Showing posts with label injuries. Show all posts
Showing posts with label injuries. Show all posts

Sunday, August 29, 2010

Just Because Dibble Isn't on the Air Doesn't Mean He Isn't Right

The last week has been unfortunate. What started out as sore flexor tendon (a bowling injury I rolled through last year) was reassessed and will require Tommy John surgery. What started out as an aggressive, somewhat misinformed pep talk digressed into "Suck it up, bitch!"

Yeah, Rob Dibble has been straddling the blade this month, first with the women, now with The Franchise. The former was Dibble's character coming through, and he was rightly raked over the coals for that. However, his initial response watching Strasburg was quite well informed from the perspective of the player. Pitchers are paid to pitch. Not throw side sessions and long toss. Pitchers will occasionally pitch through pain, because that is what they are paid to do. Pitchers will ultimately get seriously injured because the slightest mechanical flaw will cause the UCL to fray and unravel faster than a cheap sweater. This is inevitable. The superior pitching Strasburg's mechanics generate also make him extremely vulnerable to these injuries. The why was never in question, just the when.

Rob Dibble is paid to give his opinion as a former player. He is not a doctor. Stephen Strasburg is paid to pitch. He is not a doctor. Steve McCatty has been there and done that as a pitcher, and is a victim of some historical pitcher abuse. His experience may be of value, but is not a doctor and certainly couldn't adjust Strasburg's mechanics without risking additional injury. The point of Dibble's argument, pitch until you can't pitch anymore, is how players think. Whether or not that is a complete game shutout or getting chased in the third because the other team is taking batting practice is irrelevant. A player of Strasburg's caliber should be expected to get as many batters out during the duration of his contract. Coddling and babying that right arm may give Nationals management piece of mind that they did everything in their power to protect their investment, but it doesn't mean that it will get the most, or even best, production. Dibble's beef really isn't so much with Strasburg, who is following orders after the debacles with Scott Olsen, Jordan Zimmermann, and Craig Stammen last season. The elbow broke down anyways and everyone is devastated.

It is nobody's fault. He had never complained of elbow problems before, so it is not like the trainers could have diagnosed the problem Pre-cog style. Personally, I want Dibble back in the booth. Sure, he is a dick and runs the mouth a little much, but who can blame him. He is the color commentator for a team that lost 102 and 103 games in back to back seasons and is limping through another losing campaign. It is not easy provide daily feedback for a team with no history and a miniscule viewing base. Even George, the "Wil Nieves" guy, didn't renew his season tickets. He has little to work with in terms of product his "love him or hate him" personality is the only thing that gives the broadcast any flavor. And his player's reaction to Strasburg was not unexpected... ignorant and foolish, yes... wrong? Not in this context. The viral nature by which most people received it took it out of context and made it sound like he was calling the player out. Dibble, unlike everyone in America, doesn't want Strasburg on the mound, but needs him on the mound. And by enacting the players' mentality, pitchers pitch until they can't anymore, he was calling out management for using the "kid gloves" for far too long. If Strasburg ended up fine and making his next start, nobody would be talking about it anymore.

But this is all now days in the past. If MASN parts ways with him, that is between them and the team. It's probably a mistake, as nobody is really watching anyways, though Bob Carpenter will probably sleep better at night.

As for what to expect from Strasburg, I think his case is a little different than Jordan Zimmermann's, who has been a model Tommy John recovery patient. With his mechanics, it will take him longer to relearn the touch that makes him dominant. I believe Strasburg's situation is very similar to the process Francisco Liriano has endured in his recovery. Both have fierce fastballs and breaking stuff that is the product of violent mechanics. Liriano was hurt at the end of 2006 and rehabbed all 2007. The Twins let him spend most of 2008 in the minors, rebuilding strength. 2009, he spent almost the whole season with the major league club, and the AL took batting practice off of him. Many people saw the increased home run and walk rates and reduced strikeouts and assumed he was done. However, in 2010, he has been one of the most valuable pitchers in all of baseball.

Every pitcher is different, and given the success rate of the surgery these days, the Liriano example is only a cautionary tale to fans that it isn't an overnight process. Many experts didn't expect J Zimm back so soon, and his return gives everyone hope for 2012.

As for Dibble, I'm laying off... his job is hard enough without being under the microscope now.

