Sports
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.
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.”
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.”
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.
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
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)
Sports
Thunder lose star Jalen Williams for Western Conference Finals Game 7 as hamstring injury lingers
Spurs force Game 7 vs. Thunder, SGA struggles, Will Wemby carry this momentum? | The Herd
Victor Wembanyama scored 28 points and 10 rebounds in the San Antonio Spurs’ 118-91 win over the Oklahoma City Thunder in Game 6 of the WCF. Jason McIntyre says that Wemby showed up in the biggest moments, and asks if he can carry this momentum into Game 7. Plus, he discusses Shai Gilgeous-Alexander’s struggles and asks if he will cost the Thunder the series.
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The Oklahoma City Thunder will be shorthanded in Saturday’s pivotal Game 7, as one of Oklahoma’s key contributors has been sidelined with an injury.
OKC guard Jalen Williams has been ruled out for Game 7 with a hamstring issue, ESPN reported on Friday. Williams appeared to aggravate his left hamstring during the Thunder’s 122-113 victory in Game 2. He missed the next three games before returning for Game 6, but logged just 10 minutes off the bench in Oklahoma City’s loss to the San Antonio Spurs on Thursday, which forced a winner-take-all Game 7.
“He’s obviously not 100%,” Mark Daigneault, the head coach of the Thunder, said.
Oklahoma City Thunder guard Jalen Williams watches during the fourth quarter against the San Antonio Spurs in Game One of the NBA Western Conference Finals at Paycom Center in Oklahoma City, Oklahoma on May 18, 2026. (Alex Slitz/Getty Images)
Daigneault applauded Williams for fighting through the injury and doing everything he could to help Oklahoma City.
“He didn’t know what to expect. I didn’t know what to expect. So, it was a matter of getting him out there in kind of an insulated role and see what he can bring to the team. He’s an All-Star player, he’s an All-NBA player. He hasn’t done a full return to play [protocol] like he would if this was the regular season, and yet, he just wants to do whatever he can to try to contribute whatever he can to the team.”
BLOCKBUSTER GAME 7 SHOWDOWN: FOUR BEST BETS FOR SAN ANTONIO SPURS AT OKLAHOMA CITY THUNDER
“I give him a lot of credit to get himself out there. He did the best he could. He’s certainly not the reason we lost.”
Oklahoma City Thunder forward Jalen Williams reacts to a shot by forward Luguentz Dort in the third quarter against the San Antonio Spurs during game one of the Western Conference finals for the 2026 NBA playoffs at Paycom Center in Oklahoma City, Oklahoma, on May 18, 2026. (Alonzo Adams/Imagn Images)
Williams did not talk to reporters after Thursday’s game in San Antonio.
Williams underwent surgery last offseason to repair a wrist injury but still played a key role in the Thunder’s run to the NBA Finals last season. He appeared in just 33 regular-season games before this year’s playoffs.
Oklahoma City Thunder guard Jalen Williams drives into the paint during the first quarter of Game Two of the NBA Western Conference Finals against the San Antonio Spurs at Paycom Center in Oklahoma City, Oklahoma on May 20, 2026. (Alex Slitz/Getty Images)
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The winner of Saturday’s Game 7 will advance to the NBA Finals to face the New York Knicks. New York snapped a nearly three-decade Finals drought by sweeping the Cleveland Cavaliers in the Eastern Conference finals.
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CLOVIS — Cool conditions produced a bunch of fast times Friday at the CIF state track and field championships.
Rosary Academy sprint coach Jon Gilmer was worried 4×100-meter relayers Tra’via Flournoy, Justine Wilson, Pfeiffer Lee and Maliyah Collins might get complacent at prelims, but the Royals were the top qualifiers in 45.13 seconds — nearly a full second faster than Canyon Country Canyon (46.07) — at Buchanan High School.
“It’s different not having Calabasas here,” Gilmer said. “Now we’ve got to push ourselves.”
