Results tagged ‘ Michael Ciccotti ’

Surgery Likely for Hollands

Mario HollandsMario Hollands has a firm grip on reality, but he still has a sliver of hope he will avoid surgery on his left elbow.

Hollands has a torn common flexor tendon, which is the same injury that is likely to end Cliff Lee’s career. Hollands visited Phillies physician Michael Ciccotti this week in Philadelphia to discuss his recent MRI results. Surgery has been recommended because Hollands’ first attempt at rehab failed – the injury first surfaced in September, which ended his season – but he has two other options: rest and PRP (Platelet-Rich Plasma) injection.

“I wanted to do the PRP and rest because I wanted to help the team this year. I wanted to play,” Hollands said. “That’s still in my head because I want to play so bad, but I am a little worried because it’s the second time so I don’t know if rest or PRP will be the only solution. So surgery, I’m thinking about it pretty hard.”

Hollands will seek a second opinion from Dr. James Andrews. He hopes to have his recommendation soon.

Hollands’ difficult choice is this: if he elects rest or PRP and it fails a second time he risks being healthy at the beginning of the 2016 season. The Phillies said the recovery from this type of surgery is six to eight months.

“It would be heartbreaking if it came back again after rest,” Hollands said.

In that sense, surgery might be the safest option.

“That’ll help just seal it up and hopefully it will never be a problem again,” Hollands said.

Hollands made the team last season as a non-roster invitee. He went 2-2 with a 4.40 ERA in 50 appearances. His loss opens up a bullpen job. Four spots are locked up with Jonathan Papelbon, Ken Giles, Jake Diekman and Justin De Fratus. Andy Oliver, Luis Garcia and Jeanmar Garcia are the leading candidates for the final three jobs.

If Ryan Howard continues on this path he should be back in the Phillies lineup sometime after the All-Star break.

But the big question for the Big Piece is this:

What kind of player will he be once he is back?

Howard has been on the disabled list since the season started following left Achilles surgery. His recovery has been a tedious process that has taken longer than expected. He suffered an infection in the heel in February, which put him considerably behind schedule. Lately he has been working out in Clearwater, Fla., participating in simulated games, but he will begin a rehab assignment with Class A Lakewood tomorrow.

He had some “functional testing” this afternoon at Citizens Bank Park, and visited team physician Michael Ciccotti before tonight’s game against the Pirates. Ciccotti gave the thumbs up, so Howard will be in Lakewood tomorrow. Position players get 20 days on a rehab assignment before they must return to the big leagues, if they are healthy. That means Howard should be back no later than July 18, barring any further setbacks.

Howard said today he is not sure when he will be 100 percent healthy. He acknowledged it might not be until next season.

“If it’s 80 percent, 85 percent, the only thing I can do is give you 100 percent of 85 percent,” he said.


Awaiting Word on Doc

Awaiting the results of Roy Halladay’s second opinion?

The Phillies said they are waiting, too.

Halladay is on the disabled list with what the team has called a strained right latissimus dorsi. He is expected to be sidelined from activity for three weeks, but could be back on the mound pitching for the Phillies in six to eight weeks. Phillies physician Michael Ciccotti examined him Tuesday in Philadelphia, but Halladay got a second opinion from Mets physician David Altchek later this week.

Altcheck is examining previous MRI results and a recent CT scan, and when he has a report the Phillies said they will pass it along.

Is there any reason to believe Halladay’s injury could be more than previously believed?

“We don’t think so, but I’m going to wait until Altchek gets all the information,” Ruben Amaro Jr. said. “I’m pretty optimistic that it is what it is.”

Halladay had not looked like himself since Spring Training. His velocity had dipped from previous seasons. He also had not looked as sharp. The Phillies have been questioned why they did not exam Halladay earlier, if they suspected he was not right. Perhaps an earlier exam could caught the problem earlier.

