ptatc

QUOTE (southsider2k5 @ Apr 22, 2014 -> 01:00 PM) That isn't anything that could be done as a precaution, or to aid the healing process? I have no idea what the procedure means. PRP is platelet rich plasma. Basically, it is an attempt to take a large dose of platelets which contain the body's own healing factors and increase the amount in the injured area. They do this by taking blood from the body and spinning out the blood plasma and then injecting it into the injured area. It usually done in an area of significant damage or chronic tendonopathy. It's not normally done for mild inflammation as just the injection in the involved area will cause some inflammation and tissue damage. Maybe it is just very conservative and overkill but that isn't the normal procedure. It could also be that since they put him on the 15 DL, they were comfortable with shutting him down for 5-7 which you would need safter this procedure. But if that's the case, it is more involved than "he could have pitched Sunday but we thought we would wait."

QUOTE (Marty34 @ Apr 22, 2014 -> 11:17 AM) If that's the case pushing him back until you have a team ready to compete makes more sense. We've had this discussion. You cannot do that and expect to have a healthy effective pitcher. It's like not running for 6 months then deciding to run a marathon. It would not end well.

QUOTE (southsider2k5 @ Apr 22, 2014 -> 09:06 AM) Some good details in here. http://bleacherreport.com/articles/2037473...-on-aces-injury If he is truly having a PRP injection, there is more than some flexor inflammation going on. This article makes me more worried than hopeful. That is not a procedure done for minor inflammation.

QUOTE (pittshoganerkoff @ Apr 22, 2014 -> 08:41 AM) Exactly. We're all just supposing and assuming. But, based on history, it seems more likely that it's his throwing motion than pitch count. His motion has been a concern since...well, since forever. Sale might be the kind of pitcher that needs the breaks and/or a DL trip each year. But none of us know. We can assume and point fingers and scream all we want. All we really should be doing it hoping right now. It's probably both. Fatigue with odd mechanics equals too much stress in a small area, which is when injuries occur.

QUOTE (GreenSox @ Apr 22, 2014 -> 12:05 AM) How could anyone possibly question 127 pitches in week 3 of the season. it's as ridiculous as questioning running out of pitchers in the 14th inning. Hire a professional manager, please, Rick/Kenny/Jerry. Easily. He's done if before and he'll do it again. This far into the season he should be fairly fresh. The first deadarm period should have past, if he gets one. Even for those who think pitch counts are the way to judge a pitcher's fatigue, 127 isn't that many. Now, could it have caused it, sure but there is know it ahead of time.

QUOTE (sammy esposito @ Apr 22, 2014 -> 01:19 AM) If Sale pitched 127 it was because he wanted to win the game. He probably told Robin and Coop that he felt fine. I am guessing that Sale did not want to give the ball to any other reliever because he doesn't trust them like all the rest of us who watch the Sox already know this from watching their games Sale and his response is only a part of it. They watch him as well. Look for signs of fatigue, if his arm slot changes,his stride shortens or if he is getting under the ball. They do many other objective things other than just listeningto him. The Sox have been very good with preventing overuse type injuries over the years.

QUOTE (southsideirish71 @ Apr 21, 2014 -> 11:28 PM) Dusty Baker is on your side. He feels that pitch counts are over rated as well. He did it on a consistent basis. There is a difference.

QUOTE (fathom @ Apr 21, 2014 -> 11:07 PM) Last year, Gavin Floyd's initial MRI came back clean and diagnosed as a flexor strain. On the bright side, Hahn seems very optimistic about Sale. As I said, MRI are not the definitive answers. The manual tests are generally more reliable in these cases. They'll know more when he tries to throw again.

QUOTE (Buehrle>Wood @ Apr 21, 2014 -> 09:36 PM) This never ends well There's no guarantee but they were right the last time it happened.

QUOTE (caulfield12 @ Apr 21, 2014 -> 10:37 PM) Other than the fact that signing him at "Boras Dollars" would mean we couldn't sign 75% of our other draft picks... This wouldbe theonly reason not to.

QUOTE (Bigsoxhurt35 @ Apr 21, 2014 -> 10:03 PM) Didn't Garcias MRI in Colorado come back clean? Usually the MRI will detect that much damage. I think the x ray was clean and that's to be expected.

QUOTE (fathom @ Apr 21, 2014 -> 10:03 PM) So what's next? Rest for 10 days or so to see if the pain goes away? Yes. This is the very conservative route. They could gowith 4 or 5 days rest but I bet they go more like 10.

