Results tagged ‘ Michael Ciccotti ’
Phillies doctor Michael Ciccotti said a MRI today revealed two torn tendons in the groin, plus a torn lower abdominal muscle.
“Given the fact that much of what a pitcher generates velocity-wise is from their legs, and given the fact that has he injured two of those adductor tendons and also his lower abdominal muscle, it’s not the type of injury that you can really treat non-operatively to get back and pitch at the level he would want to be pitching at,” Ciccotti said. “It’s really best treated surgically.”
Ciccotti said the goal is to have Moyer ready to pitch by Spring Training. He said 90 to 95 percent of people who have this surgery return to pre-injury level. Of course, Moyer is 46, which could play a factor in his recovery, but Ciccotti sounded optimistic Moyer could recover successfully.
“Jamie has all the qualities you need to get back in terms of focus and dedication to a rehab program,” he said.
Moyer is 12-10 with a 4.94 ERA this season. He was 1-0 with a 1.93 ERA (four earned runs in 18 2/3 innings) in five relief appearances.
Carlos Ruiz said yesterday his sprained left wrist still felt sore, but that he could play.
He played in Game 2 of last night’s doubleheader against the Marlins.
But the wrist bothered him enough that he had a closed door meeting with Charlie Manuel after the game. The Phillies determined they would fly Ruiz back to Philadelphia to have team doctors Michael Ciccotti and Randall Culp examine him. Ruiz is expected to join the team in Milwaukee.
Obviously, losing Ruiz would be a blow. The Phillies have Paul Bako and Paul Hoover to catch while Ruiz is out, how ever long that is.
UPDATE (5:30 p.m.): Ruben Amaro Jr. said Ruiz had a MRI in Philadelphia. There is no structural damage to the wrist. But there is inflammation and there is a good chance Ruiz will receive a cortisone injection tomorrow. If he gets the injection as expected, Ruiz would be out three to five days. But the expectation is that Ruiz should be OK after that.
Just a quick update on Phillies closer Brad Lidge.
Phillies physician Michael Ciccotti examined Lidge today in Philadelphia. He said Lidge did not need his third MRI examination since late April – Lidge had a MRI in late April and another about 10 days ago, Ruben Amaro Jr. estimated — although he gave him a cortisone shot. That is Lidge’s second cortisone shot since late April.
Ciccotti also said while Lidge has inflammation in the knee joint, there are no signs of structural damage. In fact, Ciccotti said the knee has improved since the last time he examined him.
Lidge is expected to begin a rehab process beginning tomorrow in New York.
“If in fact we lose Brad for a more significant amount of time then I think we have a pretty good alternative right now in Ryan (Madson),” Amaro said. “We’ve got a lot of confidence in him.
“We’ve been trying to upgrade our staff. You can never have enough pitching going down the stretch and you always like to try to add pitching. The fact that we’re going to be missing Brad for a copule weeks and maybe longer that may change our strategy. It may put more focus on a bullpen piece. It may not. A lot of it will depend on what Dr. (Michael) Ciccotti has to say. If I had my druthers, I’d rather hit both areas. But in this day and age, it’s tough to make one trade, let alone two.”
Left-hander Antonio Bastardo has pitched well in two starts with the Phillies, but I’m not sure the Phillies are sold on him as the answer. I think if they have the opportunity to land somebody like Erik Bedard they would jump at the opportunity at the right price.
“He doesn’t have the same track record as some guys out there who might be available,” Amaro said of Bastardo. “But at least for now he’s pitched well enough and shown enough of poise to be pretty happy with him.”
I like Bastardo because it’s just a cool name to say, but I’m not sure that’s a great way to run a ballclub.
But surgery sounds inevitable, which means his season is in jeopardy.
“It sounds like surgery is almost 100 percent from the first opinion,” Myers said in a telephone interview Thursday. “They told me that my hip is (messed ) up. They tried to compare it to (Chase Utley‘s hip). From what they said it’s similar – similar, but different. It’s got different fraying. I don’t want to say it’s worse, but that’s kind of what they told me.”
Myers left Wednesday’s game against the Marlins at Citizens Bank Park in the sixth inning after his hip kept locking up. He has had the problem for about a month, but he said his hip has bothered him on occasion the past couple years. But he said it never felt as bad as it felt Wednesday. Myers had x-rays after the game that showed bone spurs in his hip joint. He had a MRI exam Thursday that the Phillies said revealed fraying and possible tearing in the labrum in the hip.
Myers, who has been on the disabled list just once in his eight-year career, sounded concerned Wednesday night, but he never expected one of the first words from team physican Michael Ciccotti‘s mouth would be that he needed surgery.
“I honestly didn’t think I would need surgery,” Myers said. “I thought it would show some inflammation or some slight stuff that would need work, but I could pitch through. I definitely didn’t think they would be recommending surgery. But they recommended surgery right after I talked to them. That was the first thing they told me.”
