Chris Sale to IL with elbow inflammation

Red(s)HawksFan

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You don't get UCL surgery unless you have to, ever. I don't think they fix fraying tendons, they replace severed ones (using a tendon from the leg or other arm), so there is no "just get the surgery" thing until it tears completely.
Not to mention that there's been no indication that the problem is UCL related at all. Elbow inflammation may have nothing to do with any ligaments, nor is it necessarily something that can be fixed by surgery either now or in the future.
 

InsideTheParker

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Arrieta is going to have season-ending surgery for bone spurs in his elbow. I don't know if his initial symptom was inflammation, but I guess it could have been. Isn't that what Eovaldi had also? Anyway, that surgery has a far shorter recovery period than Tommy John, so that's something to hope for, I guess.
 

Green Monster

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This news feels like 2020 could be a repeat of this year for Sale, where he is being treated with kid gloves and maybe not make it through the whole season. You basically get 60 percent of him and maybe only half of that is top shelf ace pitcher.

He isn't on my team but do any of you guys feel like it might be better for him to go under the knife and just take care of things once and for all?
Just a hunch, but I'm thinking surgery is still a possibility......shut him down for 6 weeks, let the inflammation subside, and then re-evaluate the damage. Assuming 12-15 months rehab, means that surgery the third week of August or the first week of October still means getting ready for 2021 either way. No reason to rush if its not obviously needed and maybe the PRP injection offers some improvement. However, waiting until spring training before opting for surgery could then impact the start of the 2021 season
 

joe dokes

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Just a hunch, but I'm thinking surgery is still a possibility......shut him down for 6 weeks, let the inflammation subside, and then re-evaluate the damage. Assuming 12-15 months rehab, means that surgery the third week of August or the first week of October still means getting ready for 2021 either way. No reason to rush if its not obviously needed and maybe the PRP injection offers some improvement. However, waiting until spring training before opting for surgery could then impact the start of the 2021 season
Or in 6 weeks he feels good and can get ramped up in time for some hi-lev relief in the world series.
Or wingack is right and it's surgery next year.
Or his elbow is just kinda fucked and there's no surgical fix.
I think that covers it.
 

E5 Yaz

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Or in 6 weeks he feels good and can get ramped up in time for some hi-lev relief in the world series.
Or wingack is right and it's surgery next year.
Or his elbow is just kinda fucked and there's no surgical fix.
I think that covers it.
Hope it's not his pizza-eating elbow
 

lexrageorge

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This news feels like 2020 could be a repeat of this year for Sale, where he is being treated with kid gloves and maybe not make it through the whole season. You basically get 60 percent of him and maybe only half of that is top shelf ace pitcher.

He isn't on my team but do any of you guys feel like it might be better for him to go under the knife and just take care of things once and for all?
I'll say it once again: Anderson Espinoza. The former minor league phenom has yet to throw a pitch in anger since undergoing TJ surgery well over 2 years ago. There is no "just take care of things once and for all" when it comes to elbow surgery. Most times it works; sometimes it doesn't.

Opting for the conservative course now is the wise move. 6 weeks is nothing if surgery ends up being necessary. Yes, there is a nightmare scenario where Sale feels healthy enough to pitch in 2020 and then blows out his elbow mid-season. But there is also the nightmare scenario that he is never the same after the surgery, regardless of the timeframe.
 
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I'll say it once again: Anderson Espinoza. The former minor league phenom has yet to throw a pitch in anger since undergoing TJ surgery well over 2 years ago. There is no "just take care of things once and for all" when it comes to elbow surgery. Most times it works; sometimes it doesn't.

Opting for the conservative course now is the wise move. 6 weeks is nothing if surgery ends up being necessary. Yes, there is a nightmare scenario where Sale feels healthy enough to pitch in 2020 and then blows out his elbow mid-season. But there is also the nightmare scenario that he is never the same after the surgery, regardless of the timeframe.
Dr. Andrews is probably the most knowledgeable person in the world regarding injuries to pitcher's elbows so I would take his advice and see him again in 6 weeks.
 

DeJesus Built My Hotrod

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That’s not a description of a healthy elbow.
Don't worry big guy. You will still have ample opportunities to say you were right about Sale.

Even if he isn't undergoing career-ending surgery that renders his extension an anchor around the necks of the ballclub, he will inevitably have a bad outing and you can tell everyone how you told them so!
 