Sunday, June 27, 2010

Lannan Has Good AA Start

The open rotation spot is Tuesday, so it is impossible for him to fill it. With the team self-destructing, does it make sense to force him back into the rotation before the All-Star Break. Now that the Nats are well out of anything except the race for #1 again, it is probably time to take stock of who NEEDS to be in the rotation.

John Lannan probably NEEDS to be in the rotation if he is healthy the Nats expect him to be in the rotation next season. He can usually pitch 7 innings on an economy of pitches. The results aren't always pretty, but he can get the job done. There is growing concern that maybe the Nats should get what they can for Lannan before he regresses to the mean. That time would be now or never.

Livan Hernandez SHOULD be in the rotation, when used properly. Right now, he is not being used properly. One night after the starter was yanked after 4 plus innings, Hernandez was pulled after 92 pitches. WHY?? If Edwin Jackson can roll off 150 pitches in a start, Livan's decaying skill set should be used for at least 120, especially when the bullpen needs it. If Riggleman wants to coddle the position, then this is where Detwiler should be once he is healthy.

Stephen Strasburg. NEEDS... once again, pitch counts are bad. They give management an out. If a pitcher gets hurt on strict limits, "Oh, he would have gotten hurt anyway." Ignorance, damnit. Here is an example. Pitch counts are like miles on a car. Some people drive aggressively and erratically, don't get regular tuneups, and wonder why the head gasket and transmission are shot after 80K. Sure, some pitchers get into a jam. But when your pitcher has cruised through 6 innings on 95 pitches, 75 strikes... those are the easy miles. Yeah, Kerry Wood Kerry Wood Kerry Wood. Look at the game logs, watch the film... there was much more stress on Wood's arm.

Scott Olsen, once healthy, probably SHOULD be elsewhere. He must be a better clubhouse guy than his reputation, or Rizzo would have eaten that arbitration money. The guy can pitch, but unlike John Lannan, has never shown he can do it consistently for any period of time. Right now, Luis Atilano is holding down that spot.

The Nationals will have paid Jason Marquis nearly five million dollars to rehab this season... that's a lot of Flippin Pizza. Is Marquis tradebait? He SHOULD be. Unless he will be contributing to the education of these young pitchers... man, if JD Martin were only a little better. But salary aside, is Jason Marquis even better than JD Martin? With this defense, all bets are off.

Craig Stammen NEEDS to be given a shot to prove he isn't a AAAA pitcher. The bad starts are frequent enough to give pause, but whether or not he is taking his old spot back or Miguel Batista's, he needs to be learning a role with the big club or playing his way off the 40-man.

I think we NEED Wang... no questions asked. But since he seems indefinitely broken, let's scrap him.

Matt Chico is a useful minor league relief plan, and Jordan Zimmermann will be sorely needed come 2011. But you get the idea. 2010 is in the past. Figure out who will contribute in 2011 and focus in them. 76 wins is better than 72, but 76 wins again next season is not as good as 84.

So what will the rotation look like on August 1st? Your guess is as good as mine, but with a couple of expendable parts, maybe they can improve their holes at right field, second base, and, well, all of AAA. Dunn and Willingham are parts also, but let's face the facts that the offense goes nowhere without them.

Monday, May 24, 2010

Injuries Piling Up

This is where the Nationals are exposed, when one or two injuries can really hamstring them. Olsen's absence can be manipulated via travel days, and the Nats may not even need the fifth starter until June 4th.

The literal back-breaker may be Pudge, if he is out more than a couple weeks. He calls a far superior game to the three catchers who took turns last year, and is an above-replacement hitter. The time off may actually be beneficial to him, as his performance at the plate was starting to swoon. He cannot be expected to catch more than 4 times a week without showing the wear and tear of having been in the bigs since 1991.

Wil is a serviceable backup, but should be trusted for more than two starts per week without stalling the lineup. Remember, with the pitcher's spot, Nyjer, and Guzman, the Nats have four batters in a row good for not much more than singles. Not having a viable offensive catching option in the system is disappointing and something the organization really must have planned for, but where is that plan now?

Friday, May 14, 2010

Lannan Not Getting It Done

After watching the bullpen implode in the Big Apple Tuesday, I expected the Nats to finally reel into that tell-tale tailspin that better reflects the team they were instead of the the team to which they are aspiring. A four game, forty run sweep in Denver would not have been out of the question. Instead, the Nats put my forecast to shame by drubbing the Rocks 14-6. Big night for most of the hitters in the steady, cold drizzle.

