Connect with us

Sports

What's fueling the rise in arm injuries across MLB? A dangerous 'cocktail' of causes

Published

on

What's fueling the rise in arm injuries across MLB? A dangerous 'cocktail' of causes

Matt Blake texted Cleveland Guardians pitcher Shane Bieber a conciliatory message over the weekend. As a member of the Cleveland player-development system in the 2010s, Blake aided Bieber’s rise from college walk-on to unanimous American League Cy Young Award winner in 2020. For a time, Bieber represented the modern model for the manufacturing of a big-league ace, a player who added strength to his frame, velocity to his fastball and spin to his offspeed pitches as he ascended the ranks.

By the time Blake sent his text, though, Bieber had become part of a growing, more troubling demographic: talented young pitchers who will spend this season as spectators. Two days after the Miami Marlins announced 20-year-old phenom Eury Pérez would undergo Tommy John surgery, the Guardians disclosed Bieber, 28, would need the same procedure. A recent examination of 25-year-old Atlanta Braves starter Spencer Strider revealed damage to his elbow’s ulnar collateral ligament, which could result in his second Tommy John surgery. In New York, where Blake is now the Yankees pitching coach, the team has lost its ace, Gerrit Cole, until June with elbow inflammation and one of its top relievers, Jonathan Loaisiga, to year-ending elbow surgery.

“As a pitching coach trying to get through nine innings worth of pitching every night over 162 games,” Blake said, “I’m pretty worried.”

Pitching has always been hazardous for its practitioners. There is reason to believe it is only getting more challenging to keep them healthy. The opening days of the 2024 season have demonstrated the inherent fragility of the position. A recent story by The Ringer cited research from former MLB trainer Stan Conte that tallied 263 UCL surgeries in 2023, a steady uptick from 111 procedures performed in 2011. Of the 166 players who began the season on the injured list, as the New York Post reported, 132 were pitchers. If these trends continue, 2024 will be another banner year for arm injuries — and cause for alarm around the game. 

The subject prompted sniping between Major League Baseball and the MLBPA on Saturday, as the two sides argued through press releases about the effect of the pitch clock, which was introduced in 2023 and shortened for 2024. MLBPA chief Tony Clark painted the league’s insistence on cutting time off the clock before the 2024 season against the wishes of players as “an unprecedented threat to our game.” MLB countered by citing unpublished analysis from Johns Hopkins University that found no link between the introduction of the clock and the surge of injuries. 

Advertisement

The clock, however, was just one area of concern among players, coaches and managers surveyed by The Athletic this weekend. Those conversations presented a tapestry of additional reasons for the injury problem, including the industry’s relentless push for optimization, the encouragement of players to chase maximum velocity and spin, and the usage of training methods that encourage year-round, full-throttle workouts. To some, the explanations are interwoven and intractable. Untangling the knot may require years of research and re-evaluation. 

“To protect these guys’ arms is paramount,” Dodgers manager Dave Roberts said. “And clearly we haven’t nailed it.” 

This season began with baseball’s most heralded pitchers on the shelf. Los Angeles Dodgers starter Clayton Kershaw underwent shoulder surgery last October. Texas Rangers pitcher Max Scherzer is recovering from back surgery, while his teammate Jacob deGrom is rehabbing from a second Tommy John surgery. Houston Astros ace Justin Verlander experienced shoulder soreness in spring training. All those pitchers are 35 and older, the sort of age where the body no longer cooperates with the rigors of the big-league schedule. 


Not long ago, Eury Pérez and Sandy Alcántara were on their way to becoming twin aces for the Marlins. Now both will spend 2024 rehabbing from surgery. (Megan Briggs / Getty Images)

For MLB, the more pressing concern is the fleet of arms breaking down soon after reaching prominence. Miami Marlins starter Sandy Alcántara, the unanimous winner of the 2022 National League Cy Young Award, underwent elbow reconstruction last season. So did Tampa Bay Rays pitcher Shane McClanahan, a little more than a year after starting the All-Star Game. Milwaukee Brewers pitcher Brandon Woodruff will miss this season because of shoulder surgery. Same story for Kansas City Royals pitcher Kyle Wright, a 21-game winner for Atlanta in 2022. 

