Stephen Strasburg (sprained elbow, ERD 10/4)
As Strasburg heads west to have Tommy John surgery, everyone is looking to point fingers. The "inverted W," an invention of Chris O'Leary, a "modified Marshallite," is, we must remember, purported to be an indication of shoulder problems. The White Sox' Don Cooper, one of the best pitching coaches around when it comes to results, is being quoted out of context in many cases. Remember, he was speaking just after Strasburg was removed before a start due to tightness in his shoulder. I think the money quote in that article is from Stan Conte of the Dodgers, saying, "Has anybody spotted a common thread? No. It's all to be discovered." That discovery is more likely to come from scientific studies and biomechanical analysis than it is from grainy, unlicensed videos and guesswork. As for Strasburg, he's having the surgery with Lewis Yocum for several reasons. First and foremost, Yocum is one of the best in the business. The Nats seem to prefer Yocum—Yocum's work on Jordan Zimmermann was noted by many—and Yocum's base at the Kerlan-Jobe Clinic in Los Angeles allows Strasburg to be close enough to check in regularly as he lives in San Diego. There's still some question about how—or rather who—will be handling Strasburg's rehab. Some sources indicate that it will be done at the Boras Sports Training Institute in Newport Beach, California, which makes sense. Others say it will be done at the Nats' facility in Viera, Florida, which makes more sense come January or February and spring training draws near.

Hanley Ramirez ("lightheaded," ERD 8/30)
There was a bit of a scary moment yesterday as Ramirez went into second base, then left the game clutching his chest. The announcers said what everyone must have been thinking: it looked like a heart problem. On a warm day, heat issues also had to be considered. Reports came quickly that it was an irregular heartbeat, but the official word from the Marlins was "lightheaded." Given the Marlins' issues lately, I can't say whether this is or isn't true. After the game, Ramirez was saying he was fine and expected to be in the lineup tonight. There's nothing else to go on here, so I'll say tread carefully, especially in leagues with weekly moves.

Edinson Volquez (sprained elbow)
Aaron Harang (back spasms, ERD 8/31)
Orlando Cabrera (oblique, ERD 9/3)
Brandon Phillips (bruised hand, ERD 8/31)
Mike Leake (tired shoulder, ERD 9/15)
Aroldis Chapman
The Reds are opening up a bit of a cushion in the NL Central, but they're not doing it without a cost. Given the sheer number of injuries—if I limited myself to the normal 10 injuries, I could have just done the Reds today—they're going to have to really juggle things. They'll be helped by roster expansion in September, but even then, it's one thing to replace a player and quite another to replace his production. Let's start with the rotation, where Volquez is being skipped at least once and possibly bumped from the rotation. He's still struggling with his control after coming back from Tommy John surgery. This was expected, but it doesn't help the Reds now. If you compare Volquez's return to Francisco Liriano's, you'll see the similarity. Behind Volquez, Leake heads to the DL with what the Reds are calling a tired shoulder. Harang will be taking his spot in the rotation for now, but he is also a question mark, coming off the DL after missing more than a month with back spasms. The odd thing here is that Harang's return tomorrow  will necessitate a roster move, with expansion coming the next day. Finally, we have the news that Aroldis Chapman is throwing 105 mph—yes, one hundred five miles per hour—in Louisville. Two sources confirmed that scouts had him there, but most insist it was a hot gun. "He's been at 102 since switching to relief," one source told me, but remember, when I saw him in May, his fastball appeared to flatten out when he got it up towards triple-digits. If the Reds promote him this week, as expected, everyone around the league will be waiting on the PITCHf/x numbers.

Over on the position player side, the Reds are having some issues up the middle, but luckily, this is where they have some depth. "They have holding depth," said a competing front-office type. I asked what he meant by 'holding depth,' and he explained that it's talent good enough to hold on a couple days, but that would likely be exposed with more than occasional playing time. While Paul Janish has been a bit better than that, I see what he's saying. Phillips missed the weekend with his injured hand, but part of the delay is due to the lead. Every game they're up in the standings gives Phillips (and others) a bit more rest. The hand is still a bit sore, but Phillips could play with it in this condition, if necessary. Cabrera can't play right now and is backing off, hoping his oblique heals enough to play in the upcoming St. Louis series, which starts Friday, that the Reds are keying on. He's very iffy for that and could be out until mid-month. Again, the team's context is really going to determine how Cabrera and the Reds go forward.