DaveRoberts'Shoes

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It's not at all straightforward when it comes to this stuff but the short version is - surgery isn't absolutely necessary but it's certainly not off the table altogether. The PRP is a good idea from a scientific standpoint but the literature doesn't show a whole lot of difference.

I might be on the 98.5 Hardcore Baseball podcast later this week discussing this, I'll post a link if I do
 

chawson

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Should be really interesting how Dombrowski plays it this winter. Sale, Eovaldi, and to some extent Price could all go down for long stretches at any point. ERod’s never had a fully healthy season before this one. Johnson, Velazquez and Wright all seem like less viable 4/5 starters than they did a year ago. He needs innings.
 

bosockboy

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Should be really interesting how Dombrowski plays it this winter. Sale, Eovaldi, and to some extent Price could all go down for long stretches at any point. ERod’s never had a fully healthy season before this one. Johnson, Velazquez and Wright all seem like less viable 4/5 starters than they did a year ago. He needs innings.
So much so I can see him offering one year to Porcello. Maybe 8 million.
 

RedOctober3829

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For the people who think the Sox signed a tainted Chris Sale.

According to someone familiar with the situation, the exam executed when Sale's signed his contract extension at the end of spring training showed an extremely healthy elbow ligament. Many times pitchers will agree to contracts despite having slight tears (see Josh Beckett in 2006) with the understanding that wear and tear is part of the deal. But Sale's MRI seemed to paint a very positive picture.
https://weei.radio.com/blogs/rob-bradford/chris-sale-injury-few-things-consider
 

chrisfont9

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Just a hunch, but I'm thinking surgery is still a possibility......shut him down for 6 weeks, let the inflammation subside, and then re-evaluate the damage. Assuming 12-15 months rehab, means that surgery the third week of August or the first week of October still means getting ready for 2021 either way. No reason to rush if its not obviously needed and maybe the PRP injection offers some improvement. However, waiting until spring training before opting for surgery could then impact the start of the 2021 season
Masahiro Tanaka had a slight UCL tear in 2014, waited out the pain, rehabbed it, and he's been fine since. Sale's motion is maybe more likely to turn a slight tear into a full one, but at this point we don't even know if there is a tear at all. If it's something else, then there is no reason he won't be fine once whatever body part it is stops barking. But from what little I know, we are talking about parts of the body that are just slow to heal.
 

chrisfont9

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Should be really interesting how Dombrowski plays it this winter. Sale, Eovaldi, and to some extent Price could all go down for long stretches at any point. ERod’s never had a fully healthy season before this one. Johnson, Velazquez and Wright all seem like less viable 4/5 starters than they did a year ago. He needs innings.
I guess there isn't much hope of luring Cole to Boston? That would solve a lot of problems, but there's no reason to believe he would be interested, other than maybe he likes Cora.
 

Red(s)HawksFan

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I guess there isn't much hope of luring Cole to Boston? That would solve a lot of problems, but there's no reason to believe he would be interested, other than maybe he likes Cora.
Put enough zeros on the offer, and I'm sure he'd be very interested. The only thing that can stop the Sox from going after Cole is their budget (whatever it may end up being).
 

chawson

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I guess there isn't much hope of luring Cole to Boston? That would solve a lot of problems, but there's no reason to believe he would be interested, other than maybe he likes Cora.
Cole to Boston seems slim to me. We’d have too much money tied up in the rotation, as noted above, and I think as a SoCal guy he’ll sign with the the Dodgers, who have Hill and Ryu coming off the books.

Plus, I still doggedly cling to my theory that the Sox have an uphill battle luring starters in free agency. They play in the most offensive-oriented park of the major market teams, and so likely have to overpay over the Dodgers and Yankees or more, who are almost sure to be in on anyone the Sox are in on. The system should be built for Beckett- and Sale-style trades.
 

Mueller's Twin Grannies

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Cole to Boston seems slim to me. We’d have too much money tied up in the rotation, as noted above, and I think as a SoCal guy he’ll sign with the the Dodgers, who have Hill and Ryu coming off the books.

