Clay Buchholz Likely Out For The Rest Of Regular Season With Stress Fracture
According to Sean McAdam of CSN New England, Red Sox pitcher Clay Buchholz is likely out for the rest of the regular season with a stress fracture in his lower back. Buchholz, whose last start came on June 16, has been on the disabled list and has suffered several setbacks when throwing off a mound.
Buchholz threw off a mound last Monday and said that he felt that it was a definite step in the right direction. However the very next day, he experienced more soreness and underwent an MRI that revealed a stress fracture in the lower back. Buchholz was previously under the assumption that his lower back was only inflamed.
McAdam believes that it's entirely possible for Buchholz to return in the postseason for the Red Sox. He also believes it's possible that Buchholz will return in September, but every Boston minor league team's regular season ends by that time. Therefore, Buchholz couldn't go on a rehab assignment at that time. More from McAdam.
Without the benefit of live game conditions to build arm strength, it would be difficult for Buchholz to return late in the season. It's conceivable, the source said, that Buchholz could pitch in relief in the postseason, but that would be asking a great deal for someone who will not have faced major league hitters since mid-June. (via CSNNE)
Yesterday, the Red Sox acquired Mariners lefty Erik Bedard in a three-team trade with the Mariners and Dodgers. Bedard will likely join a pitching rotation that includes Josh Beckett, Jon Lester, John Lackey, and Tim Wakefield for the rest of the season with Buchholz gone. Buchholz was 6-3 with a 3.48 ERA before landing on the D.L.
You had to be a little worried that something like this was coming. With Buchholz out of the fold for probably the rest of the regular season, the team will likely rely on big starts from the oft-injured Bedard and the inconsistent John Lackey for the rest of the season.
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No Wonder
They went after W. Rodriquez so hard. This sucks!
From now on, the next time the Sox training staff whiffs this hard on diagnosing an injury
The player should be allowed to give them that injury. How does it take months to discover a stress fracture in your back? This is their damn job.
Considering
He has had second and third opinions and it wasn’t diagnosed until recently, it’s clearly trickier than your average non-trained professional thinks.
Twitter: @Marc_Normandin
by Marc Normandin on Aug 1, 2011 10:47 AM EDT up reply actions
With respect to stress fractures, yes.
But I think they recently mis-diagnosed a horse as being a chicken, though. I’m sure it’s a tougher job than I realize, but they seem to be pretty abysmally bad at it. Either that or they’re fudging diagnoses in line with what the club wants – which I’d find much more troubling.
I also agree with “Rouge” below, that keeping this moderately under wraps probably helped at the trade deadline.
"Laser show. So relax."
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by nuthinboutnuthin on Aug 1, 2011 11:31 AM EDT up reply actions
I think it just seems that way because it’s Boston and everything related to the team is overanalyzed and exaggerated.
All teams have players with injuries that are difficult to diagnose, and whose treatment is generally rest and try again in a couple weeks—see, for example, Phil Hughes.
Also, people only notice the apparent failures, and not the successes. For example, I think they’ve done a really nice job keeping Papelbon’s shoulder healthy after the rather serious problems he had with it a few years ago.
I agree
I think our conditioning programs are top notch. Most of the injuries we see are impacts of some kind, baseballs on the shin, Beltre’s knee in your side. That sort of stuff.
"We are not normal, We are Legends. People will tell their kids about us." - Deon Butler before Ohio State Game 2008.
They haven't really earned the benefit of the doubt
And the fact that Bucholz went for the second and third opinions so quickly shows you that he didn’t really trust them to get it right either.
These medical staffs have entire MRI and X ray machines at their disposal for use on a few dozen people. Its mind boggling that the true diagnosis could take almost 2 months on a professional athlete. How can they not be scanning him from every possible angle? Stop assuming every injury is just a small sprain only to be surprised later. They need to start thinking worst case scenario and work backwards.
If they were intentionally hiding it for trade purposes that’s one thing but even that sounds more like how fans think than actual front offices.
Seems to me that they probably knew a while ago
But they would have lost leverage in trades if trade partners KNEW that Buchholz wouldn’t be back this year.
All part of the game.
"We are not normal, We are Legends. People will tell their kids about us." - Deon Butler before Ohio State Game 2008.
I want to chime in that this sort of injury is _very_ hard to diagnose.
