ptatc

QUOTE (oldsox @ Apr 30, 2014 -> 04:35 PM) That's what I meant to say. I was discussing this with a physical therapist recently...your words almost exactly Trained at Marquette as well?

QUOTE (Tex @ Apr 30, 2014 -> 12:59 PM) I had a great opportunity to meet Nolan Ryan at his Bassin-Inn Restaurant on Choke Canyon Lake (now closed sadly). Someone asked why pitchers seem to get injured more today (circa 2003) than when he was playing. His reply was that we pamper kids too much. He through hundreds of balls a day, year round, growing up. He believed the best way to develop pitching muscles is to use pitching muscles. His .02 All of the old timers think that. The problem with that is they always threw that much and the guys who couldn't got weeded out early on. Today the pitchers are coddled, not used to it, and they are trying to save every pitcher. So the ones who would have been hurt early are still pitching and can't take that workload.

QUOTE (oldsox @ Apr 30, 2014 -> 10:27 AM) Too much weight lifting causes injuries. So does sliding head first all the time. Unnecessary diving in outfield causes injuries. Too much weight lifting does not cause injuries. Too much unbalanced (front to back) weightlifting or weightlifting without subsequent flexibility activity causes injuries.

QUOTE (LDF @ Apr 30, 2014 -> 06:31 AM) I am going to ask of those posters who are way smarter than I to answer this, is it the weather or is it the pitching stress of learning different types of pitches at the young age ? Throwing breaking balls at a young age is a contributing factor at that age. It doesn't have a bearing at the MLB level. Stress, overuse, mechanics are contributing factors at the MLB or professional level. IMHO, it's in that order. Weather isn't a factor. You are dealing with small muscles that are doing very specific motions. Not a hamstring in a sprint to first base. There are very different neuormuscular patterns and timing going on in the hamstring that really don't apply in pitching.

QUOTE (chitownsportsfan @ Apr 29, 2014 -> 07:18 PM) So, you're cool with him a) going over 120 pitches and b) going over 120 pitches when he's visibly straining? Both those things happened and both are dumb as s***. Pitch counts aren't God's word but they sure as hell aren't meaningless either. I'm more annoyed that Robin left a visibly tired Sale in the game than the pitch count thing, but I'm pretty sure the brass had a nice quick chat with Robin about it. He wasn't visibly tired enough to alter the mechanics at least Cooper and Ventura didn't think so and I think they know him fairly well. Injuries happen regardless of precautions. Otherwise I wouldn't have a job.

QUOTE (bmags @ Apr 29, 2014 -> 04:55 PM) I hate this. Yesterday I see a tweet that Sale is fine and all is well, and today it's gonna be that thing "oh, yeah he doesn't need DL he's not going on Rehab, no he's gonna be fine" and tomorrow it's "White Sox shut down Chris Sale indefinitely for elbow exploding in 6,000 places" They are just working on strengthening after the rest so the elbow will be strong enough when he returns.

QUOTE (Balta1701 @ Apr 29, 2014 -> 01:46 PM) So serious question. If "My agent is Scott Boras" is legitimately pushing a guy down in the draft, why on Earth would a high draft pick use Scott Boras as his agent? You could switch to Boras before you get to free agency if you really want to follow that biggest money possible path, and you're costing yourself several million dollars if you could be a #1 pick and you go#3. Because someone will pay it. He just has to find the right sucker and he will have convinced the player and their parents of this.

QUOTE (caulfield12 @ Apr 28, 2014 -> 11:38 PM) http://mlb.mlb.com/news/article.jsp?ymd=20...ws&c_id=cws Apparently they're going to do all the work to get Sale ready to return without him going on a rehab assignment away from Cooper and Schneider. Has played catch now a couple of times. "He's playing catch. He's loosening up, feeling better each day," Cooper said. "We don't really have a timetable. I haven't spoken to [White Sox head athletic trainer] Herm [schneider] yet today, but we speak on the bench every night when it comes, and he's starting to feel even better as days go on." White Sox manager Robin Ventura doesn't believe Sale will need to go on a Minor League rehab stint before he comes back, with Sale having the ability to get that work done with the White Sox. He also doesn't feel the team is taking any extra precautionary measures this time compared to the time in each of Sale's previous two years as a starter that he has been shut down. "No. It's the same. It's the same," Ventura said. "The times before, the first time we were more cautious than anything moving him from being a starter. But having gone through it, this is just part of stuff that has happened to him before, you just want to make sure. "He's the one that will let you know when he's feeling good enough. He'll know when he's ready." They are either being more cautious or it was a worse injury as last time he did not go on the DL.