Not such a big night for John Lannan. His K:BB ratio now stands at 0.59. Hitters will only be fooled by the Houdini routine so many times before batting practice commences. Whether or not he is pushing back a more serious injury aside, the numbers are unacceptable. If he needs a stint on the DL, the Nats need to take charge and not let this unravel the way they let Olsen, Stammen, Marquis, and oh yeah, that other Zimmermann, all fight through until major damage was done.

Strasburg can be activated in 3 weeks. Chico was not a disaster in spot duty. JD Martin could be a #4 or 5 guy in a lot of rotations. Chuck James could even come in and put out 5 innings. No reason to set another pitcher back till August or worse.

Tuesday, March 16, 2010

"We're Having Trouble Holding Wang Back"

That is quite alright Mr. Rizzo, because the Nats need him BAD.

The pitching staff, especially the bullpen, isn't quite coming together as well as anyone might have hoped, so the key will be to get good innings out of the starters. Strasburg will be capped for both innings and pitches when he arrives, so the bullpen will see extended action those days. Both John Lannan and Jason Marquis can go deep when they are on, but when the ball isn't staying down, they can be chased quickly as well. Then there is a host of oft-injured or AAAA guys fighting for spots... because that always works.

There is no argument; a healthy Wang would immediately be this staff's ace. A near healthy Wang would be the #3. A broken Wang does the Nats no good at all, so Rizzo is correct to monitor his Wang closely and protect his Wang from anything that would prevent him from making a full recovery. Just because he looks good now doesn't mean he will look good in June if he steers from his rehab assignments. That is what submarined his 2009.

Saturday, February 20, 2010

Detwiler's Injury Relapse

Injuries happen. They happen to all teams in all sports. While there are many theories and techniques to prevent them, none are proven 100% and no team should rely on one system and expect it to work on all players.

However, once an injury occurs, there ARE proven rehab regiments to prevent recurrences and relapses. However, it seems that this is where the Nationals continue to shoot themselves in the foot. So many players (Kearns, Olsen, Zimmermann, Flores) shut down to rest a diagnosed malady, only to have it immediately flare up once they return to action.

Detwiler's setback is alarming because it follows a slew of other injuries and could have easily been taken care of months ago.

They apologists says that it is up to the player to disclose as much information as possible regarding the injury. This is true, but hardly a fact of life. These guys are out competing in a multi-million dollar industry. The psyche of the athlete, particularly the best athletes, is that they believe they can battle through a little pain and still beat their opponent. Think of it as the "Brett Favre" mentality. This is why team staff several athletic trainers and assistants. They are not in there only wrapping ankles. They monitor these players to insure that the team's investment is not being put at risk, yet it seems that the recurrence rate is creeping higher with each sprain.

Once again, nobody can force Craig Stammen to admit that his shoulder is killing him, but it isn't difficult to review the film and data following his hot run in July and notice that his mechanics were suffering. Maybe they injury wasn't "preventable", but he could have easily been put into a rehab program a month sooner and been ready for fall ball. Detwiler should have been ready to go for Spring Training, but instead will be fortunate to be pitching full strength by June. And what of the other guys? Jordan Zimmermann should hopefully be following the James Andrews playbook, but who knows... with the track record right now (see: Patterson, John), we may be lucky to see him in a Nats uniform again, no timetable, if ever.

See, bad teams are bad for a variety of reasons. Rizzo can improve the level of talent, but if other areas are still poorly managed, they will continue to tread in mediocrity.

Wednesday, September 16, 2009

The Mole

Right now, the person on the Hot Seat more that anyone, including Jim Riggleman, has to be Head Trainer Lee Kuntz. All other retained personnel have shown improvement as the season has progressed. Steve McCatty has exceeded every expectation with a AAA rotation plus Lannan. Randy Knorr has patched and righted a brutal bullpen situation. Rick Eckstein has had hits at every position except right field. Even Riggleman has shown the Nats can be motivated to win a few games here and there.

However, the misdiagnosed injuries are piling up faster than the National Debt. First off, everybody who watched a baseball game and picked up a sports section knew Scott Olsen was hurting. The trade is obviously not Lee Kuntz's fault. Allowing Olsen to struggle on the mound for almost two months was. Olsen looked rejuvenated coming off the DL, but was quickly back on with a career threatening torn labrum. A disastrous revelation, to say the least... though the question should be posed: was the labrum already torn, or was it caused by Olsen compensating for another injury? Either way, he should NOT have been allowed to pitch at the end of June.