Tim Lincecum
Buster Posey (strained forearm, ERD 8/30)
Rob Neyer takes a strong look at the assertion that Lincecum's issue is conditioning. It's an issue that I've wondered about, but the ongoing push is interesting in that there is the opposite-but-not-really case of Pablo Sandoval to note as well. Given that we've had successful pitchers who looked more like Sandoval, I'm not sure how much what we think of as conditioning applies. The fact is that pitchers have a very specific skill and while no one does one single thing, Lincecum's skill is even more individual than most pitchers. I'm not saying that a bit of cardio wouldn't help him, but how? It's not as if he didn't complete games and it's not clear that doing that has much to do with conditioning. Pitchers run poles, not marathons. Speaking of results, there's Posey, who many are questioning in regards to Lincecum's relative ineffectiveness. He is getting some time off with a mild strain of his forearm. The Giants are making a push, though without a healthy Posey, they are not going to get much closer than they are now. There's a chance Bruce Bochy will play him more at first base down the stretch. (Stop. Go back. Click the link to Keith Woolner's research on catcher ERA. Thank you.)

Brandon Webb (strained shoulder, ERD 9/10)
Webb went 52 pitches in a side session, mixing in changeups with his fastball. All that sounds good, but you have to pause and realize something. Webb didn't throw sinkers. Now, this could be nothing. What we call a sinker, he may call his fastball. Everyone I asked stopped short and just didn't know. Given the motion necessary for the sinker, which is an early pronation that moves the ball of the shoulder, it's one that could be problematic for someone coming back from shoulder surgery. If Webb can't throw the sinker, I have no idea what he would be. It would end up a shift in style even bigger than Frank Tanana. There's no clarity on when or even if Webb will return. He'd be a reliever at best, but it's unclear how he'd have to be used due to warmups and such. That ERD is a pure guess.

Quick Cuts: Troy Tulowitzki left yesteday's game with a mild groin strain, but he's expected to be back early this week. Tulowitzki said he'd be back tonight, but he tends to be optimistic. … Andy Pettitte had his best side session since injuring his groin. Yankees watchers still don't think he'll be back before September 10. … Hideki Okajima is back in the Red Sox pen, but it sounds like he's going to have to earn his role back. By the way, Neyer reported from the PITCHf/x Summit that Okajima throws a gyroball. … Dustin Pedroia might be done for the season—we'll find out about surgery this week—but this is an interesting story on his shoes, via Paul Lukas. … Jose Reyes is day-to-day, but it's a long day-to-day. He won't go on the DL because of the date, but he won't return until he's 100 percent. That could be a while. … After hyperextending his knee in his last start, Brett Anderson had a good side session. Sources think he'll make his next start, though the A's seem very cautious with all their young pitchers at this point in the season. … Evan Meek got blasted in the forearm by a comebacker. X-rays were negative, but he'll miss a few days. … Derrek Lee is expected back in the Cubs, er, Braves lineup tonight after missing the weekend with a sore oblique. … Mark Teixeira is expected back early this week after missing a couple days with a sore thumb. It's possible the Yankees will hold him out. … In a scary injury, Brian Wilson was hit in the throat by a batted ball during batting practice. He's fine, just sore. … Billy Butler was back on the field this weekend, but sources tell me the thumb is an issue that's still in place. He'll need some time off here and there. … The Blue Jays will shut down Brandon Morrow after his next start. It's an interesting move, but sources tell me his ceiling was 150 innings this season. … One well-connected front-office type thinks there will be "at least six" managerial openings and "four, maybe five" GM openings this offseason. That's a bit inflated due to the inevitable chair shuffling that happens. I'll take the under on both, but not by much.

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Happy 1,000th, Will.
Will - Been following you for a long-time, and hope that things at BP get ironed out. Congratulations on #1000, I don't think any of us truly know the hard work and dedication (not to mention the number of phone calls) it takes to get there.
Congrats on 1000. I worried when you started your count down - then disappeared. You cover baseball, you should know not to talk about streaks! You are one of the reasons I maintain my subscription and I wish you many happy returns.

Thanks, Will
I know Will hates WATGs ... but what about Will Carroll? :-)

Thanks for everything Will!
Congrats on 1,000 Will. Hope this all gets straightened out.
Congratulations Mr. Carroll. :)
Any speculation if Hanley's 'irregular heartbeat' might be a result of caffeine pills?