Plus, I still doggedly cling to my theory that the Sox have an uphill battle luring starters in free agency. They play in the most offensive-oriented park of the major market teams, and so likely have to overpay over the Dodgers and Yankees or more, who are almost sure to be in on anyone the Sox are in on. The system should be built for Beckett- and Sale-style trades.
Didn't the Red Sox convince Schilling to come to Boston by disproving the notion that Fenway was purely a hitters' park and that Schilling's stuff wouldn't play as well there? I realize that was before the Launch Angle Revolution, but isn't it a bit extreme to say it's most offensive-oriented given some of the other bandboxes that are still being used or new-fangled ones like Yankee Stadium?
 

Red(s)HawksFan

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Didn't the Red Sox convince Schilling to come to Boston by disproving the notion that Fenway was purely a hitters' park and that Schilling's stuff wouldn't play as well there? I realize that was before the Launch Angle Revolution, but isn't it a bit extreme to say it's most offensive-oriented given some of the other bandboxes that are still being used or new-fangled ones like Yankee Stadium?
From BRef, over 100 favors hitters, under 100 favors pitching...
Multi-year park factor for Fenway Park: batting 106, pitching 105
Multi-year park factor for Yankee Stadium: batting 98, pitching 97

Fenway is overwhelmingly more hitter friendly than Yankee Stadium, at least over the last three years.

The only parks more hitter-friendly than Fenway...
Coors Field: batting 120, pitching 120
Ballpark at Arlington: batting 110, pitching 111

Next closest to Fenway is Nationals Park (batting 105, pitching 105).
 
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RedOctober3829

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Cole to Boston seems slim to me. We’d have too much money tied up in the rotation, as noted above, and I think as a SoCal guy he’ll sign with the the Dodgers, who have Hill and Ryu coming off the books.

Plus, I still doggedly cling to my theory that the Sox have an uphill battle luring starters in free agency. They play in the most offensive-oriented park of the major market teams, and so likely have to overpay over the Dodgers and Yankees or more, who are almost sure to be in on anyone the Sox are in on. The system should be built for Beckett- and Sale-style trades.
The Angels are a threat to sign Cole too. They desperately need a frontline starter and have money to spend.
 

jon abbey

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The Dodgers and Yankees both have stopped signing big free agent deals, it seems to be part of their current philosophy in both cases (NY has copied LA's organizational building philosophy quite a bit the last few years, depth over high-priced stars). Of course that could change at any moment, but I'd agree that the Angels are the frontrunners for Cole.
 

E5 Yaz

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The Dodgers and Yankees both have stopped signing big free agent deals, it seems to be part of their current philosophy in both cases (NY has copied LA's organizational building philosophy quite a bit the last few years, depth over high-priced stars). Of course that could change at any moment, but I'd agree that the Angels are the frontrunners for Cole.
Don't leave the Padres out of the conversation. They're willing to spend, and a young veteran ace would be a perfect fit
 

RedOctober3829

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The Dodgers and Yankees both have stopped signing big free agent deals, it seems to be part of their current philosophy in both cases (NY has copied LA's organizational building philosophy quite a bit the last few years, depth over high-priced stars). Of course that could change at any moment, but I'd agree that the Angels are the frontrunners for Cole.
Was trading for Stanton's $250 plus million contract factored into this philosophy?
 

chrisfont9

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Cole to Boston seems slim to me. We’d have too much money tied up in the rotation, as noted above, and I think as a SoCal guy he’ll sign with the the Dodgers, who have Hill and Ryu coming off the books.

Plus, I still doggedly cling to my theory that the Sox have an uphill battle luring starters in free agency. They play in the most offensive-oriented park of the major market teams, and so likely have to overpay over the Dodgers and Yankees or more, who are almost sure to be in on anyone the Sox are in on. The system should be built for Beckett- and Sale-style trades.
It's true, we have repeatedly acquired aces by trade, shortly before free agency. Price is one exception (Schilling is not, he was acquired by trade, albeit only after waiving his NTC). Like the Celtics, they're competing for guys who are from decidedly non-northeastern places and can't be expected to prefer Boston. Obviously winning has given the Sox a card to play, and the intensity is appealing to some guys (same for Celtics). But if there's a team in Florida, Texas or California with more money, it's an uphill battle, and the pitching environment doesn't help.
 

jon abbey

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Was trading for Stanton's $250 plus million contract factored into this philosophy?
Obviously the outlier but it's a $22M AAV and also not a FA deal, it was an odd situation in which NY was pushing hard for Ohtani but got rejected and then Stanton kind of fell in their lap, too 'cheap' (the AAV) to pass up but as with most larger deals in recent years, the team probably regrets it and there's still a long way to go.