Next we have the tragic case of Jordan Zimmermann. Zimmermann jumped into the rotation in the middle of April and never looked back, burning down batters with a nasty 95 mph fastball and displaying remarkable control for a rookie. He missed a start in early June with general elbow soreness, and the blogging world was afire. All reports from the Nats was that it was nothing but precautionary measures. Flash went back out and made several more starts, including jumping spots over the All-Star break, before being skipped at the end of July for more elbow soreness. Then he was placed on the DL. Then he made a minor league start. Only then, after persistent elbow soreness for over two months, was an MRI ordered. A second and THIRD opinion concluded that Jordan needed Tommy John Surgery. How this escaped the Head Trainer for two months is a question only he can answer. Another horrible setback for a young player.

Let's change gears for a moment and consider the case of Austin Kearns. First, Kearns has not been hitting since 2007. Many explanations have been submitted, and Austin pops in with a couple nice at bats once a month. However, his production at the plate has NEVER demanded that he be in the lineup every day, even when healthy. Rather than sitting him down and working out what could be causing a two-year disaster, he kept trotting out there four or five times a week, cringing in the batter's box like a troublesome child awaiting his spanking. Of course it was revealed in AUGUST, of 2009, that he had been dealing complications from thumb surgery in 2004. In Kuntz's defense, Kearns is a bit of a lunkhead, and probably thought he was playing through just another bruise to avoid the "injury-prone" label reserved for Nick Johnson. However, this is exactly why Kuntz is retained by the Nationals, to review a player's medical history, diagnose injuries, and properly rehab them to avoid future injuries. So now Kearns will likely never play another game for the Nats again, and will struggle to get back into the league once his thumb is repaired. At least he'll get his buyout.

I noted Craig Stammen's issues beginning in late July in a blog post a couple weeks ago. They noted the mechanical differences in Stammen's delivery from early in the year and during the period in which he struggled. The post foolishly focused on the effects of the change, decreased control and more fly balls, instead of the cause. When a pitcher makes an unexpected mechanical change the cause, of course, is always pain. In this case, it was pain in the freakin' elbow, which should always trigger an alarm. The cause of the pain, revealed about six weeks after he began experiencing it, was bone spurs. It is foolhardy to believe the Head Trainer can prevent bone spurs, but he needs to be in better tune with the players and coaches who are experiencing the pain and mechanical difficulties.

Now of course the reason for this post is the news that Jesus Flores, relegated to the DL since May, has now been diagnosed with a torn labrum and will be out six months following surgery. Flores was knocked on the shoulder in the beginning of May, after which he was day-to-day with discomfort. The pain was attributed to a contusion suffered from the foul tip. No problem, that is why the Nats carry Wil. After hitting the DL with no improvement, Dr. James Andrews (whose name may as well be The Plague) was called in to diagnose where others had failed. The revised diagnosis was a stress fracture of the shoulder, a serious upgrade in severity. The timetable for recovery was set at three months, which would have put Flores set to be activated in early to mid-September, depending upon his rehab assignments. The smart money would have been to shut a young player down for the year during a lost season, allowing him extra time to rehab and report to fall ball. The Nats instead pushed ahead with a more aggressive approach, and Flores was in the lineup in September. He was then diagnosed with a torn labrum shortly after returning. The tear wasn't there in August, clearly Flores did the damage when returning to baseball activities. It is almost impossible to conclude that one injury is not related to the previous, considering they are in the exact same area. Now a simple foul ball will have kept Flores out at least eleven months. Holy crap.

This is not a witch hunt to indict Lee Kuntz in for everything from JFK to 9/11. This is strictly an assessment on the progress of five players under the age of 30 and how they are coping with injuries. Right now, the the training staff has done a poor job with these five players. I am not a doctor like Rany, so I am not pointing the finger or recommending anybody's dismissal. The team cannot keep selling this as "bad luck" though. That shit only sells so long before it begins to stink. The front office has done everything to coddle and slowly bring along these young starters with strict inning and pitch counts, and the injuries still mount. Mike Rizzo needs to come forth and conduct a thorough audit of the past two seasons (remember what Nick Johnson and Ryan Zimmerman endured last year) and see how this rash stacks up with other teams. He has proven himself savvy in identifying talent and value on the field, and had no issue firing Bobby Williams. It is up to him to identify value and talent by keeping players off the DL as well, at that starts on the training table in DC.

