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Down goes Parnell

John Cougar Lunchbucket Apr 01 2014 10:11 AM

Elbow MCL, partial tear. I mean, it was obvious there was something.

Edgy MD Apr 01 2014 10:15 AM Re: Down goes Parnell

Well, my thread obviously finished him off. Spirit of Frank Jobe, we call on you now.

Edgy MD Apr 01 2014 10:22 AM Re: Down goes Parnell

Who comes to town? Giancarlo Alvarado Vic Black Buddy Carlyle Joel Carreno Jacob deGrom Josh Edgin Dana Eveland Kyle Farnsworth Erik Goeddel Daisuke Matsuzaka Rafael Montero Ryan Reid Miguel Socolovich Noah Syndergaard Logan Verrett Jeff Walters I'm guessing that last dude.

Ceetar Apr 01 2014 10:24 AM Re: Down goes Parnell

probably Black as he's on the 40 man and was there last year and was a late cut in Spring. You sorta hoped with the uptick yesterday that it was just slow rehab stuff. Or maybe it was and he tore it yesterday stepping it up. bleh, hopefully the plasma works and it's 4-6 weeks not the rest of the year.

batmagadanleadoff Apr 01 2014 10:26 AM Re: Down goes Parnell

Ceetar wrote: bleh, hopefully the plasma works and it's 4-6 weeks not the rest of the year. It's the Mets ferchrissakes. MCL surgery? I'm worried that they'll amputuate.

Ceetar Apr 01 2014 10:27 AM Re: Down goes Parnell

batmagadanleadoff wrote: Ceetar wrote: bleh, hopefully the plasma works and it's 4-6 weeks not the rest of the year. It's the Mets ferchrissakes. MCL surgery? I'm worried that they'll amputuate. Which franchise it is is irrelevant. Isn't this what Niese went down with last year?

TransMonk Apr 01 2014 10:30 AM Re: Down goes Parnell

John Cougar Lunchbucket wrote: Elbow MCL, partial tear. I mean, it was obvious there was something. It should have been obvious before Opening Day...yesterday wasn't the first time Parnell showed a loss of velocity. How do they miss something like this?

John Cougar Lunchbucket Apr 01 2014 10:34 AM Re: Down goes Parnell

Have little CAHNfidence he or Niese will do much of anything this year. Fortunately for us Parnell is just a closer. I'm pretty sure we'd get between near the same save efficiency from any random dude under contract including Gonzalez Germen. Looks like they will recall Farnsworth but hopefully only until Vic "King of All" Black gets straightened out. I think Familia could close.

Benjamin Grimm Apr 01 2014 10:38 AM Re: Down goes Parnell

I'd guess Walters, but the 40-man roster thing may cause them to pick someone else.

G-Fafif Apr 01 2014 10:41 AM Re: Down goes Parnell

John Cougar Lunchbucket wrote: Vic "King of All" Black So I wasn't the only who thinking that every time his name is mentioned during a broadcast.

TransMonk Apr 01 2014 10:42 AM Re: Down goes Parnell

Closer by committee? I'd like to see what Familia can do...but wouldn't be opposed to giving Valverde a look too.

smg58 Apr 01 2014 11:03 AM Re: Down goes Parnell

Personally I'd bring up Dice-K, followed by DeGrom. Black's spring performance screamed "not ready yet." We have plenty of depth in starters, and we should take advantage of that. I think it's obvious that Valverde will close until/unless he gives the Mets reasons to look elsewhere.

John Cougar Lunchbucket Apr 01 2014 11:05 AM Re: Down goes Parnell

Dice-Kloser would be fun. Also, Jeff "Space Station #5" Walters

Lefty Specialist Apr 01 2014 11:07 AM Re: Down goes Parnell

Gotta be Valverde. Done it before, and was the only reliever who didn't poop his pants yesterday.