I had a similar injury years ago (back in my youth when I actually did serious sports – martial arts) and despite numerous tests – multiple x-ray sessions, MRIs, cat-scans, and multiple doctors it wasn’t clearly identified until about 8-10 months of frustrating pain and useless physical therapy had gone by. When it was finally found, it was almost by sheer luck that an imaginative x-ray tech had me stand in an odd pose that made it clear what was going on.
Once found, the treatment and therapy changed and I got better rapidly. Within 3-4 weeks I felt perfect. I won’t predict Buchholz’ recovery will be the same – I don’t know the extent of his fracture.
NBA Officiating - Corrupt? Incompetent? Which is worse? Does it matter? It sucks.
Now the Bedard
deal looks like an absolute necessity. In fact, it doesn’t look like enough.
Enough for what?
It’s not guaranteed that Bedard will be healthy, but it’s not guaranteed that anybody will be healthy.
Bedard is healthy at the moment, and he is in the rotation. Our rotation is currently better than even when we has Buchholz.
Twitter: @BoldandBrash
by BoldandBrash on Aug 1, 2011 10:54 AM EDT via mobile up reply actions
Well, this is both good and bad.
Obviously it is bad in the sense that he might be out for the year. Although we can hold out hope that he is ready by late September (unlikely).
But it is good in the sense that it’s not a disc problem and it will not require surgery, which could put parts of next season in jeopardy too. They say rest is the best thing for this injury. So it isn’t the worst case scenario.
I really wish they had known this when he first got hurt. Cause if they did then he could be coming back in mid August/early September and not possibly missing the rest of the year.
How did they not see this before? Did this develop from something else?
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See my comments above. This type of injury is often _very_ hard to spot.
MRI’s don’t show the fracture. And X-Rays may not show it if its hair-line and ‘closed’ on repose and only opens up in certain positions or angles.
NBA Officiating - Corrupt? Incompetent? Which is worse? Does it matter? It sucks.
x-rays barely show anything
seeing minor fractures in x-rays is about the equivalent of watching a 3-d movie without the glasses.
The Red Sox medical team has a batting average just south of Darnell McDonald's.
Do we have any good doctors in Pawtucket?
Before we go on another medical staff crusade
Let’s be real here, I think they did a good job finding the underlying problem. They had him pitching and he said he felt better, a bad staff would have stopped there and let him get into his rehab. The staff shut him down and got the MRI done to find the real issue instead of letting it fester. I would imagine that structural damage is always the last thing they look at when it comes to an injury that appears to be routine, as Buchholz’s did originally.
If my ‘wishful thinking’ Bentley is making a sound from the exhaust, I’m not going to pay for the entire engine to be pulled apart and looked at, takes time and money, the medical staff has to be the same way, the players have to get back on the field as quickly as possible.
"We are not normal, We are Legends. People will tell their kids about us." - Deon Butler before Ohio State Game 2008.
to play devil's advocate,
have they particularly gotten anything right? They seem to F up catastrophically often.
Pedroia seems to be playing pretty good these days.
As is Youk, Varitek and that V-Mart guy over in Detroit.
I guess they must only be real good with foot fractures.
NBA Officiating - Corrupt? Incompetent? Which is worse? Does it matter? It sucks.
I had an issue a couple years ago the doctor was very quick to diagnose as an anxiety disorder because that’s what the symptoms best represented, turns out I had liver issues, it took a couple months to figure that out and only after blood tests, heart tests, and a couple sonographs. The doctor told me later that a liver problem was maybe the 5th most likely diagnosis behind anxiety issues considering the initial symptoms.
The point is, short of cutting you open there is only so much they can do, especially since we aren’t really that aware of our bodies, if a doctor asked me what hurts I would have to say ‘my shoulder’ but ‘my shoulder’ is a ton of different components, each or none of which could have actual problems that may not be seen by any remote device. Buchholz said ‘I feel fine’ after his last pitching session and they said ‘too bad we still have something to try’ and they found the problem. I’m calling this a win for the medical staff. As far as other injuries on the team, I’d imagine they take risks, this isn’t a retirement home and we’re trying to make them as comfortable as possible for the end, we’re fixing 20 and 30 year olds (mostly) to get them back on the field patched up as quickly as possible.
This isn’t limited to just the Red Sox, we don’t follow the medical staffs of other teams but set backs occur league wide, players are misdiagnosed or their treatment isn’t right. How many diagnoses has Phil Hughes had this year? How long was Pujols supposed to stay out? When is ARod coming back? Why was Denard Span only put on the 7 day DL when he still isn’t back?
Modern medicine I feel is still largely trial and error.