I went through a stretch a couple summers ago where I was getting an odd hitch in my heartbeat where it would fire off one soft beat, followed by a pause, then one large THUMP, then back to a normal beat. My doctor indicated that the irregularity was due to an irritated heart muscle that was basically getting very full after making a shortened beat. The THUMP was the sensation of my heart blasting out almost double its usual volume in a beat.

The cause, it turned out, was too many heart irritants in my system. I had been on a long kayaking trip the day before it started and exerted myself greatly at a time when i was in pretty poor shape; I had been drinking a lot of alcohol in the week leading up; and because I was short on sleep from all the alcohol and exercise, i was downing a lot of coffee to get myself up. All three (exertion, alcohol, caffeine) are irritating to the heart and especially in combination. I went a week off coffee and alcohol (getting back in shape? pffff) and was fine, though it has recurred occasionally when i let my habits slide.

I wonder if this might be what's happening with Hanley- a few too many caffeine pills, maybe the August heat, maybe a few too many after the games. There has been a lot of talk about caffeine being the next big PED target...i wonder if anything will come from this.
Congrats, Will. I too hope this gets straightened out. However, my expectations are tempered by the fact that Will is no longer listed on the daily newsletter as a BP writer that can be followed on Twitter
Let's stay focused on baseball, ok?
Yeah, that's gonna happen.
Thanks, Will, for so many great columns. Your personal JAWS score must be pretty damned high, by now.

I don't know much about how fastball velocity changes with age -- do pitchers typically lose a few MPH as they go from early 20's to late 20s?

(This is regard to Lincecum)
We don't have data, just anecdote. It would make sense that people would lose some velo over time, then make adjustments. Seems most that do that retain the ability to hit the big numbers, but not to do it consistently. There's some obvious exceptions.
Jeremy Greenhouse did a study on fastball speed aging using the BIS velocity data:

Josh Kalk did a study using PITCHf/x data, but a much smaller data set:
Mikefast - thanks - Greenhouse's "Velocity aging curve by height" and "Velocity aging curve by weight" are interesting in the Lincecum context (as he points out).
It should be noted that Cabrera wasn't exactly providing much in the way of production to begin with. While the Reds shouldn't (and likely don't) expect Janish to sustain his current slash stats, his glovework makes him as productive as Cabrera, if not moreso. Heisey has stepped back in the role Edmonds took from him and performed well and Chris Valaika is hitting .333 through his first 5 games.

The pitch staff is certain a bit of a concern, but that's where the Reds really have "holding depth". Sam LeCure shut down the Cubs for 2 innings yesterday in long relief, filling in for Leake. Chapman will be up this week, obviously. And they still have Matt Maloney, Enerio Del Rosario, Danny Ray Herrera, Carlos Fisher and Jordan smith in Louisville, all of whom have been with the Reds at some point this year and are major league caliber pitchers.

Suffice it to say that depth has been this team's strength all year long and as a Reds fan, I'm not too concerned about getting people healthy for October.
Thank you for your fine work on this article and the many others. Your insight and commentary are refreshing.
Congrats on 1K, Will! :) Hope everything gets worked out.
Congratulations Will! You've brought a perspective on injuries that I haven't seen elsewhere and is always entertaining to read.
I find it interesting that here is a case in which everybody was/is applauding the Nats handling of Strasburg with innings and pitch count limits and here he is broken down. As soon as a Verducci Effect guy gets hurt, the tone of this article is "I told you so" but when it works the other way it's well sometimes pitchers get hurt.
Precisely - when pitchers who are on strict pitch counts and inning limts get hurt as often as those who are worked hard, it eliminates the "quantity of pitches" variable. Keeping pitchers healthy seems to me to be much less "how much" they pitch but rather "how" they pitch.
don't forget to include the "genetics" and "physiology" of pitching ... some (most?) bodies weren't meant to throw a baseball overhand at 90+ MPH ...
Congrats on hitting the first K mark Will. Love your work.
Congrats on 1,000, Will!
a friend once told me THC is chemically similar to estrogen and thus makes it harder to build muscle. is this potentially of concern for Lincecum?
Drama with UTK and Digg at the same time?!

I can't take it.
I have ranked each of your 1000 Under the Knife columns and this one is good one. I rank it at Number 89. Congrats.

Obsessive fan.