ptatc

QUOTE (jamesdiego @ May 18, 2014 -> 02:43 PM) Way to early to even think of surgery. That should be a last resort. They were stupid to try and play him and rehab at the same time. He would probably be pain free shortly with the proper treatment and rest. Strengthening and stretching program afterwards I imagine. And hope he doesn't re-injure it again This probably something that will bother him all year. That's why they tried it this way. It wouldn't surprise me if he needs the DL again later. The off season is the only thing that wil lreally help.

QUOTE (Quinarvy @ May 18, 2014 -> 09:30 PM) What would you say the "time to jump off the cliff" level is, on a scale of 1-10 so far based off what we know? 3 it's not aserious problem for a non speed guy. It will bother him but it can be managed as long as there is nothing structural involved. By the way they were treating it, I doubt there is anything else going on.

QUOTE (Jake @ May 18, 2014 -> 03:05 PM) Rock, can you explain the thought process behind "planned" DL trip? It would make perfect sense if they anticipated it but were keeping him out there in hopes that it might resolve itself. Simply pre-planning it would have to have some kind of personnel-related reasoning...ie, wanting to wait for Eaton's return or something I'm sure they planned it because they knew he would need to rest eventually. This isn't something that would resolve itself without rest.

QUOTE (caulfield12 @ May 18, 2014 -> 09:33 PM) So likelihood of surgery is probably 5-10% at best? With someone his size, you worry about the wear and tear over time...just like a Frank Thomas or Yao Ming in basketball. That said, rest is the only effective treatment at this point, along with support/orthotics. Pretty much. Frank Thomas was different as he had a fracture of the navicular that they tried to piecetogether with screws. Tendonopathy was theleast of his worries. This isthetendon that Mitchell tore a couple of years ago.

QUOTE (chitownsportsfan @ May 18, 2014 -> 03:30 PM) There was no "pre planned" DL trip. The Sox had no handle on the injury at all. Now Jose needs an MRI. In Rock's world I'm sure they planned the MRI as well, like 2 weeks ago. It's ludicrous. Actually, it does make some sense. This tendonopathy is thetype of problem that they will need to manage like a plantar fasciitis. Hewill need 4 to 6 weeks of rest for it to really heal. They can manage well enough during the season but need some rest. An MRI will do nothing except confirm theinflammation which theyalready know. This tendon is very superficial and can be felt around the ankle.