QUOTE (fathom @ Apr 21, 2014 -> 09:51 PM) Feels like there's been a few guys of late with similar situations/clean MRI that ended up getting TJS a few weeks later. MRI are pretty unreliable. The only thing they really see is inflamation or fluid. In the elbow the ucl and muscles are so close together that you can't always differentiate them. This is whyi tell students that MRI stands for More Radiographic Income.

QUOTE (Feeky Magee @ Apr 21, 2014 -> 09:49 PM) Thanks. So theoretically it could well be down to throwing a lot of pitches? It's possible that fatigue caused it. The good part is thatif itwas fatigue, it's mostly likely not caused by the ligament being involved.

QUOTE (Feeky Magee @ Apr 21, 2014 -> 09:28 PM) Aren't flexor muscle strains typically from overuse? My brain is telling me so but I'm not sure where I'm actually getting that information from. The wrist flexor muscles sit on top of the UCL. You can strain them two different ways while pitching (insert wrist flexion while on the computer joke here). One is to over exert the wrist flexion or pronation or turning the hand palm down. This usually comes from fatigue. The other is when there is stress on the elbow in a valgus motion during the throwing motion. This is when the humerus leads the forearm too much and you can injure the UCL or strain the muscles which are trying to help the UCL hold the medial side of the elbow together. They hope that the muscle strain is not from the UCL loosening and the muscles need to do the work. Ideally it's an isolated strain and it's 2-3 week rehab.

QUOTE (ptatc @ Apr 21, 2014 -> 06:45 PM) It's possible but I would think that Cooper knows him pretty well by now. ............and maybe not. Hopefully just precautionary.

QUOTE (southsider2k5 @ Apr 21, 2014 -> 06:43 PM) Maybe I am wrong, but I look at it as conditioning. There are guys conditioned to run a marathon and others for the 400. But you have to be in the right shape to do so. I don't think Sale is in 'shape' to go that far this early in the season. It's possible but I would think that Cooper knows him pretty well by now.

QUOTE (Stan Bahnsen @ Apr 21, 2014 -> 06:04 PM) How about the 127 being a career high so early in the season? Does the timing of it matter, or no? It all depended on how his body has reacted to the previous starts. Between ST and the beginning of the season they (Cooper) should have a good idea of his conditioning. I don't have a problem with 127 pitches as long as it isn't consistently done.

QUOTE (Dick Allen @ Apr 21, 2014 -> 04:46 PM) Don Cooper said pitch count guys "are idiots". I don't totally disagree within reason. 125 pitches isn't too many as long as it isn't every game which it hasn't been.

QUOTE (Dick Allen @ Apr 19, 2014 -> 04:00 PM) What was the high reward with Paulino? Please use common sense. His career high in innings pitched was 139. What are the chances he blows through that after only making 7 starts in 2012 and 5 horrific minor league startd last season? And even if he was decent, what are the chances someone would give you something decent for him? Maybe he rushed back and caused the cuff injury? Maybe once it's calmed down he will return and do well. Pitchers have been known to try to come back too quickly to prove themselves. It doesn't look good now but I wouldn't totally write it off yet.

QUOTE (Marty34 @ Apr 19, 2014 -> 11:52 AM) Skurkamp was released, has a 7.36 era in 29 mlb innings. See post below. He got 29 innings of experience. Now he is ready to progress at the MLB level. It's still better than the performance of Paulino or someone without MLB experience. They aren't asking him to be an ace only to eat innings and go more than 4 innings.

QUOTE (Marty34 @ Apr 19, 2014 -> 11:44 AM) The list of teams that don't have this kind of "depth" is short. I disagree. I don't think very many teams have two guys with decent MLB experience waiting.

QUOTE (Dick Allen @ Apr 19, 2014 -> 11:45 AM) The problem is neither are much better than Paulino. Maybe Rienzo can at least stay in the game long enough not to tax the beleaguered bullpen. This is what I mean. He doesn't need to be the ace. Just a guy to eat up some innings and get pulled in the 4th.

QUOTE (Marty34 @ Apr 18, 2014 -> 06:10 PM) Nice write up on Rodon can't vouche for the source This quote from the article is great, but it reads like Boras' negotiating stance: Rodon's mechanics nag me, don't like his follow through seems like it would put a lot of stress on his arm. Video I'm with you on this one. He doesn't flex his trunk similar to Peavy. However his hand does end up by his hip instead of higher up like Peavy. I wouldn't discount him but it is a little of a concern.

QUOTE (Buehrle>Wood @ Apr 19, 2014 -> 11:27 AM) I remember this board was convinced you can lose 40 percent of your starters and still have pitching depth. They do. One of the starters is on the way out (injury or ineffectiveness) and the Sox have confidence that someone in the minors who had some MLB experience last year will step up. Rienzo is the first call. The second call will be Surkamp.