see how it responds. “I think we made a little progress and we’ll see how it responds,” he said. “I just want it to be one or two days and not the rest of the season. I don’t feel it walking. I’m not going to play 50%. I have to be 100%.”
  • Carlos Beltran (elbow) will have the bone spur removed as soon as the season ends and the rehab is not expected to limit him at the start of Spring Training. He’ll need two months of rest before he can resume throwing and swinging a bat — Beltran will spend the winter living in New York so he can go for regular check-ups — which still gives him plenty of time to get ready for camp.
  • As scheduled, CC Sabathia (knee) received another stem cell injection last week. “It went well. I’ve got no crutches. I feel good,” he said. Sabathia is expected to begin throwing in another week or two.
  • This isn’t really an injury update, but Hiroki Kuroda admitted he skipped his usual between-starts bullpen session this week in an effort to avoid fatigue, something he’s done late in each of the last two years. He added that he’s thrown less between starts all season.
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2014 Midseason Grades: The Rotation

Even though it is not really the halfway point of the season, there is no better time to review the first half than the All-Star break. This week we’ll hand out some simple, straightforward, and totally subjective grades, A through F, for the catchers, infielders, outfielders, rotation, and bullpen. We’ve already covered the catchers, infielders, and outfielders, so now let’s move on to the rotation.

(Presswire)
(Presswire)

Masahiro Tanaka — Grade A

I didn’t think it would be possible for Tanaka to meet, nevermind exceed expectations after the Yankees invested $175M in the 25-year-old right-hander this winter. A contract (and release fee) like that comes with ace-sized expectations and given everything he had to adjust to — five-day pitching schedule, new hitters, tougher parks, new culture, etc. — I didn’t think there was any chance he would pitch that well right away. I didn’t think he’d be bad, he’d be really good but there would be an adjustment period, right? How could there not be?

Well, there wasn’t. Tanaka showed up to Spring Training on the first day and looked like he had been wearing pinstripes for years. The transition was seamless, or at least he made it appear that way. He was all business from day one, embracing the five-day schedule and the new workout routines (remember all the running early in camp?). Tanaka was the position player of Hideki Matsui. The guy who fit in so well, so soon that it was like he was born to wear pinstripes.

Tanaka lived up to the hype on the field, of course. That’s most important. He has thrown 129.1 innings in 18 starts, and among the 45 AL pitchers with enough innings to qualify for the ERA title, Tanaka ranks third with a 2.51 ERA, third with 4.1 bWAR,, fourth with a 3.7% walk rate, fourth with a 7.1 K/BB ratio, fifth with a 26.6% strikeout rate, sixth with 3.2 fWAR, tenth with a 3.07 FIP, and 20th with a 45.9% ground ball rate. The only negative in his game is the long ball; he’ll give up some dingers (1.04 HR/9 and 14.4 HR/FB%). It’s a minor nuisance. Other than that though, Tanaka was one of the five best starting pitchers in the league in the first half.

Unfortunately, Tanaka suffered a partially torn elbow ligament in what was scheduled to be his second to last start before the All-Star break. Three doctors recommended he rehab the injury rather than undergo season-ending Tommy John surgery, so Tanaka received a platelet-rich plasma injection earlier this week and is currently resting before starting a throwing program. The expectation is that he will be able to return to the rotation later in the year, but surgery will remain a possibility if the rehab is less than perfect. It sucks but it is what it is. Tanaka managed to exceed expectations before the injury. What a stud.

(Eric Christian Smith/Getty)
(Eric Christian Smith/Getty)

CC Sabathia — Grade F

I was optimistic about Sabathia’s chances of rebounding this year, though I didn’t have much to base that on other than blind faith and Sabathia’s track record. I’m not even talking about getting back to being an ace. Just being a solid mid-rotation workhorse would have been plenty good enough for me. Instead, Sabathia gave the team a 5.28 ERA (4.79 FIP) in eight starts and 46 innings before going down with a degenerative knee condition. A stem cell procedure apparently did not work and now he’s facing the possibility of microfracture surgery, which could be career-threatening.