QUOTE (caulfield12 @ May 18, 2014 -> 01:05 PM) Let's just hope that the DL stint clears things up. Along with Sale TJ surgery, this doesn't look like the greatest injury in the world for someone of Jose's size to be dealing with from a medical perspective. Surgical Treatment Surgery should only be done if the pain does not get better after 6 months of appropriate treatment. The type of surgery depends on where tendonitis is located and how much the tendon is damaged. Surgical reconstruction can be extremely complex. The following is a list of the more commonly used operations. Additional procedures may also be required. Gastrocnemius Recession or Lengthening of the Achilles Tendon This is a surgical lengthening of the calf muscles. It is useful in patients who have limited ability to move the ankle up. This surgery can help prevent flatfoot from returning, but does create some weakness with pushing off and climbing stairs. Complication rates are low but can include nerve damage and weakness. This surgery is typically performed together with other techniques for treating flatfoot. Tenosynovectomy (Cleaning the Tendon) This surgery is used when there is very mild disease, the shape of the foot has not changed, and there is pain and swelling over the tendon. The surgeon will clean away and remove the inflamed tissue (synovium) surrounding the tendon. This can be performed alone or in addition to other procedures. The main risk of this surgery is that the tendon may continue to degenerate and the pain may return. Tendon Transfer Tendon transfer can be done in flexible flatfoot to recreate the function of the damaged posterior tibial tendon. In this procedure, the diseased posterior tibial tendon is removed and replaced with another tendon from the foot, or, if the disease is not too significant in the posterior tibial tendon, the transferred tendon is attached to the preserved (not removed) posterior tibial tendon. One of two possible tendons are commonly used to replace the posterior tibial tendon. One tendon helps the big toe point down and the other one helps the little toes move down. After the transfer, the toes will still be able to move and most patients will not notice a change in how they walk. Although the transferred tendon can substitute for the posterior tibial tendon, the foot still is not normal. Some people may not be able to run or return to competitive sports after surgery. Patients who need tendon transfer surgery are typically not able to participate in many sports activities before surgery because of pain and tendon disease. Osteotomy (Cutting and Shifting Bones) An osteotomy can change the shape of a flexible flatfoot to recreate a more "normal" arch shape. One or two bone cuts may be required, typically of the heel bone (calcaneus). If flatfoot is severe, a bone graft may be needed. The bone graft will lengthen the outside of the foot. Other bones in the middle of the foot also may be involved. They may be cut or fused to help support the arch and prevent the flatfoot from returning. Screws or plates hold the bones in places while they heal. X-ray of a foot as viewed from the side in a patient with a more severe deformity. This patient required fusion of the middle of the foot in addition to a tendon transfer and cut in the heel bone. Fusion Sometimes flatfoot is stiff or there is also arthritis in the back of the foot. In these cases, the foot will not be flexible enough to be treated successfully with bone cuts and tendon transfers. Fusion (arthrodesis) of a joint or joints in the back of the foot is used to realign the foot and make it more "normal" shaped and remove any arthritis. Fusion involves removing any remaining cartilage in the joint. Over time, this lets the body "glue" the joints together so that they become one large bone without a joint, which eliminates joint pain. Screws or plates hold the bones in places while they heal. This x-ray shows a very stiff flatfoot deformity. A fusion of the three joints in the back of the foot is required and can successfully recreate the arch and allow restoration of function. Side-to-side motion is lost after this operation. Patients who typically need this surgery do not have a lot of motion and will see an improvement in the way they walk. The pain they may experience on the outside of the ankle joint will be gone due to permanent realignment of the foot. The up and down motion of the ankle is not greatly affected. With any fusion, the body may fail to "glue" the bones together. This may require another operation. Complications The most common complication is that pain is not completely relieved. Nonunion (failure of the body to "glue" the bones together) can be a complication with both osteotomies and fusions. Wound infection is a possible complication, as well. Surgical Outcome Most patients have good results from surgery. The main factors that determine surgical outcome are the amount of motion possible before surgery and the severity of the flatfoot. The more severe the problem, the longer the recovery time and the less likely a patient will be able to return to sports. In many patients, it may be 12 months before there is any great improvement in pain. Top of page Last reviewed: December 2011 AAOS does not endorse any treatments, procedures, products, or physicians referenced herein. This information is provided as an educational service and is not intended to serve as medical advice. Anyone seeking specific orthopaedic advice or assistance should consult his or her orthopaedic surgeon, or locate one in your area through the AAOS "Find an Orthopaedist" program on this website. http://orthoinfo.aaos.org/topic.cfm?topic=a00166 These are all very rare and for more serious problems than a tendonopathy. It usually comes from a bony deformity of flat foot not just a tendonopathy

QUOTE (KyYlE23 @ May 18, 2014 -> 10:14 AM) The ptatc bat signal has been turned on Surgery is rare for this problem. It is commonly treated with rest and othotics. It is a very tricky problem with a man his size. The posterior tib is connected to the navicular bone. This bone is important because it is the keystone bone for the medial arch. The poterior tib helps to hold upthe arch. Sowhen he puts his foot down and the arch lowers the tendonopathy will hurt. So eachtime he steps the tendon will hurt. For treatment it is rest to decrease the inflammation then orthtics to support the arch to decreasethestresson thetendon. The only surgery they could do is a tarsal tunnel release. Just like carpal tunnel in the wrist tendons around the ankle can swell and cause compression. So they cut through the retinaculum on the inside of theankle to relieve this pressure. I've seen it in runners but it's fairly rare.