"We are not normal, We are Legends. People will tell their kids about us." - Deon Butler before Ohio State Game 2008.
very true
and yet it is magical science-fiction compared to where it was just 50-60 years ago!
NBA Officiating - Corrupt? Incompetent? Which is worse? Does it matter? It sucks.
Yeah, I at least he patients back then weren't... impatient.
We need to know all the information this very second and it had to be 100% correct or it is inexcusable and someone has to be a fault. There is a process going on, a delicate one that involves a lot of guess work.
"We are not normal, We are Legends. People will tell their kids about us." - Deon Butler before Ohio State Game 2008.
Yep. And a ravenous bunch of public fans
who think that an athlete’s private health information belongs to them.
How many of these fans would be so keen to have all their health records and details posted and debated and analyzed publicly?
NBA Officiating - Corrupt? Incompetent? Which is worse? Does it matter? It sucks.
No one's posting medical records
And no one’s asking if he has erectile dysfunction. They only ask about injuries and medical conditions that would interfere with his job performance. Why was people thinking he had a strained back fine but knowing the truth about a stress fracture is a public witch hunt for embarrassing information? Should all injuries be kept completely secret and people just have to wait for lineup cards every day to see if anyone is playing?
I was speaking quite generally
not on this specific discussion thread.
But frankly, my own opinion is that fans & media do demand far more than they truly have any ‘right’ to know regarding player injuries and health status.
You just admitted that you only want part of the information – but where to draw the line becomes the next argument. When people only get part of the information, that always breeds extrapolation and imagination. Just look at all the mis-information that flew around regarding Jacoby last year.
Unless people have all the information, they just make junk up.
Bellicheck is right on this. Don’t give them anything.
NBA Officiating - Corrupt? Incompetent? Which is worse? Does it matter? It sucks.
This actually makes some sense
it sucks, but it was clear that Buch didn’t have a herniated disk. If that was the issue he’d likely be going around in a wheelchair, not throwing off a mound. Also, he’s likely to recover faster and more completely from this than from a disk injury, which would require surgery.
This is actually better news than what I was expecting.
I'm a 7 WAR player in bed.
at the risk of sounding more conspiracy-theorist
I’ll point out that this information was leaked before Buchholz’ scheduled appointment with the specialist today. So it’s not like the Sox just discovered this. I think Rogue hit the nail on the head.
Postseason?
Would it even make sense to pitch Clay in the playoffs? To me I’m not so sure. And thinking ahead to next year assuming Buchh comes back healthy, do we still have Bedard? Or is he a rent-a-player? I know I should know that but I forget if he’s a free agent to be or not.
"It's baseball...when you rake that's what happens" -Dustin Pedroia
by Fenway302 on Aug 1, 2011 3:47 PM EDT via mobile reply actions
He's a FA and depending on how he does/how he likes it in Boston
He could possibly come back (Wake will likely retire, Dice is not back, etc.)
A rotation of Lester/Beckett/Buchholz/Bedard/Lackey would be really nice
FWIW,
he said Boston was his favorite city to play in when asked in some sort of questionnaire thing when with Baltimore. But he also said he didn’t want to play for a big market team.
The Red Sox can win the World Series as currently constructed
Twitter: @BoldandBrash
drool
Gimme a full, healthy season of those 5 guys …. please …
Can you imagine if you could get 1000 innings of THAT rotation?
NBA Officiating - Corrupt? Incompetent? Which is worse? Does it matter? It sucks.
In literary circles, the required element is called, "suspension of disbelief".
Just go with it, wolfie!
NBA Officiating - Corrupt? Incompetent? Which is worse? Does it matter? It sucks.
Doesn't that feel good?
NBA Officiating - Corrupt? Incompetent? Which is worse? Does it matter? It sucks.
I would love that rotation, especially with our offense.
I think if Lackey could be the #5 it would take a ton of pressure off and he’d be much improved.
"It's baseball...when you rake that's what happens" -Dustin Pedroia
by Fenway302 on Aug 1, 2011 4:59 PM EDT via mobile up reply actions
The smartest physician I know,
who is also a physicist told me that medical treatment, even with today’s fantastic tools, amounts to making huge medical decisions on too little information. The variables are incalculable, and the responses are best guesses by intelligent, experienced experts. It’s all we have.
Basically true
There’s too many different possible diagnoses for some sets of symptoms. All you can do is hope to figure out what’s going on without making the patient worse or waiting so long that it becomes untreatable.
Fenway: "An alternate and better universe, disguised as a ballpark." --Thomas Boswell

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