Rather than shake off the career worst 2013 season, Sabathia got worse and added in a serious injury this year. Not good. I mean, if you really want to squint your eyes and find a silver lining, know that his strikeout (9.39 K/9 and 23.0 K%) and walk (1.96 BB/9 and 4.8 BB%) rates were outstanding. That … really doesn’t make me feel much better at all. Maybe an incomplete would be a more appropriate grade given the injury (which might have led to the poor performance), but eight starts is one-fourth of the season. That’s not insignificant.

Anyway, Sabathia’s knee injury is very serious and remember, he’s only 33. We’re not talking about some guy approaching 40 here. Sabathia is still relatively young and an ultra-competitive type who leaves everything on the field — remember when he started four games in 12 days for the Brewers on the eve of his free agency? You’re kidding yourself if you think he’s just going to walk away from the game because of the knee injury — and now there’s a chance he may never pitch again. Like, for real.

(Jim McIsaac/Getty)
(Jim McIsaac/Getty)

Hiroki Kuroda — Grade C

There were plenty of reasons to be skeptical of Kuroda coming into the season, specifically his age (39) and brutal finish to the 2013 season. The Yankees re-signed him though, and while he has not pitched as well as he did the last two years, Kuroda has given the team innings every fifth day and is the only Opening Day rotation member not to come down with an injury. His 4.10 ERA (3.91 FIP) can be split up into a 4.62 ERA (3.75 FIP) in his first eight starts and 48.2 innings and a 3.72 ERA (4.02 FIP) in his last eleven starts and 67.2 innings, if you choose.

With Tanaka and everyone else going down with injuries — for weeks too, these aren’t 15 days on the disabled list and you’re good to go type of injuries — the Yankees need Kuroda to remain that reliable innings eater in the second half. Actually, they need him to be better than that, which is a problem because of his late-season fades. The Yankees absolutely can not afford that this year, not if they want to contend. Kuroda is currently the staff ace by default and the team needs him to reverse his recent trends and be better in the second half than he was in the first.

Big Mike

Michael Pineda — Grade D

It was fun while it lasted, wasn’t it? Two years after the trade that brought him to New York, Pineda was finally healthy enough to help the Yankees, and he started the year by pitching to a 1.83 ERA (2.73 FIP) in four starts and 19.2 innings. He was an ace! An ace on a very strict pitch count (no more than 94 pitches or six full innings in his four starts), but an ace nonetheless. The Yankees were finally getting some kind of return on the trade and it was glorious.

Then it all came to a crashing halt in Fenway Park in late-April. Two starts after the internet caught him with a glob of pine tar on his hand, Pineda was caught with an even bigger glob of pine tar on his neck. Red Sox manager John Farrell did not let it slide this time. He alerted the umpires and Pineda was ejected and eventually suspended ten games. While serving the suspension, he suffered a back/shoulder muscle injury and has been sidelined since. He just started throwing off a mound last week (after the #obligatorysetback). Given his recent history, there’s no possible way the Yankees could count on Pineda to return to help the rotation in the second half. If he does come back, it’s a bonus. But man, those 19.2 innings were pretty awesome, weren’t they?

(Brian Blanco/Getty)
(Brian Blanco/Getty)

Ivan Nova — incomplete

I went back and forth between giving Nova an F or an incomplete. He did make four starts this year, after all. Four terrible starts, with 40 base-runners and an 8.27 ERA (6.91 FIP) in 20.2 innings. But he also blew out his elbow and needed Tommy John surgery in late-April. I’m giving him the benefit of the doubt and assuming the elbow contributed to his poor performance and that he was never really healthy this year. I don’t know, an F just seems too harsh for a guy that barely pitched before his elbow ligament snapped. Maybe I’m being too kind.

The Yankees lost Nova for the season and that’s a pretty significant blow. Not just for this year either, the timing of the injury means he will start next season on the disabled list and the team won’t really know what to expect from him. This is an injury that impacts two seasons, not only one. This was supposed to be the year for Nova to build on his strong second half of 2013 and stop the up and down nonsense, establishing himself as a no-doubt big league starter. That won’t happen.