QUOTE (caulfield12 @ Apr 24, 2014 -> 01:22 PM) This is where Balta says who cares? If it doesn't matter, the White Sox would be willing to take Kolek or Aiken at #3 (if available), and yet almost nobody believes they would actually do that with their compressed timeframe for getting back to respectability and not being second to last in the majors for attendance for the next three years. Only if the White Sox are willing to go out and spend the money for a Masterson or Shields to bridge the rotation to contention can they really afford to go after a high school starting pitcher. And having three lefties in the rotation makes Rodon just a little bit less of a "must have" than it would be if the White Sox had five righties. So obviously it's not the PBA, or it would be Kolek/Aiken/Rodon at 3. Certainly not Turner, when there are 100 arguments for Jackson over him. Heck, most draft boards now expect Turner to be at the end of the 1st/start of the 2nd round. I don't think it' so much the timeframe as it is the probability of success. The high end college pitcher still has a better chance of reaching the MLB as the high end HS.

QUOTE (nitetrain8601 @ Apr 27, 2014 -> 03:32 PM) Looking for an SUV with less than 30000 miles and no older than a 2011 for under 25000 and a 7 seater at least. Only one I seem to find is the Durango which looks really nice and has some decent reviews. Just want to do due diligence. Can anyone recommend any others? I love my Traverse. Big enough for all of the lacrosse stuff and still get decent MPG (around 22). I got the sports package so it has the hitch and extra gear switch and engine cooler. Mine seats 7 with two captains chairs in the second row. I drive a fair amount with the kids. It has 127,000 in 4 1/2 years with no major repairs.

QUOTE (Andy the Clown @ Apr 27, 2014 -> 05:01 PM) Good. I dig his GB to FB ratio. Clowns dig the groundball!

QUOTE (southsider2k5 @ Apr 25, 2014 -> 12:54 PM) http://www.csnchicago.com/white-sox/roid-r...rce=twitterfeed This can't be right. I've read and heard on the radio that competition between team mates does not make a player perform better. It is a great story and only something he would say on the air.

QUOTE (Bruce_Blixton @ Apr 24, 2014 -> 01:07 PM) Tough luck for Hoffman this late in the season, my wild speculation regarding his injury is that his last start was basically an unofficial pro-day with so many scouts in attendance so he dialed it up and let everything fly to very positive results. However in the process he probably overextended himself which probably led to this recent soreness, my concern is whether he can consistently pitch at the level he did in his last start without risking serious injury. I've never been a believer in Hoffman and this really should scare Hahn & Co. off of him at #3. If Aiken/Kolek are off the board at #3 I'd probably go with Alex Jackson, I know our OF depth in the minors in a bit crowded but his swing and tools are too hard to pass up IMO. The sox will not go with an HS bat at #3.

QUOTE (LittleHurt05 @ Apr 24, 2014 -> 12:52 AM) 5 of the 8 Bears home games are Nov 16 or later and there are two December night games, that sucks. Looks like I'll be selling most of my tickets this year. I'm too old for those games.

QUOTE (NorthSideSox72 @ Apr 23, 2014 -> 01:57 PM) RHP Jake Cose is undergoing a discectomy (back surgery to alleviate issues with a herniated disc). From limited Googling, looks like a 3-6 month recovery, typically, for pitchers, in terms of being back to baseball activity. So he's likely not pitching anywhere in the org this year. Maybe winter ball. Maybe ptatc can add more color if he notices this post. A Discectomy can be a tough to recover from for a pitcher. The surgery is done for a disc protrusion in the spine. The disc pushes out of the posterior lateral corner and compresses the nerve. This shoots pain down into the buttock or leg. The difficulty is that the disc pressure increases with spinal flexion. This is what the pitcher must do during his follow through. I'm not surprised that he couldn't relieve the problem conservatively. The problem now becomes strengthening the core muscles. The distance between the vertebrae in decreased (due to the resection of the bulge) thus the spine becomes inherently unstable. Plus they had to cut the muscles to get to the area. This makes it more unstable. Depending on the size of the bulge, he could be in for a long rehab. With a pitcher I would guess more along the 6-8 month range for the completion of the rehab but some of it depends on his strength and stabilty prior to surgery.