Myers plans to get a second opinion from New York-based hip specialist Bryan Kelly, who performed surgery on Utley’s hip in November. He said if Kelly recommends surgery, he said he plans to have surgery as soon as possible to improve his chances of pitching before the end of the season.
Is that even realistic?
“I’m just hoping that it’s something easily fixable,” Myers said. “Ciccotti said three to four months. From today that’s September or October. I would hope that would be the best bet. That’s what I’d like, you know?
“I have to do it regardless. Surgery is required regardless of when I get it. Whether or not I pitch through it this year and get it in the offseason will be up to me. It’s going to be up to me. But if that doctor tells me I have to have surgery now, then I’m going to do it. There’s no point in even trying to (mess) with it and mess it up to where I can’t walk when I’m 30.”
Myers, who is a free agent after the season, is 4-3 with a 4.66 ERA in 10 starts this year. He and Cole Hamels have been the team’s most reliable starters in a rotation that has the worst ERA in baseball. Losing Myers for any stretch would be a major blow, and certainly would step up the team’s efforts to acquire starting pitching help.
The Phillies said in a statement that “it is possible that Brett will not make his next start. That decision as well as any decision on a possible DL stint or surgery will be determined at a later date.” But any chances of Myers making his next scheduled start seem like a miracle long shot at best.
“If (Kelly) tells me I can’t (mess) it up anymore and go for it and I have to take some pain pills or whatever to pitch through it then that’s what I’ll do,” Myers said. “If I can pitch through and I can’t mess it up anymore, I’m definitely going to try to pitch through it.”
Cole Hamels has soreness in his left elbow and is flying to Philadelphia tonight to be examined tomorrow by team physician Michael Ciccotti.
“We do not think it is serious, at least at this time” Phillies general manager Ruben Amaro Jr. said. “We thought it was important for Dr. Ciccotti to check him out and see if there is anything more serious than what we think it is. He’ll decide once he sees him tomorrow morning if he needs to do any testing or any further testing. We did do a physical on him before we ended up finalizing the multiyear deal with him and felt comfortable with the diagnostics and such. But he’s had a little persistent soreness and we want to be cautious about it and have him checked out.”
Hamels pitched in a minor-league spring training game yesterday at the Carpenter Complex. The Phillies said afterward that it went well and that he remained on schedule to start Opening Day on April 5.
“And he was,” Amaro said. “But he’s still got a little bit of soreness in there. We don’t feel that it’s serious, but again, I don’t have a crystal ball. I can’t look inside his elbow. We just want to be cautious, and we thought it was important that he sees our doctor in Philly.”
Is Hamels’ Opening Day start in danger?
“It’s a possibility, I guess,” Amaro said. “But again, we won’t know anything until the doctor sees him. Right now he’s still on course to do that. We’ll see if there are any further issues.”
Amaro said Hamels had his normal soreness once he began his throwing program at the beginning of spring training last month.
“It hasn’t totally gotten out of there,” Amaro said. “He’s got better arm speed and arm strength and that’s encouraging because he’s progressing as far as that’s concerned. But all the soreness isn’t out. … We’re trying to be cautious with it. This is a pretty important piece to the puzzle for us.”
Hamels was placed on the 15-day disabled list from Aug. 22 – Sept. 18, 2007, with a mild left elbow strain. Amaro said this soreness is in a different part of the elbow, more in the back of his elbow with the soreness on the ulnar-side of the elbow.
“He doesn’t feel pain (when he throws),” Amaro said. “It starts to get tight in between innings. It’s more of a tightness than anything else. Tightness, soreness are semantics. I don’t believe he feels it when he throws.”
We expect to talk with Hamels later this morning, so keep checking back for more.
Update (10 a.m.): Hamels is currently participating in PFP (pitchers fielding practice) drills on the half-field just outside Bright House Field. It’s certainly strange, isn’t it? Phillies fans suddenly have a queasy feeling in their stomachs, but Hamels is running around, smiling, laughing and looking fine.
Update (11 a.m.): Hamels just met with reporters. Here is some of what he had to say:
“I was able to throw yesterday. It’s just been kind of that mild discomfort that I don’t want to deal with during the season. So if he can lessen the inflammation and the discomfort, I’ll be able to throw and be productive.”
“When I’m in games I feel fine. It’s coming out of the games, having it stiffen up. Normally, when I’m done I’m able to do stuff. It was still kind of lingering. Maybe it will kind of go away over time. It never got worse, but it never completely went away.”
Hamels said he has this tightness every spring, and for that reason he is no worried. He also said he is not worried becuase he feels absolutely no pain while he pitches or at any other time for that matter. The elbow just tightens up on him.
Hamels said he think he will be able to start Opening Day, but he won’t push it, either.
“Twenty days until Opening Day,” Hamels said. “My body and shoulder is pretty much ready. It’s just trying to get that mild discomfort out.”