David Phelps — Grade B

Once the injuries started to strike, Phelps worked his way into the rotation and has remained there ever since. He’s pitched to a 3.94 ERA (4.31 FIP) in 89 total innings, including a 3.96 ERA (4.08 FIP) in 13 starts and 77.1 innings since moving into the rotation. The Yankees have also been able to count on Phelps for innings — he’s thrown at least five full innings in all 13 starts (even before he was fully stretched out) and at least six full innings eight times in his last ten starts. That’s been much-needed.

(Mike Stobe/Getty)
(Mike Stobe/Getty)

There were some questions about Phelps and his ultimate role coming into the season — remember, he missed most of the second half last season with a pair of forearm strains — but things worked themselves out and he’s become one of the team’s three most reliable pitchers in the wake of the injuries. He’s been a godsend. You can’t ask anything more of a sixth starter. Now the Yankees need Phelps to keep it up in the second half. He’s in the rotation for good.

Chase Whitley — Grade C

It was definitely a tale of two first halves for Whitley. He came up following all the injuries and was outstanding in his first seven starts, posting a 2.56 ERA (2.75 FIP) in 28.2 innings. Considering he was a full-time reliever as recently as last July and the rotation was in total disarray, getting that kind of production out of Whitley was a minor miracle. The Yankees needed it desperately.

Then everything came crashing to a halt one night in Toronto last month, when the Blue Jays punished Whitley for eight runs in 3.1 innings. It wasn’t just a bump in the road either. He has a 9.43 ERA (6.14 FIP) in 21 innings since. (That includes two scoreless innings in relief.) After allowing eleven runs on 44 base-runners (one homer) in his first seven starts, Whitley has allowed 20 runs on 40 base-runners (five homers) in his last four starts. Those first seven starts were so good that I’m not going to go any lower than a C, especially since we’re talking about a guy who had never started regularly until this year. All things considered, Whitley’s been a plus even if he’ll only be a reliever going forward. He helped much more than I thought he would as a starter.

Vidal Nuno — Grade D

Nuno was actually the first guy to be pulled out of the bullpen and stuck in the rotation, but that had more to do with timing than anything. He was the only one rested and able to make a spot start because of a doubleheader in April, and he lined up perfectly to replace Nova after he blew out his elbow. That’s all. Nuno had a 5.42 ERA (5.18 FIP) in 78 total innings for the Yankees, including a 4.89 ERA (4.86 FIP) in 14 starts and 73.2 innings before being traded away two weeks ago. There were some good starts mixed in there and more than a few duds as well.

(Patrick McDermott/Getty)
(Patrick McDermott/Getty)

Brandon McCarthy and Shane Greene — incomplete

These two both joined the rotation last week. I mean literally. Greene made his first career start last Monday and McCarthy made his first start in pinstripes on Wednesday. Throw in Greene’s second start last Saturday and they’ve combined to allow six run (three earned) in 20.1 innings. They also have a combined 57.1% ground ball rate, which is pretty awesome even if it is a super small sample. Greene’s mid-90s sinker and upper-80s slider make me think he has more rotation staying power than either Nuno or Whitley, but, either way, we’ll see plenty more of these two in the second half.

* * *

Any time a team loses four of its five Opening Day rotation members, including three within the first six weeks of the season, they’re going to be scrambling for pitching. No team has enough depth to go nine starters deep. The Yankees have been able to tread water thanks to Phelps and some timely outings from Whitley and Nuno, who have since been replaced by McCarthy and Greene. The team clearly needs another starter in the wake of Tanaka’s injury and, frankly, they could have used another starter before that. This is a patchwork staff held together by Kuroda, Phelps, and McCarthy at the moment, and there’s no telling how much longer the duct tape will hold.