“Our sport deserves our best pitchers to be on the mound,” Detroit Tigers manager A.J. Hinch said. “Regardless of the era you’re in, the starting pitcher matchup is the first thing you look at every day. You want the big boys out there. You want the guys that are elite, and more and more are getting hurt.”

Advertisement

To research the problem, MLB commissioned a study last October, which has sprawled to include conversations with 100 people around the game, including medical officials. When the study is completed, the league intends to create a task force and provide recommendations to clubs about how to keep pitchers healthy. 

The sport has grappled with the problem since its inception.  In another era, pitchers were believed to get hurt by overuse. Teams altered how they used pitchers in hopes of preserving them. Gone are the days of the exhausted starter, pushed to the brink at 125 pitches or more, trying to finish the seventh or eighth inning. The new archetype asks the pitcher not to ease into outings but explode at the outset. Go as hard as you can for as long as you can, is the new mantra. An influx of data about the shape and movement of pitches offered teams granular ways to make pitchers better. The data did not, however, offer an answer for how to keep them healthier.

“I’ve heard through my years managing that we ask less out of starting pitchers because we don’t leave them in the game long enough and they don’t throw 100 pitches as much anymore,” Hinch said. “Yet we ask them for max velo, max shape, max everything, and virtually train year-round.”

Hinch pointed to Tarik Skubal, a 27-year-old Tigers lefty who underwent Tommy John surgery in college and flexor tendon surgery in 2022. Skubal trained this past winter so that when he arrived at spring training, he touched 99 mph in his first session of live batting practice. “Go to Tarik Skubal and tell him, ‘Hey, ease it off and throw 92 mph,’ and see how that works out for you,” Hinch said. “No. Because we’re asking our athletes to compete at the highest level.”

Advertisement

To some retired players, the quest for elevated velocity and spin has put pitchers at risk. Dan Haren, a 13-year veteran who now works as a pitching strategist for the Arizona Diamondbacks, posted on X about his Instagram feed providing footage of “guys throwing weighted balls at max effort against a wall, with a crow hop, with his bros cheering him on.” Added Roberts, “The body is designed, in my opinion, to only take so much force and velocity before it gives way.” 


Shane Bieber hadn’t allowed a run over two outings this season when it was announced he would undergo elbow surgery. (Jason Miller / Getty Images)

Some, like Chicago Cubs manager Craig Counsell, suggested pitchers will always try to throw harder. “I don’t think the pursuit of velocity is ever going to end,” Counsell said. “Because it’s something that makes pitchers better. I don’t think we should demonize the pursuit of velocity.”

Yet the industry has championed this trend by shortening the outings of starting pitchers and encouraging them to maximize their output. Not only do pitchers throw their fastballs as hard as possible, they throw offspeed pitches with utmost force, in hopes of generating unique movement and missing bats. “The types of deliveries that create the outlier shapes are probably more stressful in some ways,” Blake said. “I think the maximization of force to create the shapes probably doesn’t help. When you’re chasing 20 inches of break or 20 inches of ride or the high velo, I think there is some level of physical cost.” 

Despite protestations from MLB officials, players will continue to complain about the clock. The innovation trimmed 24 minutes off the average game last season. The timer in 2023 granted pitchers 15 seconds to act with the bases empty and 20 with runners aboard. MLB’s 11-man competition committee voted to shave two seconds off the 20-second clock for 2024 despite objections from the players. 

Los Angeles Angels pitcher Tyler Anderson suggested pitchers might place more stress on their arm rather than their legs because of the clock. But he doubted any study could show a correlation between decreased time between pitches and increased injuries. The act of pitching was already unhealthy enough. “Rob Manfred knows it’s really hard to prove, would be my guess,” Anderson said. 

