July 1, 2011
Carlos Zambrano, CHN (Back stiffness)
If the disc herniation becomes large enough, Zambrano could be at risk for Cauda Equina Syndrome (CES), a condition that compresses the nerve roots below the spinal cord. CES can also be caused by narrowing of the spinal canal, infections, inflammatory conditions, traumatic injuries, and tumors. CES patients can experience pain patterns similar to those of sciatica, but the condition can also involve other symptoms such as bowel or bladder incontinence. If CES is present, timely surgical intervention is required to effect a full recovery.
Erik Bedard, SEA (Left knee sprain)
Jayson Werth, WAS (Left hip pain)
Often the hip flexor tendon can become inflamed from injuries inside the joint, which can easily be confused with a labral tear. One way to tease out the difference is through an MR arthrogram of the hip, in which dye is injected to offer improved visualization. If the results of that test are inconclusive, a numbing agent can be injected into the joint itself, which can be very helpful in determining the root cause of pain or discomfort.
Jerry Hairston Jr., WAS (Right wrist fracture)
Still, Hairston may be searching a little too hard for a scapegoat, especially since finding one wouldn’t quicken his recovery. Expected to miss at least a few weeks, Hairston has responded that he wants to try to play through the pain and discomfort. He will be reevaluated, at which point a decision will be made regarding a potential move to the disabled list.
Chipper Jones, ATL (Right knee meniscus tear)
Now that the pain has returned, his options are more limited. Too many cortisone injections in a short amount of time can actually weaken tissues, making them more prone to injury. Physical therapy, rest, and viscosupplementation injections could decrease the inflammation, but since the knee is a weight-bearing joint, more time would be required for recovery than Chipper is willing to allow. Surgery is also an option, but that would necessitate at least two or three weeks of recovery time, and most likely more. However, if the pain continues, he may have little choice but to go under the knife to repair the meniscal tear.
Cole Hamels, PHI (Right wrist contusion)
Flesh Wounds: Travis Snider has passed all of his concussion-related tests and been cleared through the new concussion protocol... Roy Oswalt will meet with Dr. Andrew Boscott today for a second opinion regarding his back... Kevin Youkilis missed yesterday's game after bruising his left foot and ankle by fouling a ball into the area in Wednesday's game... Kerry Wood broke his own news and let everyone know he is coming off the disabled list today following his recovery from a blister on his right index finger... Elvis Andrus was able to return from his sprained left wrist on Thursday night... Take it for what it's worth, but Marlins president Larry Beinfest thinks Scott Cousins is dealing with a bulging disc, not just a low back strain. Many players have bulging discs, not all of which cause problems... Brandon Lyon underwent season-ending surgery to repair a detached tendon and torn labrum yesterday... Chris Gimenez was placed on the disabled list with a strained oblique, while his Mariners teammate Miguel Olivo underwent an MRI on his hamstring after cramps took him out of the game prior to Gimenez’s injury... Jason Bourgeois' strained right quad will end up costing him time on the disabled list...Manny Acosta was taken out of yesterday's game with a hyperextended wrist. No updated prognosis has been given yet.
Corey Dawkins is an author of Baseball Prospectus. Follow @CoreyDawkinsBP