Injury Updates: Pineda, Nova, Beltran, Banuelos

Allergic reaction to Gatorade, 60-day DL. (Presswire)
Allergic reaction to Gatorade, 60-day DL. (Presswire)

Mark Teixeira is back in the lineup tonight after leaving yesterday’s game because he took a pitch to the left foot. The Yankees dodged a bullet there. Here are some injury updates to pass along, courtesy of Dan Martin, Jorge Castillo, Marly Rivera, and Nick Peruffo:

  • Michael Pineda (shoulder) is fully expected to begin a throwing program this coming weekend, according to Joe Girardi. They are “pretty confident” the extra week of rest will knock out the lingering “trace” of inflammation. “Our doctors felt (another MRI) won’t be necessary. It’s a fairly minor amount of inflammation in there compared to what it was. Another week should be plenty sufficient,” said the skipper.
  • Ivan Nova (Tommy John surgery) is running and lifting light weights, but he won’t start throwing until late-August or September. That’s normal, his rehab is right on schedule so far. “I got to go outside and run a little bit,” he said. “I’m still two months away (from throwing). I still have a ways to go.”
  • Carlos Beltran (elbow) is currently throwing from 120 feet with no significant discomfort. He was expected to begin throwing to the bases over the weekend, and if that went well, they would come up with a plan and a firm timetable to get him back into right field.
  • Manny Banuelos (blisters) has been placed on the Double-A Trenton DL. He had some blister issues several years back. Banuelos missed most of 2012-13 with elbow problems, including Tommy John surgery.

Replacing Ivan Nova, both now and later

Vidal, open your eyes! (Brian Blanco/Getty)
Vidal, open your eyes! (Getty)

The Yankees got some very bad pitching news over the weekend. Ivan Nova left Saturday’s start with a sore elbow, and a subsequent MRI revealed a partially torn ulnar collateral ligament. He will be re-evaluated in New York today and, based on how these things have gone for other pitchers around the league, it’s very likely Nova will need Tommy John surgery in the near future. The procedure would end his season and delay the start of his 2015 campaign as well.

Nova was the team’s least effective pitcher so far this season — that could be the result of the injury, of course — so the Yankees will only have to replace their fifth starter. That doesn’t mean it isn’t a big loss or anything like that, but there’s a difference between losing Nova and losing one of the other starters. This blow is easier to absorb. What can the Yankees do to replace Nova? Several things, actually. Let’s look at this two different ways.

Immediate Replacements
The Yankees have already placed Nova on the 15-day DL, so even if today’s re-evaluation brings best case scenario news, he’s going to miss a minimum of two starts. (Off-days could help the team out a bit.) Vidal Nuno pitched well in yesterday’s spot start (five scoreless innings) and today’s off-day allows him to step right into Nova’s rotation spot, if the team decides to go that way. I have to think they will based on yesterday’s work.

The other options on the big league roster are Adam Warren and David Phelps, both of whom competed for the fifth starter’s job in camp. Warren has settled into a one-inning setup role and even though the season is barely three weeks old, I think he’s there to stay. Even with David Robertson due to come off the DL tomorrow. Phelps has become more of a multi-inning, multi-purpose reliever. He works the middle innings, the late innings, whatever is needed. Kinda like 2009 Al Aceves. Both Warren and Phelps would need to be stretched back out, unlike Nuno.

The Triple-A options aren’t very good. The RailRiders have a mostly veteran retread rotation, and the only guy on the staff with any kind of big league success is, well, Al Aceves. He was last effective in 2011. I can’t imagine others like Brian Gordon, Bruce Billings, and Chris Leroux will get serious rotation consideration. Same with Manny Banuelos. (Billings has been quite good actually, with a 2.74 ERA and 2.67 FIP in 23 innings.) I can’t see any of these guys getting the nod over Nuno or Phelps right now. If anything, Aceves could be called up to fill a bullpen job, but that’s probably it. Nuno seems like the guy right now.

(Brian Garfinkel/Getty)
(Brian Garfinkel/Getty)

Longer-Term Replacements
If Nova does indeed go down for the rest of the season — even avoiding surgery and successfully rehabbing the injury will sideline him for weeks if not months — I think the Yankees have to consider making a trade to bolster their rotation. Remember, Michael Pineda is going to have his workload monitored closely following shoulder surgery, plus we don’t really know what to expect out of Masahiro Tanaka late in the season now that he’s starting every fifth day for the first time in his life. Plus Hiroki Kuroda has shown a tendency to wear down late in the year. Adding some rotation help is never a bad idea.