The big FAs are worth more to other teams than they are to teams who are already very deep like LA and NY, as we've seen demonstrated this past season (both with Harper/Machado and with the depth of LAD/NYY). Try to get overlooked gems with lots of team control (Muncy, Urshela), relatively cheap FAs (Turner, LeMahieu) and build as much as you can with your own system.
 

Al Zarilla

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They do seem to believe in spending on starting pitching, and you're swapping out Porcello's $20m for Cole's $30 or whatever so it's not that big a difference to what they are already doing. I doubt Cole says yes but I don't think the Sox will bow out without a try.
Cole will be 36 before the 2020 season starts. Does he have a fountain of youth or something else going on.
 

NickEsasky

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From BRef, over 100 favors hitters, under 100 favors pitching...
Multi-year park factor for Fenway Park: batting 106, pitching 105
Multi-year park factor for Yankee Stadium: batting 98, pitching 97

Fenway is overwhelmingly more hitter friendly than Yankee Stadium, at least over the last three years.

The only parks more hitter-friendly than Fenway...
Coors Field: batting 120, pitching 120
Ballpark at Arlington: batting 110, pitching 111

Next closest to Fenway is Nationals Park (batting 105, pitching 105).
Isn't this somewhat deceiving though? I always thought that when it comes to park factors Fenway is extremely double friendly (1.4) but suppresses home runs (.88)?
 

lexrageorge

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Which free agent starting pitchers have refused to sign in Boston? Price signed here, and he was the premier pitching FA that offseason. Lackey signed here as well, and he was a premium free agent that year. Lester turned Boston down, but there was some history with both Boston and Theo that no doubt influenced his decision. Off the top of my head, there's Mike Mussina, but that's many moons ago.

It's hard to know for certain. Because the Sox were able to acquire quality starting pitching via trade, they were not often bidding for the top free agent pitchers other than those noted above. And they've had good luck keeping their prospective free agent pitchers (Price opted in, Eovaldi resigned, Sale extended, Beckett and Schilling extended their stays here).
 

Mueller's Twin Grannies

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Which free agent starting pitchers have refused to sign in Boston? Price signed here, and he was the premier pitching FA that offseason. Lackey signed here as well, and he was a premium free agent that year. Lester turned Boston down, but there was some history with both Boston and Theo that no doubt influenced his decision. Off the top of my head, there's Mike Mussina, but that's many moons ago.

It's hard to know for certain. Because the Sox were able to acquire quality starting pitching via trade, they were not often bidding for the top free agent pitchers other than those noted above. And they've had good luck keeping their prospective free agent pitchers (Price opted in, Eovaldi resigned, Sale extended, Beckett and Schilling extended their stays here).
Not only did Lackey sign here, he approached Boston when he wasn't even really on their radar and the deal got done fast. I believe they also signed Matt Clement and Ryan Dempster as free agents, didn't they? And Bartolo Colón, though that didn't end well when he quit on the team and went home for the rest of the season.
 

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Not only did Lackey sign here, he approached Boston when he wasn't even really on their radar and the deal got done fast. I believe they also signed Matt Clement and Ryan Dempster as free agents, didn't they? And Bartolo Colón, though that didn't end well when he quit on the team and went home for the rest of the season.
Clement (and David Wells same winter) and Dempster weren't exactly top-flight free agents though. Neither was Colon.

I don't buy the "pitchers don't want to come to Boston" argument, but I understood it to mean elite free agent pitchers, not guys that are less in demand who are arguably happy to take whatever their best offer is regardless of location.
 

Mueller's Twin Grannies

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Clement (and David Wells same winter) and Dempster weren't exactly top-flight free agents though. Neither was Colon.

I don't buy the "pitchers don't want to come to Boston" argument, but I understood it to mean elite free agent pitchers, not guys that are less in demand who are arguably happy to take whatever their best offer is regardless of location.
Wasn't Clement one of the top free agents that year? I'll cede Dempter and the Quitter.

Price was the biggest name free agent they'd signed in some time but Lackey was up there too.