September 23, 2011
Mark Lowe, TEX (Right hamstring strain) [AGL: 9(30 DL), ATD: -.015(-.012 DL)] (Explanation)
PRP injections do not work overnight—if they work at all—so his latest treatment is not a guarantee that he will be ready in time for the playoffs. The major milestones that need to happen before he is ready include a decrease in inflammation and a restoration of normal range of motion, strength, and function of the hamstring. Until these goals are achieved, Lowe will be at risk for re-injury. The Rangers are going to have a tough decision ahead of them when arranging their playoff rosters but should have a very good idea about the part Lowe will play in one week.
C.J. Wilson, TEX (Left middle finger blister) [AGL: 5(15 DL), ATD: +.046(+.015 DL)]
The line drive caused changes in how the ball rolls off Wilson’s fingers and the pressure on his skin at that time. With the pressures distributed differently, more friction was placed on the middle finger, which caused the blister to open up on Wednesday. With the Rangers having all but wrapped up the AL West, they have the ability to rest Wilson and get him ready for the playoffs.
Scott Sizemore, OAK (Right shoulder inflammation) [AGL: 3(31 DL), ATD: +.013(-.016 DL)]
Sizemore’s shoulder became inflamed as a result of the increased number of throws and distance involved in playing third. Controlling muscular fatigue is a balancing act that can often be too easily tipped into the pathologic range. The muscles controlling fine humeral head movements—including the rotator cuff—can fatigue, which cause the humeral head to migrate before eventually pinching underneath the acromion. Without a corticosteroid injection, the inflammation will not disappear overnight, but Sizemore could return any day.
Brett Lawrie, TOR (Right middle finger fracture) [AGL: 29, ATD: -.049]
Tommy Hunter, BAL (Strained right groin) [AGL: 4(28 DL), ATD: +.020(-.009 DL)]
It is true that groin strains can recur, but Hunter’s is recurring too readily for it simply to be dumb (bad) luck. The underlying injury does not have to be severe; it could be something as simple as muscular imbalances throughout the peripelvic region. Hunter fully expects to make his last start of the year, but how effective he will be remains to be seen.
Phil Hughes, NYA (Back Inflammation—Herniated Disc) [AGL: 7(45 DL), ATD: -.049(-.053 DL)]
GM Brian Cashman was insistent that it was a minor issue and that the pain would have resolved with extended rest, which certainly was the most likely outcome. However, with the playoffs looming, the team doctors wanted the epidural in hopes that it would significantly speed up recovery. Since the Yankees clinched a playoff spot, the wisest thing would be to limit Hughes to throwing on the side or a light bullpen session in hopes that he will ready for the ALDS.
Flesh Wounds: Chien-Ming Wang has come down with a case of the flu but still expects to make his start on Saturday… Adam Wainwright is coming along very well in his recovery from Tommy John surgery and has progressed to throwing off the mound. He should be ready for 2012… Jason Kubel and his mid-foot painhave been ruled out for the rest of the season… Lucas Duda hasn’t officially been diagnosed with a concussion after running into the outfield wall Wednesday night and subsequently experiencing dizziness. However, if his symptoms continue or ImPACT testing show a cognitive deficit, his diagnosis may change… Dan Haren was able to escape with only a minor left wrist contusion after a line drive struck him on Wednesday. Given that the injury isn’t to his throwing arm, he should make his Monday start without any difficulties… With the Red Sox clinging to a playoff spot, the Red Sox confirmed that Clay Buchholz will not return as a starter this year. He hasn’t been stretched out enough to start but remains a possibility to return in a relief role this year… Josh Tomlin has officially been ruled out for the season with his strained elbow… Hunter Pence’s MRI revealed a strain of the patellar tendon, as well as inflammation in the area. He’ll probably miss a few more days.
Corey Dawkins is an author of Baseball Prospectus. Follow @CoreyDawkinsBP