Making the Nats competitive for 2010 and beyond is much more than adding a LOOGY with good ground ball numbers. Agents will not recommend their clients sign with an organization that has a history of mysterious horrible injuries. Agents make a lot of money to do what is best for their clients. It is tough to believe, but in the end, Scott Boras got his players signed. And if Strasburg promptly shreds his elbow, you can guarantee the next one will not unless it is for the moon and a time machine. The bottom line is that the credibility of the organization is at stake when it does not believe it is hiring and retaining the best personnel in the industry. Yes, it is near impossible to compete with the industry giants due to financial constraints, but teams like the Marlins and Twins prove that it can be done. The Nats cannot allow themselves to become the Clippers or Bengals of the MLB... or worse, the Royals.

Friday, August 28, 2009

Nyjer Down



It is very difficult to quantify how Nyjer Morgan changed the Washington Nationals this season. OBP and UZR only prove that he has been better than the guys butchering those jobs before. His hustle and leadership has helped the younger guys, as well as taking the burden off Zimmerman and Dunn, who are not as vocal. Pitchers slept better each night, as rocket shots to the gap disappeared into his glove. While Albert Pujols may roll to the MVP, Nyjer Morgan is proof that it take 25 players to win.

Let's hope he heals in time for hockey season.

Tuesday, June 23, 2009

Red Sox Series Preview

Tuesday: John Lannan vs. Brad Penny

Wednesday: Craig Stammen vs. John Lester

Thursday: Jordan Zimmermann vs. John Smoltz

ESPN would like you to believe that the Red Sox are an unstoppable juggernaut that cannot be contained. They have seven dominating starters and an impenetrable bullpen and their 1 – 9 hitters are better than all yours. ESPN would put the Red Sox -130 against the NL All-Stars in a seven game series. Of course, most people at ESPN have no clue what they are talking about.

In truth, the Red Sox currently face a few of the same issues the Nationals have faced this year. First, both teams play awful defense. They rank 29th and 30th in UZR/150. About the only positive move that the Red Sox have been able to make to address this is to install Nick Green as the full time shortstop, and he is a career backup who has picked up most of his major league at bats due to injury (Marcus Giles, now Jed Lowrie). Despite his speed, Jacoby Ellsbury’s metrics have been poor, and Jason Bay is their version of Josh Willingham. Mike Lowell has been awful at third and has to have management considering moving Youkilis back over, although even Youk has been banged up. The horrible defense has made starters Josh Beckett, Brad Penny, Jon Lester, and Dice-K look much worse than they have actually pitched, all posting an ERA-FIP of +0.50 or better. Detwiler, Stammen, and Zimmermann post similar numbers.

The second similarity is how each team has hit an offensive slump in June. Check out their numbers this month:
Pedroia: .178/.250/.455
Youkilis: .210/.372/.775
Bay: .246/.333/.783
Varitek: .190/.320/.653
Kotsay: .259/.286/.656
Lowell: .220/.299/.637
That is some ugliness right there. The only reason the Red Sox haven’t completely folded has been their pitching and David Ortiz’ Vitamin B-12 shipment finally clearing customs. The Nats have endured similar droughts, punctuated by Zimmerman’s recent .217/.313./631 slide (and 0-15 Toronto series) and Austin Kearns incomprehensible .063/.231/.293. Adam Dunn looks like he is not seeing the ball as well, and has resorted to slapping the ball on occasion.

The third is that they both have pitchers that they trying to exorcise. Dice-K is back on the DL with a minor shoulder strain, and Scott Olsen is floundering in AAA with diagnosed shoulder tendinitis. Management is struggling to figure out what to do with each once they are off the DL. The Nats at least have a reason to play Olsen, in an effort to keep their rookie innings down. The Red Sox have a front line starter rotting in AAA, and another rotting as a mop-up man.

The Red Sox do have more talented players; they paid out their backside for this roster. The Nats avoid the Red Sox two toughest tasks, Josh Beckett and Tim Wakefield. The other guys are beatable. The chess match between the managers will be interesting. Manny will likely be tempted to go with the hideous Willingham/Dukes/Dunn outfield, but the team would be best served to give Harris two games in center and Dunn Wednesday off against Lester. I think Lannan gives the Red Sox a couple meatballs, but not enough to put the game out of reach. (Side note: uh, what is the deal with Brad Penny? The Red Sox have him listed at 230, way down from the 270 he was playing at with the Dodgers.) Two of three will be there for the taking again, as long as the bullpen continues to control damage.