Benjamin Grimm Apr 01 2014 11:09 AM Re: Down goes Parnell

If I'm the guy who does the Mets laundry, I would definitely prefer they go with someone who doesn't poop his pants.

smg58 Apr 01 2014 11:38 AM Re: Down goes Parnell

Farnsworth gets the call up. I thought his spring performance screamed "Stick a fork in me, I'm done!" but I've been wrong before.

LeiterWagnerFasterStrongr Apr 01 2014 11:55 AM Re: Down goes Parnell

But for his walking hobby, Dice-K-the-Closer is an intriguing idea-- many pitches, not-so-hard-tosser in contrast to the flamethrower-fastball-happy rest of the late-innings-corp? Farnsworth is definitely... um... a choice.

metirish Apr 01 2014 11:56 AM Re: Down goes Parnell

Was it Ron that made the remark about the velocity , he sounded like "wow, that is troubling".

LeiterWagnerFasterStrongr Apr 01 2014 12:00 PM Re: Down goes Parnell

Was kinda expecting this from the moment I heard he wasn't "all the way back," but was coming up anyway. I'm just disappointed because I just taught YoungerPooper who he was. (She REALLY liked the beard.)

d'Kong76 Apr 01 2014 12:09 PM Re: Down goes Parnell

Let the fun begin ... this sucks ass

Ashie62 Apr 01 2014 02:17 PM Re: Down goes Parnell

Parnell officially on DL... Farnsworth called up..

Zvon Apr 01 2014 02:23 PM Re: Down goes Parnell

d'Kong76 wrote: Let the fun begin ... this sucks ass Ugh. What he said. Plus Ugh. Meh, throw in a GAH!

MFS62 Apr 01 2014 09:53 PM Re: Down goes Parnell

LeiterWagnerFasterStrongr wrote: Farnsworth is definitely... um... [crossout]a choice[/crossout] an irritating arsehole. Fixed that for you. I hope David Wright (who likes everybody) doesn't try to punch him out and break his hand in the process. Later

Mex17 Apr 01 2014 09:57 PM Re: Down goes Parnell

http://www.rotoworld.com/player/mlb/1379/joel-hanrahan The good news is that this is lining up almost perfectly with Joel Hanrahan being done with his own Tommy John rehab. So guess what had damn well better happen next?

LeiterWagnerFasterStrongr Apr 01 2014 10:11 PM Re: Down goes Parnell

Bring up Wilmer Flores, to replace Daniel Murphy, who's on paternity leave?

Zvon Apr 01 2014 10:17 PM Re: Down goes Parnell

Ashie62 wrote: Farnsworth called up.. *scratches head

Benjamin Grimm Apr 02 2014 04:21 AM Re: Down goes Parnell

I think Zvon caught lice from Farnsworth.

Lefty Specialist Apr 02 2014 06:26 AM Re: Down goes Parnell

MFS62 Apr 02 2014 07:10 AM Re: Down goes Parnell

LeiterWagnerFasterStrongr wrote: Bring up Wilmer Flores, to replace Daniel Murphy, who's on paternity leave? Heard a report that happened. Later

Lefty Specialist Apr 02 2014 07:23 AM Re: Down goes Parnell

Hopefully Wilmer gets a start out of this.

MFS62 Apr 02 2014 08:23 AM Re: Down goes Parnell

Lefty Specialist wrote: Hopefully Wilmer gets a start out of this. And I hope he gets to Wally Pipp someone, and start a long career with the Mets. Later