QUOTE (caulfield12 @ May 15, 2014 -> 10:28 PM) http://www.usatoday.com/story/sports/mlb/2...shifts/9010489/ Good article on the proliferation of defensive shifts this season. One problem, is that technically they're only counting shifts when there are three players to the right of the 2nd base bag for lefties and three to the left for righties...so there are lots of times when the player is "close" to being in a shift but not technically being counted for statistical purposes. And there's no simplistic way to account for individual players shading a couple of feet in one direction or another, like the Tigers work on with Vizquel as their infield coordinator. I think the reason is that the "small" shift one way or another has always been done. All infielders will move slightly depending on who is hitting. We did it in little league in the 70's. It's the proliferation drastic shifts that is new.

QUOTE (raBBit @ May 14, 2014 -> 11:23 AM) I don't think that's true. Pitchers aren't working their arms that much besides throwing their regimen usually includes running for 45 minutes after starts and squats/lunges and an emphasis on the core. What I found more interesting, something that I can't comment towards intelligibly, was their ideas surrounding the height of the mound. Supposedly if the MLB raised the mound 2-3 inches it would be a lot easier to get the tilt on the offspeed pitches. This is true only from the fact that it would increase the downward angle of the pitch and release.

QUOTE (raBBit @ May 13, 2014 -> 06:47 PM) You're right, I don't. I never made that point though. I agreed with another poster that Hahn should have the autonomy of running the team. I didn't even dabble my opinion towards the power structure or the decisions, if any, that are at hand. All I had said was that we shouldn't be using what Reinsdorf did when Hawk was the GM as any basis of what is going to happen with the team today. Other than that, it's all conjecture. Ok. I still don't see why not. It's past practice. If it's what he has done, I don't see why it should change unless there is evidence to show he has changed the power he gives his GM.

QUOTE (BigHurt3515 @ May 13, 2014 -> 06:38 PM) Facing a lefty, Johnson grounds out again. how could they bat him leadoff against a lefty in his first game? Ventura should be fired for this!!!!!

QUOTE (Jake @ May 13, 2014 -> 04:41 PM) FWIW, I worked for about 10 years with a House disciple in the Chicago area and he didn't teach a "wrist/elbow snap" slider. For the most part, he didn't teach sliders. He'd teach circle changeup as first offspeed pitch, then curveball, and then reluctantly would teach slider as essentially a variant of the curveball (which is basically what it is). He was a big fan of the knuckle curve, but I never worked with him on that. He started working with that a lot right as I was going out the door. The elbow snapI was referencing was for the curveball not the slider. You're right he did not like the slider. He preferred the curveball to change the hitter's eyes in both speed and elevation. The way he used to describe the curveball was to picture pulling the string on a light bulb switch. He would have pitchers throw a football to get the same motion. The towel drill was another form of this. This put a lot of stress on the flexor carpi ulnaris and the wrist flexors. The teaching of the change up first was always something I agreed with him about.

QUOTE (raBBit @ May 13, 2014 -> 04:40 PM) There is rumors this happened with both Ozzie and Walker. It's all conjecture though. No one knows what really happens behind closed doors so it's moot. This is the type of stuff that makes me want to join the De Aza haters. What is this s***? He should be grateful he had the opportunity with the way he's playing. Take some pitches, do your best and shut up. De Aza is not the manager, he should play the role he is given and be happy he has any role at all. You still have no basis for the conclusion that JR wouldn't let Hahn fires Ventura. Any examples regardless of how old or different sport, Krause not bringing Jackson back, point to the opposite. Hahn thinks enough of Ventura to give him an extension. It's not JR dictating Hahn's actions.

QUOTE (Balta1701 @ May 13, 2014 -> 02:29 PM) Every inch of sea level rise we've already had pushed the peak storm surge from hurricane sandy 25 feet further inland. Finally, a reason to live in the Midwest. After this winter, I was having difficulty finding a reason to stay here.

QUOTE (NorthSideSox72 @ May 13, 2014 -> 02:59 PM) Seems unlikely in this case. For one, the guy has never played there - you want to have him make that shift now, mid-season, on promotion to AAA? That's a little nuts. Not to mention that Johnson's elbow issues likely came from bad throwing mechanics, and you want to put him where he's having to make much harder throws? Seems stupid. But not impossible. Many people think that elbow problem from infielders are due to the weird off balance throws they make. In the outfield you rarely make this type of throw. However, I agree why mess with the kid unless you are convinced he cannot play the infield.