Advertisement

The union sees the clock as a bogeyman. The commissioner’s office sees their complaint as a straw man. For coaches like Blake, who must navigate the season as injuries continue, the clock is only part of the problem, along with the perilous chase of velocity and spin. 

“I don’t think any of them are the most responsible,” Blake said. “But the cocktail of them all is hard to get by.”

The Athletic’s Fabian Ardaya, Sam Blum, Patrick Mooney, Cody Stavenhagen contributed reporting.

go-deeper

GO DEEPER

Rosenthal: Pitching injury crisis has no easy fix, but baseball’s leaders better get to work on one

(Top photo of Strider: Justin K. Aller / Getty Images)

Advertisement

Sports

ESPN analyst Paul Finebaum questions Trump’s college sports reform meeting as potential ‘circus’

Published

on

ESPN analyst Paul Finebaum questions Trump’s college sports reform meeting as potential ‘circus’

NEWYou can now listen to Fox News articles!

President Donald Trump will host a White House roundtable regarding college athletics reform later this week.

The panel is expected to include prominent coaches, college sports and pro sports league commissioners, and other professional athletes, according to OutKick.

The group will meet March 6 to examine solutions to key challenges, including NCAA authority; name, image and likeness issues (NIL); collective bargaining; and governance concerns. 

 

Advertisement

President Donald Trump holds a football presented to him during a ceremony to present the Commander-in-Chief’s Trophy to the US Naval Academy football team, the Navy Midshipmen, in the East Room of the White House on April 15, 2025 in Washington, D.C. (BRENDAN SMIALOWSKI/AFP via Getty Images)

The meeting Friday will include big names like Nick Saban, Urban Meyer, Adam Silver and Tiger Woods. Trump has been adamant about “saving college sports,” even signing an executive order setting new restrictions on payments to college athletes back in July.

However, ESPN college analyst Paul Finebaum, who has previously hinted at a congressional run as a Republican, remains a bit skeptical.

“The easiest thing, guys, is just to say this is ridiculous,” Finebaum said to Greg McElroy and Cole Cubelic on WJOX. “And I read the other day, ‘Why is Nick Saban going?’ Why is anybody going? The bottom line is this. If something doesn’t happen very quickly, and I mean in the next short period of time, we’re talking about weeks, not years, then this thing could blow up.

“However it came about, I’m in favor of. The question now becomes, with some of the most powerful people in Washington in the same room, including the most powerful person in the country, can anything get done, or will it be a circus? Will it be just another show?”

Advertisement

U.S. President Donald Trump shakes hands with former Alabama Crimson Tide football coach Nick Saban as Trump takes the stage to address graduating students at Coleman Coliseum at the University of Alabama on May 01, 2025 in Tuscaloosa, Alabama. (Anna Moneymaker/Getty Images)

Trump’s order prohibits athletes from receiving pay-to-play payments from third-party sources. However, the order did not impose any restrictions on NIL payments to college athletes by third-party sources.

A House vote on the SCORE Act (Student Compensation and Opportunity through Rights and Endorsements), which would regulate name, image, and likeness deals, was canceled shortly before it was set to be brought to the floor in December.

The White House endorsed the act, but three Republicans, Byron Donalds, Fla., Scott Perry, Pa., and Chip Roy, Texas, voted with Democrats not to bring the act to the floor. Democrats have largely opposed the bill, urging members of the House to vote “no.”

President Donald Trump looks on before the college football game between the US Army and Navy at the M&T Bank Stadium in Baltimore, Maryland, on Dec. 13, 2025.  (Alex WROBLEWSKI / AFP via Getty Images)

Advertisement

The SCORE Act would give the NCAA a limited antitrust exemption in hopes of protecting the NCAA from potential lawsuits over eligibility rules and would prohibit athletes from becoming employees of their schools. It prohibits schools from using student fees to fund NIL payments.

Fox News’ Chantz Martin and Ryan Gaydos contributed to this report.