batmagadanleadoff Apr 02 2014 10:04 AM Re: Down goes Parnell

Abby Sims has a Masters Degree in Physical Therapy from Duke University and writes a sports injury column for CBS-New York. She doesn't think that Bobby Parnell will pitch again this season. Sims: Don’t Expect Bobby Parnell To Pitch For Mets Again This Season April 2, 2014 11:44 AM After hearing that Mets closer Bobby Parnell was diagnosed with an incomplete medial collateral ligament (MCL) tear in his right elbow, one jumps to the logical conclusion that surgery is in his immediate future. That is especially so with a team physician — Dr. David Altchek – who pioneered a very successful modification of the original Tommy John procedure. The first thing to realize is that the medial collateral ligament of the elbow is also known as the ulnar collateral ligament — or UCL — because of its attachments to the humerus and ulna at the inner (medial) elbow. Now that you know that, the first thought of any Mets fan might be that Matt Harvey recently succumbed to surgery to address the same injury. (Though perhaps the extent of the tears is not identical.) Both men complained of primary symptoms in the forearm. Harvey resisted the knife initially, and now, evidently, Parnell is following suit. The Mets tweeted that after having a Platelet Rich Plasma (PRP) injection, Parnell will rest for two weeks before beginning a throwing program, after which it will be determined whether surgery will be required. Well, what do you think the outcome will be? First, consider that even a partially torn ligament does not heal in two weeks. In fact, complete healing might take a year. The tensile strength of the healing tissue is significantly impaired during the healing phase and is only at about 80 percent of capacity at the three-month mark. Will PRP accelerate things that much? Even if effective, that isn’t likely. Next, keep in mind the extraordinary stresses that pitchers place on the medial (inner) elbow — and the excessive loading of the region — which can create inflammatory or degenerative conditions in a number of structures in the area. This may explain why Parnell’s symptoms — like Harvey’s — were not initially localized to the UCL, which is the primary stabilizer of the elbow. Other tissues often affected include the wrist flexor muscles — which are in the forearm but whose tendons attach at the inner elbow — the forearm pronators (which turn the palm downward), the elbow joint capsule and the ulnar nerve. The repetitive demands of pitching and the nature of the motion itself — particularly the acceleration phase — are the primary culprits. A partial tear of the UCL — also referred to as a moderate (Grade 2) sprain — causes laxity (looseness) of the ligament. This, in turn, creates joint instability. The resulting instability places even greater stress on the surrounding tissues. Even after the cumulative trauma of less significant Grade 1 injuries (micro-tears), ligaments may be weakened and tissues prone to inflammation. At worst, they could tear further. Additionally, other degenerative changes such as bone spurs may result. So, placing excessive demand on weakened structures that were vulnerable even when at full capacity — in other words, pitching — doesn’t sound like a recipe for success. The two weeks of rest sound like a smokescreen to me, and like so many other pitchers who’ve already fallen to elbow issues at this early stage of the season, I wouldn’t expect Parnell to take the mound for the Mets until 2015. If he does, it may not be for long. http://newyork.cbslocal.com/2014/04/02/ ... is-season/

batmagadanleadoff Apr 02 2014 10:16 AM Re: Down goes Parnell

batmagadanleadoff wrote: Abby Sims has a Masters Degree in Physical Therapy from Duke University and writes a sports injury column for CBS-New York. She doesn't think that Bobby Parnell will pitch again this season. http://newyork.cbslocal.com/2014/04/02/ ... is-season/ How can Sims be so sure without, I assume, access to Parnell's medical records? Does every injury of this kind, no matter the degree, require a minimum of six, seven or ten months of rehab?

John Cougar Lunchbucket Apr 02 2014 10:21 AM Re: Down goes Parnell

You can't much trust diagnosis by media, but obviously you have to assume the worst with an elbow injury and any return this year ought to be wildly optimistic. I'd sooner bet on Bobby Pee's entire Mets career being over than his returning this year.

Edgy MD Apr 02 2014 10:29 AM Re: Down goes Parnell

She has an MA in physical therapy. I can't possibly doubt those sorts of credentials.