QUOTE (BigHurt3515 @ May 13, 2014 -> 03:55 PM) Well obviously but a lot of these coaches don't know that and don't teach teens the right way to throw it.. Believe it or not there are some coaches who still teach it. Especially in the south suburbs where the house/rothschild teachings were so strong.

He will be here in Sept, if not earlier.

QUOTE (BigHurt3515 @ May 13, 2014 -> 03:48 PM) It is completely stupid for youths to throw breaking balls.. The first breaking ball that should be taught is a knuckle-curve. That is the first one I was taught when I was around 14.. You don't have to snap the elbow and really does no strain. You should never snapthe elbow. That's the ryan/house theory of how to throw it. I've never like that method of throwing the curveball. The knuckle curve is starting to gain popularity again as the spin is imparted to the ball with the finger not wrist position. However, it's more difficult to learn as not a natural motion to "flick" the finger while throwing.

QUOTE (Stan Bahnsen @ May 13, 2014 -> 03:02 PM) Just over-throwing then? Too many pitches too young? What would be your guess? I think it's a combination of odd mechanics, throwing too hard too often and tissue overuse. He is just one of those guys who is going to have problems and will need rest throughout the season for a combination of reasons. I don't think the number of pitches alone is a reason but it can factor in over a period of time.

QUOTE (Harry Chappas @ May 13, 2014 -> 03:14 PM) All you need to look at it youth baseball and when kids begin throwing breaking pitches that are not change ups. Not to mention the number of innings they throw. Most change ups are not really considered breaking pitches as you are not trying to put a different spin on the ball compared to the fastball. It just the fastball with a different grip to make it go slower.

QUOTE (southsider2k5 @ May 13, 2014 -> 03:29 PM) I thought he stopped Kenny from firing both Ozzie and Greg Walker at different points? As far as I know JR got the three of them in a room and tried to have them work it out for a year and they all agreed to it. When that didn't work, JR allowed KW to trade him to the Marlins.

QUOTE (raBBit @ May 13, 2014 -> 03:25 PM) You're right here but my post was launched because I think it's silly to say, "Reinsdorf did this 28 years ago, he'll do it again now." It's all circumstantial. It's important to note that Harrelson and Hahn are about as far a part as individuals that you can possibly be. Hawk = uneducated, old timer, former player, loud mouth, open spigot Southerner. Hahn = awe-inspiring scholar, new-age, analytical, intensively calculated Jewish guy. It's not silly. JR hires GMs and let's them handle the job. I gave an example of him letting the GM do something he didn't want to happen. That is JRs policy. Can you think of an instance where the GM wanted to fire a manager/coach and JR wouldn't let him??

QUOTE (raBBit @ May 13, 2014 -> 03:13 PM) That was 28 years ago. Not sure how it is relevant today. This. However, Hahn has given every indication that the team is Ventura's and as crazy as it sounds, I don't think winning or losing is all that important to Hahn right now. It's relevant as JR allows the GM to control the manager/coach. I can't think of an instance where he hasn't.

QUOTE (Buehrle>Wood @ May 13, 2014 -> 01:54 PM) Yes, I believe he will be managing in 2017. He isn't ozzie, his mouth won't cost him. He's a White Sox legend; JR won't approve of any firing I don't think. If he "let" Harrelson fire LaRussa, he will "let" Hahn fire Ventura.

QUOTE (Buehrlesque @ May 12, 2014 -> 02:00 PM) Yeah, I get that. But injury concerns apply to most any pitching prospect. Chris Sale and Tyler Danish were thought to be risky. Erick Fedde and Jeff Hoffman didn't seem any more likely to go down to TJ than the next guy. It is a super important concern, but I don't think it applies more specifically to Kolek (who I think is clearly behind Aiken and Rodon but ahead of the lower-ceiling college guys) than others. Injury concerns considered and weighted among the risk/reward, Kolek is still a better prospect than the others. Now, if the Sox feel that another prospect grades out ahead of Kolek, by all means they should draft him. Thus if the Sox pass on him for injury concerns, they must really have a reason.