“At no time did Doc really complain about anything or have any issue,” Amaro said. “Doc has been with us since January 1 in camp. We get to see him every single day. He’s seen. He does his work. Our medical people and our rehab people are with him all the time. He never really made any indication at all until more recently that he even had an issue. His velocity, I think a lot of people are making a lot of it, but it wasn’t all that different from where it’s been. Maybe a tick below. But I think more than anything else, we thought it was more of a mechanical thing. And I think Dubes (pitching coach Rich Dubee) and Roy had been working on some of that stuff because he didn’t think mechanically he was right. But it wasn’t anything all that alarming. Had the player told us something was bothering him we would have addressed it. Evidently, he didn’t.”

Amaro said it is not normal protocol to pull a player off the field when he has not complained about an injury and have him examined.

“We check with him every day, every start, if the player had an issue or felt like he had an issue he would tell us,” Amaro said. “It’s not like we’re not proactive about it. We’re proactive on all of our guys when it comes to that.”


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Big Truck to DL

The Phillies found themselves in a save situation today at PETCO Park, but Jose Contreras never picked up a baseball.

He might not pick up a baseball for a long time.

Contreras has been placed on the 15-day disabled list with a strained right flexor pronator tendon, which is located on the inside part of the elbow. He will fly tomorrow from Phoenix to Philadelphia, where Phillies physician Michael Ciccotti will examine him tomorrow evening or Tuesday morning. A MRI exam is not scheduled, but is a possibility.

The Phillies selected right-hander Michael Stutes’ contract from Triple-A Lehigh Valley to take his spot on the roster.

Right-hander Ryan Madson will close for the foreseeable future.

“Yeah, I’m alarmed,” Ruben Amaro Jr. said. “Anytime a guy goes on the DL it bothers me. Hopefully it isn’t serious. He’s sore. He was a little better yesterday and a little more sore today. Hopefully we’ll have good news.”

Read the entire story here.


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Polanco Has Successful Surgery

The Phillies announced today third baseman Placido Polanco had successful surgery on his left elbow.

Phillies physician Michael Ciccotti removed spurs from the elbow and performed a debridement and repair of the lateral extensor tendon. Polanco will have follow-up appointments with Ciccotti over the next several weeks.

“It went very well and we are fully expecting Placido to be 100 percent by Spring Training,” Ruben Amaro Jr. said in a statement. “We hope to have him swinging the bat again within 10 weeks, around early January.”


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Polanco Scheduled for Surgery

polanco smiles.jpgPlacido Polanco is getting his left elbow repaired Friday.

He played through pain much of the season because of bone fragments and tendinitis in the elbow. He had four cortisone injections during the year to keep him on the field, although he spent June 29 – July 16 on the 15-day disabled list.

Team physician Michael Ciccotti will perform the surgery. He will remove bone fragments from the elbow and repair Polanco’s extensor tendon.

“The recovery time for this procedure is typically eight to 10 weeks and we fully expect Placido to be ready by spring training, but we’ll know more after the surgery,” Phillies general manager Ruben Amaro Jr. said in a statement.

Polanco hit .298 with six home runs and 52 RBIs in 554 at-bats this season. He signed a three-year, $18 million contract before this season.


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Lidge Gets MRI, No Structural Damage, Day-to-Day

Brad Lidge is not headed to the DL, at least for now.

Phillies physician Michael Ciccotti examined him today at Thomas Jefferson University Hospital in Philadelphia. Lidge, who has experienced stiffness in his right elbow since he pitched Sunday, had a gadolinium MRI. The Phillies said it revealed no loose bodies and no structural damage. They also said his flexor pronator surgery, which he had in November, is healing properly.

The MRI revealed inflammation in the lining of his elbow joint.

They said he is day-to-day.

Lidge, 33, is 0-0, 2.70 ERA with one save in four relief appearances this season.


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Blanton to DL Three to Six Weeks

Thumbnail image for Thumbnail image for Thumbnail image for blanton.jpgMore bad news for the Phillies’ pitching staff.

The Phillies announced this morning that right-hander Joe Blanton has been placed on the 15-day disabled list with a mildly strained left oblique muscle.