Ashie62 Apr 02 2014 10:31 AM Re: Down goes Parnell

That two weeks Parnell wants may be more of a coming to grips emotionally with a potentially career ending injury and some denial tossed in....

metsmarathon Apr 02 2014 10:35 AM Re: Down goes Parnell

i think the specifics of the medical file would allow some refinement of hte injury timeframe, but really, i think that based on her background and hte info available, her diagnosis and prognosis is very likely to be correct. i think that a partially torn UCL is not something that can simply be healed away quickly in any way that will allow for a speedy return to action, unless the initial diagnosis greatly overstates the injury (grade 1 instead of a grade 2 strain, perhaps). also, given her schooling in physical therapy, i think she's very reliable in terms of being able to forecast recovery times. maybe bobby pee is a freak like adrian petersen, and wil be back to 100% in 4-6 months. but i really wouldn't hold my breath.

metsmarathon Apr 02 2014 10:35 AM Re: Down goes Parnell

i wonder if taking the two weeks off, and having the prp treatment, might be a thing to do to improve outcomes. but i have no fucking idea.

Ceetar Apr 02 2014 10:37 AM Re: Down goes Parnell

I'm sure the odds fall on the Tommy John side, but Harvey's medical history has little to do with Parnell's. And they wouldn't be attempting the PRP treatment if it never worked.

Edgy MD Apr 02 2014 10:49 AM Re: Down goes Parnell

I think there's a huge amount of ambiguity in the word "partial." We're all in the dark there.

metsmarathon Apr 02 2014 10:55 AM Re: Down goes Parnell

except that it's the same injury. might of course be some differences in where exactly the tear is in the ligament, and that could drive the decision to attempt the prp or not go ahead with the surgery. but the important pieces here are that its the UCL in the throwing arm of a major league pitcher. those things get heavily stressed, and not fixing them all the way means eventually breaking htem all over again, or breaking other things, some of which could be much worse things to break. and successfully healing a ligament takes a known amount of time, with some variation. that variation is extremely unlikely to extend all the way down to 2 weeks, or really any period of time that should allow bobby parnell to return to the field this season without causing massive risk of near-future injury. prp is valid therapy if hte player might not go ahead with tjs, and might want to attempt to go full-rehab instead of the surgery path. and since i doubt that it would negatively impact the outcome of an eventual tjs, there's no reason, really, not to do it. especially if you have the money.

Lefty Specialist Apr 02 2014 11:32 AM Re: Down goes Parnell

A friend's brother had the same injury and had the PRP. He said that the treatment really did speed his recovery. Of course, he wasn't throwing a baseball 94 MPH for a living, either. He also said that the injection was the most painful thing he'd ever gone through in his life. He was braced for some pain but this was off the charts. Good luck, Bobby Pee.

metsmarathon Apr 02 2014 01:18 PM Re: Down goes Parnell

y'know, it occurred to me that if this spate of pre- and early-season elbow injuries had happened in a WBC year, the entire world of baseball would explode with the fury of a thousand supernovae. but since its not a WBC year, there's a collective whimper, a sigh, a "whaddayagonnado", and we all go on with our lives.

Edgy MD Apr 02 2014 01:23 PM Re: Down goes Parnell

Partial tear: [fimg=600:r0ffwz3b]http://makezineblog.files.wordpress.com/2009/03/patch7.jpg[/fimg:r0ffwz3b] Partial tear: [fimg=600:r0ffwz3b]https://encrypted-tbn2.gstatic.com/images?q=tbn:ANd9GcQMjSQ7t4Citdzz1DW7AWXQwFPEa4M6AuqD_noziUVCzQGSVWFx[/fimg:r0ffwz3b]

Frayed Knot Apr 02 2014 01:53 PM Re: Down goes Parnell

metsmarathon wrote: y'know, it occurred to me that if this spate of pre- and early-season elbow injuries had happened in a WBC year, the entire world of baseball would explode with the fury of a thousand supernovae. but since its not a WBC year, there's a collective whimper, a sigh, a "whaddayagonnado", and we all go on with our lives. That's what happens when folks pre-reach their conclusions and then go hunting for evidence that they think backs it up.