QUOTE (Wanne @ Apr 23, 2014 -> 01:36 PM) THIS!!!!!!!! Every outing for him this early in the season has been 100+ 108 111 105 127 to be exact... i know the bullpen is putrid...but damn. Every outing should be 100+. This means he is pitching well.

QUOTE (Dick Allen @ Apr 23, 2014 -> 08:30 AM) That's the thing. If it truly is a flexor strain, maybe it a week or two thing. And perhaps the other example of a flexor strain, like Gavin Floyd in 2013, really wasn't a flexor strain. No injuries are truly alike. A flexor strain strain can be anywhere from a grade I (mild injury) to a grade 3 (complete tear) and anywhere in between. The difference is what happened when it occurred and what they do after the rehab. If they felt an immediate pain during the game and kept trying to pitch, it could be a strain of the muscle. However if the muscle wasn't functioning properly due to the strain the ligament could have been stressed to much and had an injury as well. This is a secondary ligament injury. Thus, one lead to another. If the muscle soreness came on after the game, it is likely soreness for over exertion and the ligament may not have been stressed because the muscle was fine during the game. This seems to be Sale's case as he has reported "usual game soreness only more so." He is not "out of the woods" yet though. Another way that the ligament can have a secondary injury is if the muscle is not functioning properly when he returns to pitch. This is where taking the extra time helps and where many pitchers injury the previously uninjured ligament. He needs proper rest of the muscle to heal then needs to regain the strength but more important control of the muscle. The exercises needed are eccentric or negative contraction to re-teach the muscle to work properly to hold the humerus and ulna together. If the pitcher comes back too soon or hasn't had the proper rehab the previously uninjured ligament takes too much of the stress and a secondary injury can occur. From the given scenario and the experience of the medical staff, odds are the situation will turn out fine. The key is Sale needs to be completely honest and do the work. Some pitchers want to get back earlier and aren't completely honest about the state of the muscle and go back whe it isn't ready.

QUOTE (raBBit @ Apr 22, 2014 -> 03:54 PM) From what you hear (and ptact if you're around I'd obviously love to hear your opinion as well), is it possible the PRP treatment is aimed towards limiting this soreness in the future with less concern for an immediate turnaround? It's conceivable, considering the state of the team, that they would rather deal with this lingering injury upfront now, rather than have the same thing happen again next year when it has the potential to be much more detrimental. No, it's for immediate healing for damaged tissue. It is not to prevent further injury. The fact that it's being reported he did not have one makes me feel better about it.

QUOTE (Jake @ Apr 22, 2014 -> 03:04 PM) Good points. I suppose my statement was based on the possibility that if they suspected a UCL tear, they wouldn't say anything. I spent a lot more time than a week (over a month I believe) on the shelf when I had a PRP FWIW, but that was also 1. shoulder and 2. in the offseason. They could be hiding it. I am taking them at their word. If the ligament is involved it's aminimum of 6 weeks. The elbow is a little different as the muscle stability is more responsive than the rotator cuff tendon stability in the shoulder.

QUOTE (RockRaines @ Apr 22, 2014 -> 02:13 PM) From what I understand they would like the inflammation to heal quickly and because they decided to shelve him a few extra days it made sense in the hopes it kept it from coming back. That's the idea. However, they usually don't do the PRP for mild inflammation. It's usually for greater damage like a grade II or III strain. As I said before maybe they are just being very cautious and were planning extra time for rest anyway.

QUOTE (Jake @ Apr 22, 2014 -> 01:54 PM) Doesn't PRP sound like something you might do with a UCL tear that you're not sure requires surgery (of course, it seems like they're always not sure, but then always need surgery) Yes, they do it for all soft tissue injuries. So it could be used for either a muscle or UCL injury. However, as stated they should have a good idea if the UCL is involved and so far they say no. The key is to build up the strength and proprioception of the flexor muscles so that when he comes back, there is excessive stress on the UCL so it doesn't tear.

QUOTE (RockRaines @ Apr 22, 2014 -> 01:45 PM) The Sox have used multiple tools to examine his UCL. They should know already about the UCL. I'm more worried about using the PRP with the muscle. If they did use it, it generally implies greater damage than inflammation.

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.