He is expected to miss anywhere from three to six weeks. The best case scenario is Blanton rejoins the rotation sometime during the Phillies’ nine-game road trip April 20-28 through Atlanta, Arizona and San Francisco. In the meantime, Kyle Kendrick joins the rotation. Expect Andrew Carpenter to take Kendrick’s place in the bullpen.

Blanton, who has never been on the DL in his career until today, strained the muscle while throwing in the bullpen yesterday. He will not throw again until April 8 at the earliest.

“We’ll progress him as tolerated,” team physician Michael Ciccotti said.

J.A. Happ and Clay Condrey suffered similar injuries last season. Happ strained his right intercostal muscle and missed two starts in September. Condrey landed on the DL with a strained left oblique June 19. He got reinstated July 17, but landed back on the DL on July 23 and didn’t return again until Sept. 15.

Ciccotti said Blanton’s injury is milder than Condrey’s.

“His was move severe,” Ciccotti said.


This is a blow to the rotation, but it’s also a blow to the bullpen. The Phillies already were thin with just Ryan Madson, Danys Baez, Chad Durbin, Jose Contreras, David Herndon and Antonio Bastardo. Kendrick could have pitched himself into a pretty solid role with Brad Lidge and J.C. Romero on the DL. But without him they have one less option.


More about the Phillies’ lack of pitching depth.


Kendrick will start Wednesday against the Nationals.


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Moyer Had Surgery Today, Said to Be Doing Well

The Phillies announced tonight that Jamie Moyer had a MRI earlier this week, which showed a small blood collection that could have been infected. Moyer had minor surgery today to wash out the blood collection. Dr. Bill Meyers performed the surgery at Thomas Jefferson University Hospital.

“Jamie is doing very well,” Phillies physician Michael Ciccotti said in a statement. “The surgery is not likely to impact his rehab schedule and is likely to have minimal impact on his spring training schedule.”

Moyer is likely to remain hospitalized until Monday.


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Moyer Hospitalized with Recurring Symptoms

Jamie Moyer has been hospitalized at Thomas Jefferson University Hospital because of recurring symptoms from his groin surgery in October.

Phillies physician Michael Ciccotti said this evening that Moyer “is in no way seriously ill.”

“He’s very comfortable,” Ciccotti said. “He’s quite fine. He’s walking. He’s eating. He’s completely comfortable and fine. We’re just taking appropriate precautions, and also wanting to do what we can to make sure he’s on track for Spring Training.”

Ciccotti said Moyer started to feel an increase in pain over the weekend, which prompted him to fly to Philadelphia on Tuesday to visit Hahnemann University Hospital, where Bill Meyers performed the surgery Oct. 2.

Moyer stayed the night at Thomas Jefferson, where he is expected to remain, possibly through the weekend for continued evaluation.

“We’re in the midst of evaluting him and treating him for this increase in pain,” Ciccotti said. “He’s getting some tests, an MRI. He’s continuing to exercise as his comfort allows. That’s really where we’re at right now.”

Moyer had been hospitalized with a blood infection Oct. 7, five days following his surgery. He spent three nights in the hospital before being released.

Ciccotti said Moyer’s current symptoms don’t seem to be related to last month’s blood infection, but he hasn’t ruled it out. Moyer has had blood tests as part of his evaulation.

So what could have happened to put Moyer back in the hospital?

“You can restrain that area during the recovery or rehabilitation period,” Ciccotti said. “That’s where the MRI is helpful because it can help us determine if that’s the case and then that’s just a matter of adjusting his rehab and his therapy.”

Ciccotti said Moyer’s rehab following surgery had gone “very well,” and despite his setbacks, he said Moyer still could be ready to participate at the beginning of Spring Training in mid-February.

“The recovery from this surgery is such that normally it’s three months or so,” he said. “He had it in early October. Really, he would be recovered from this surgery sometime in January, well before Spring Training. So having been in the hopsital, and now a few more days in the hospital, that may delay his full recovery, but he’s still on a timeline that would allow him to participate in Spring Training.

“It’s possible it could be a little bit later than [mid-February], but he’s still on the timeline that would allow him to participate in Spring Training with hopefully minimal effects on his early Spring Training participation.”


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