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Chris Sale to start Thu May 22 vs Yankees


Feeky Magee

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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.

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QUOTE (ptatc @ Apr 22, 2014 -> 01:52 PM)
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.

 

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)

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QUOTE (ptatc @ Apr 22, 2014 -> 01:52 PM)
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.

 

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)

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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)

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.

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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.

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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.

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QUOTE (ptatc @ Apr 22, 2014 -> 02:58 PM)
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.

 

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.

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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.

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Colleen Kane ‏@ChiTribKane 7m

Chris Sale said he was relieved to get "as good as news as we could have gotten" about no ligament damage in his elbow.

Chris Sale said he doesn't expect DL stint to go beyond the 15 days. Doesn't think he will need a rehab start.

 

Scott Merkin ‏@scottmerkin 8m

Sale does not expect to miss more than two starts. Very upbeat

 

Daryl Van Schouwen ‏@CST_soxvan 7m

Sale has no doubts that he'll be ready when he comes off the DL next weekend.

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Daryl Van Schouwen ‏@CST_soxvan 1m

 

Almost same thing he experienced 2 years ago when he was temporarily sent to bullpen, Sale said.

Sale: "It made me a little more nervous because you dont know." Was same soreness in same spot he usually feels after a start, only more.

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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.

Where did you get PRP done and what type of doctor recommended it?

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QUOTE (raBBit @ Apr 22, 2014 -> 02:43 PM)
I hope the White Sox continue to employ this conservative strategy with their pitchers. If Chris Sale isn't starting game 1 of our next playoff series it'll be a huge shame. During this season, be conservative as possible.

 

At least prior to this year, we have been able to pull up guys from the minors and have had them had success (Axelrod, Santiago, Rienzo, Quintana, all come to mind). If I remember correctly, Quintana first got a chance in the rotation after the Sox sent Sale to the pen. Not that anyone should expect a Quintana like outcome from a Leesman type. If you erase the last three and a half weeks and the Sox have a wonderful track record with their pitchers and it is THE organizational strength.

 

It's amazing that injuries to Sale and Peavy have led to the culmination of both our #2 starter in Quintana, and our starting CF in Eaton (via Santiago). A serious ode to the front office to accrue such value from basically nothing. How damning would our team look with the system of years past and no Quintana/Eaton?

 

And, if they were able to get something of significance back for Nick Swisher, Sergio Santos, Edwin Jackson, Jenks, Crede, Phil Humber, Jesse Crain, Gavin Floyd, Matt Thornton (around 2008-2010), Beckham, etc.

 

Then we would be competing for a playoff spot this season.

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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.

 

Sale and the Sox stated he did not have this treatment.

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QUOTE (RockRaines @ Apr 22, 2014 -> 03:47 PM)
Where did you get PRP done and what type of doctor recommended it?

 

Was recommended by a PT/ATC and orthopedist. Administered by a pain management specialist (best with needles, I suppose). Got it done at a orthopedics facility that serves a D1 program, AAA affiliate of an MLB team, and an NBA squad. I actually sat in the waiting room with someone who I later found out was a MiLB pitcher.

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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.

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