When looking for trade candidates, the easiest thing to do is find impending free agents on non-contenders. There are fewer sellers at the deadline these days because of the second wildcard spot, so the pool of available players really shrinks. Teams like the Diamondbacks (Brandon McCarthy?), Astros (Jerome Williams?), and Cubs (Jason Hammel?) seem like safe bets to be terrible. The Marlins (Kevin Slowey?), Rockies (Jorge De La Rosa?), and Padres (Eric Stults?) are other potential sellers.

The big rotation trade candidate is the same guy it’s been for about three years now: Cliff Lee. We know the Yankees love him, he remains among the game’s truly elite pitchers, and at this point there is only ~$45M left on his contract through next year. It’s not a huge long-term commitment. (His deal does include a vesting option for 2016.) Lee is someone any team would love to add to their staff and he’d be ultra-overqualified to replace Nova. Even if the Phillies decide to sell, do the Yankees have the prospects to compete against offers from clubs like the Dodgers, Red Sox, and Rangers?

* * *

The upcoming rotation situation would have been much murkier had Nuno gotten bombed yesterday. But, because he pitched well, he’ll likely get another chance or three to fill-in for Nova. And who knows? Maybe Nuno is the long-term solution. If not, the Yankees can try Phelps. A trade is something I think they should consider no matter how well those two perform, but that can wait. It’s early in the season and the Yankees can afford to be patient with their internal options. Nova did not pitch well in his first four starts this year, but that doesn’t necessarily mean he will be easy to replace.

Ivan Nova has partially torn UCL

(Brian Blanco/Getty)
(Brian Blanco/Getty)

It appears the Yankees have lost one of their starters for an extended period of time. Ivan Nova has a partially torn ulnar collateral ligament in his right elbow, the Yankees announced. Yes, that is the Tommy John surgery ligament. He will be re-evaluated in New York tomorrow, during the team’s off-day.

Nova, 27, left yesterday’s start with a sore elbow and was sent for tests. He reportedly did not complain of any pain, and it wasn’t until he shook him arm following a pitch that Joe Girardi and the rest of the staff took notice. Nova tried to talk his way into remaining in the game but that wasn’t going to happen. “It’s hard. I don’t even know what to tell you guys. I’m so sad right now that I’m not going to be pitching,” he said to Erik Boland.

This is Nova’s fourth arm injury in the last four years. He suffered a forearm strain during the 2011 postseason, shoulder inflammation in August 2012, and triceps inflammation last April. Nova is a breaking ball heavy pitcher, throwing his curveball and/or slider at least 31% of the time the last three years. That’s usually bad news for the elbow.

Nova may try to rehab the injury but that rarely seems to work. Chad Billingsley and Matt Harvey both tried to rehab partially torn UCLs only to wind up having Tommy John surgery, for example. There has been a lot of talk recently — from people like Dr. James Andrews, not schmucks like me — about the elbow reconstruction rehab process being too aggressive these days. The prescribed rehab time is 12-18 months, so if the Nova does need surgery, we might not see him again until the 2015 All-Star break.

It’s unclear who will replace Nova in the rotation right now. Vidal Nuno is making a spot start today and thanks to tomorrow’s off-day, he’d line up perfectly to replace Nova. David Phelps is another option, but he isn’t stretched out. Adam Warren has settled into a one-inning setup role and it’s tough to see him moving into the rotation. Doesn’t mean it won’t happen though. Triple-A starters include veterans Bruce Billings, Al Aceves, and Chris Leroux. We’ll see. Either way, Nova probably isn’t returning anytime soon.

Yankees announce Sabathia, Kuroda, Nova as top three starters

As expected, Joe Girardi announced CC Sabathia, Hiroki Kuroda, and Ivan Nova will start the team’s first three games of the regular season. Well, he didn’t really come out and announce it, but the rotation for the rest of the week indicates that will be the case. This lines up Kuroda for the home opener. Masahiro Tanaka figures to slide in as the number four starter with either Michael Pineda or David Phelps as the five. Obligatory reminder that the rotation order on Opening Day means nothing.