Follow Fox News Digital’s sports coverage on X, and subscribe to the Fox News Sports Huddle newsletter

Advertisement

Related Article

GOP senator calls for revision to federal law as sports fans pay big on outrageous streaming prices

Continue Reading

Sports

Lakers hope comeback win over Pelicans gives the team a timely boost

Published

on

Lakers hope comeback win over Pelicans gives the team a timely boost
p]:text-cms-story-body-color-text clearfix”>

Lakers center Jaxson Hayes falls after Pelicans forward Zion Williamson commits an offensive foul as Lakers guard Austin Reaves watches at at Crypto.com Arena on Tuesday.

(Allen J. Schaben/Los Angeles Times)

Matching the physicality of Pelicans forwards Zion Williamson and Saddiq Bey was on the top of the Lakers’ scouting report. But the task is easier said than done.

Advertisement

Reaves admitted to being “terrified” of stepping in front of a driving Williamson to draw a charge. The 6-foot-6, 284-pound Pelicans forward is just as physical as he is athletic, creating a fearsome combination for defenders. Healthy for the first time in two seasons, Williamson led the Pelicans with 24 points on 10-for-18 shooting.

“We haven’t seen somebody like that in a long time, right?” Smart said. “[With] his ability. But [being] willing to put your body there, take a charge, take an elbow to the face, box him out, go vertical, is definitely something that you got to be willing to do, and not everybody’s willing to do it. And that’s the difference in the game.”

Center Jaxson Hayes was up to the task. He absorbed a Williamson elbow in the fourth quarter and ended up in the front row of the stands holding his jaw. But the knock was worth it for the offensive foul that helped maintain the Lakers’ 14-0 run that quickly erased the Pelicans’ eight-point lead. The scoring streak started immediately after Hayes subbed back into the game with 7:20 remaining after he scored on his first possession, cutting to the basket for a dunk off an assist from Doncic.

Hayes had eight points, six rebounds and two blocks, playing nearly 23 minutes off the bench in his biggest workload as a substitute since Jan. 20 against Denver. After playing with Hayes in New Orleans during the center’s first two years in the league, Redick lauded the seven-year pro’s improvement. Hayes is sinking touch shots around the rim now. He has improved his decision making in the pocket. After getting benched for his defensive lapses last season, Hayes has impressed coaches with his consistent ability to stay vertical while protecting the rim. And he still brings the same trademark athleticism that made him the eighth overall pick in 2019.

“He consistently injects energy into the group when he runs the floor, blocks a shot, or he gets those dunks,” Redick said.

Advertisement
Continue Reading

Sports

Eileen Gu reflects on decision to leave Team USA for China: ‘A lot of people just don’t understand’

Published

on

Eileen Gu reflects on decision to leave Team USA for China: ‘A lot of people just don’t understand’

NEWYou can now listen to Fox News articles!

Eileen Gu released a statement on social media Monday, reflecting on her controversial decision to compete for Team China despite being born and raised in the U.S. 

Gu’s statement tied the decision back to her passion for promoting women’s sports, and encouraging young girls to pursue sports. 

“I gave my first speech on women in sports and title IX when I was 11 years old. I talked about being the only girl on my ski team, and, despite attending an all-girls’ school from Monday through Friday, becoming best friends with my teammates on the weekends through the common language of sport,” Gu wrote on Instagram. 

Advertisement

Silver medalist Eileen Gu of China poses for photos after the awarding ceremony of the freestyle skiing women’s freeski big air event at the Milan-Cortina 2026 Olympic Winter Games in Livigno, Italy, Feb. 16, 2026. (Photo by Wang Peng/Xinhua via Getty Images) (Wang Peng/Xinhua via Getty Images)

“At the same time, I was made painfully aware of the lack of representation – at age 9, I felt that I was somehow representing all women every time I stepped in the terrain park. Landing tricks was about more than progression … it was about disproving the derisive implication of what it meant to ‘ski like a girl.’”

Gu went on to express gratitude for the one season in which she did compete for the U.S. 

“When I was 15, I announced my decision to compete for China. At the time, I had spent one season on the US team, and had been lucky enough to meet my heroes in person. I am forever grateful for that season, and continue to maintain a close relationship with the team. I had spent every summer in China since I was 8 setting up summer camps on trampoline and dry slope for kids and adults, ranging from 7 to 47 years old, so I knew the industry was tiny. I felt like I knew everyone,” she added. 

“Skiing for Team China meant the opportunity to uplift others through the universal culture of sport, and to introduce freeskiing to hundreds of millions of people who had never heard of it, especially with the Beijing 2022 Winter Olympics around the corner.”

Advertisement

Gu’s statement concluded by acknowledging that certain people “don’t understand” her decision to compete for China over the U.S., while insisting the choice maximized the impact she would have. 

“I can look back now, at 22, and tell 12 year old Eileen that there are now terrain parks full of little girls, who will never doubt their place in the sport. I can tell 15 year old me that there are now millions of girls who have started skiing since then, in China and worldwide,” Gu wrote. 

“A lot of people won’t understand or believe that I made a decision to create the greatest amount of positive impact on the world stage that I could, at this age, given my interests and passions. Three golds and six medals later, I can confidently say was once a dream is now a reality.”

Gu has become a target for global criticism this Olympics for her decision to represent China while remaining silent on the country’s alleged human rights abuses.

In an interview with Time magazine, Gu was asked her thoughts on China’s alleged persecution of Uyghurs and other Turkic Muslim minorities in Xinjiang. 

Advertisement

“I haven’t done the research. I don’t think it’s my business. I’m not going to make big claims on my social media,” Gu answered.

“I’m just more of a skeptic when it comes to data in general. … So, it’s not like I can read an article and be like, ‘Oh, well, this must be the truth.’ I need to have a ton of evidence. I need to maybe go to the place, maybe talk to 10 primary source people who are in a location and have experienced life there.

“Then I need to go see images. I need to listen to recordings. I need to think about how history affects it. Then I need to read books on how politics affects it. This is a lifelong search. It’s irresponsible to ask me to be the mouthpiece for any agenda.”

More controversy surrounding Gu erupted after The Wall Street Journal reported that Gu and another American-born athlete who now competes for China, were paid a combined $6.6 million by the Beijing Municipal Sports Bureau in 2025.

Gu is the highest-paid Winter Olympics athlete in the world, making an estimated $23 million in 2025 alone due to partnerships with Chinese companies, including the Bank of China and western companies. 

Advertisement

Her alignment with China prompted criticism from many Americans this Olympics, including Vice President J.D. Vance. 

“I certainly think that someone who grew up in the United States of America who benefited from our education system, from the freedoms and liberties that makes this country a great place, I would hope they want to compete with the United States of America,” Vance said in an interview on Fox News’ “The Story with Martha MacCallum.”

Later, when Gu was asked if she feels “like a bit of a punching bag for a certain strand of American politics at the moment,” she said she does. 

“I do,” she said. “So many athletes compete for a different country. … People only have a problem with me doing it because they kind of lump China into this monolithic entity, and they just hate China. So, it’s not really about what they think it’s about.

“And, also, because I win. Like, if I wasn’t doing well, I think that they probably wouldn’t care as much, and that’s OK for me. People are entitled to their opinions.”

Advertisement

CLICK HERE TO DOWNLOAD THE FOX NEWS APP

Silver medalist Eileen Gu of China attends the awarding ceremony of the freestyle skiing women’s freeski big air event at the Milan-Cortina 2026 Olympic Winter Games in Livigno, Italy, Feb. 16, 2026.  (Hongxiang/Xinhua via Getty Images)

Gu has claimed she was “physically assaulted” for the decision.  

“The police were called. I’ve had death threats. I’ve had my dorm robbed,” Gu told The Athletic

“I’ve gone through some things as a 22-year-old that I really think no one should ever have to endure, ever.”

Advertisement

Follow Fox News Digital’s sports coverage on X, and subscribe to the Fox News Sports Huddle newsletter.

Related Article

Eileen Gu's interaction with reporter over winning silver instead of gold goes viral: ‘Ridiculous perspective’

Advertisement
Continue Reading

Trending