Rosary set a state record (44.23) at the Arcadia Invitational on April 11, but lost to the Coyotes one week later at the Mt. SAC Relays. However, the anticipated state finals clash was not to be as Calabasas dropped the baton in the Southern Section finals and failed to advance.
Collins had a huge lead by the time she received the stick for the anchor leg Friday.
“This is maybe our fourth- or fifth-fastest time but we just wanted to make finals,” said Wilson, who ran the second leg before handing off to Lee. “We want to run faster tomorrow when we go for a PR, the meet and the state record.”
Calabasas might be out of the relay, but three Coyotes remain in contention in the 100, led by Malia Rainey (the top qualifier in 11.54), Marley Scoggins (11.63) and Olivia Kirk (11.63).
Calabasas sprinter Marley Scoggins, center, wins her 100-meter heat at the CIF state track and field preliminaries on Friday.
(Steve Galluzzo / For The Times)
Collins won her heat in 11.62, the third-fastest time.
Servite won the first heat in the boys 4×100 relay in 40.29 — two hundredths off its winning time at last year’s state finals — and is primed to defend its title in the event. Concord De La Salle (40.81) was the second-fastest qualifier, followed by the other heat winners, Rancho Cucamonga (40.87) and Loyola (40.93).
“We got the stick around pretty good today,” said Jorden Wells, who ran the first leg Friday instead of his customary second leg, which was run by Jaelen Hunter. “Did it feel different? Not really, I’ve done it before.”
Wells said his twin brother Jace will run the first leg Saturday, he will run the second while Kamil Pelovello and Benjamin Harris will stay in the third and fourth positions.
Harris, the favorite to win the 100 meters, won his heat in a wind-legal 10.36, but three others were fractions faster in wind-aided times — Elk Grove’s Cy Lugo (10.20), Will Wood’s Deshawn Seymour (10.34) and De La Salle’s Damari Dean (10.34). Newbury Park’s Jaden Griffin won the last heat in 10.37, setting the stage for an exciting finals sprint as all nine qualifiers ran under 10.48.
Harris put himself in position for a Saturday double by winning his 200 heat in 21.10 but as he did in the 100, Lugo (the Sac-Joaquin Section record holder) had the fastest time (20.73), followed by Seymour (20.88), Camren Hughes (20.93) of Palos Verdes and Jace Wells (21.02). Jordan Wells (21.11) also made the cut.
Newbury Park’s Jaden Griffin, center, shouts after winning his heat in the 100 meters at the CIF state track and field preliminaries on Friday.
(Steve Galluzzo / For The Times)
Servite (3:15.43) had the second-fastest qualifying time in the 4×400-meter relay behind only El Cerrito (3:14.96) of the North Coast Section.
Coming off a state-record 3:33.83 at the Masters Meet in Moorpark, Long Beach Wilson’s 4×400 girls relay had the fourth-fastest qualifying time (3:46.73) without two out of its best runners (Clara Adams and Saniah Varnado), taking second in the first heat behind San Luis Obispo (3:45.85) and safely advancing to the finals along with Heat 2 runner-up Rosary (3:45.08) and Heat 3 winner Canyon Country Canyon (3:46.77).
Having broken the Southern Section record in the 400 meters six days earlier in 51.98, Adams put it in cruise control to win her heat in 53.53, the fastest qualifying mark. Joining her in the final will be her three relay teammates Varnado (54.42), Wilson (54.57) and Fowler (54.62). Adams later won her 200 heat in 23.60, a tenth of a second behind fastest qualifier Naiaja Sizemore of Vanden.
San Jacinto Valley Academy’s Kaahliyah Lacy ran a wind-legal 13.59 for the top qualifying spot in the girls 100 hurdles and Varnado (40.85) was the top qualifier in the 300 hurdles.
Another showdown is brewing in the boys 400, where Loyola’s Ejam Yohannes (47.08) and Hunter (47.21) won their heats in the two fastest times Friday. Hunter clocked 46.32 to set a California freshman record last spring, but lost to Yohannes by 11 hundredths of a second at the Masters Meet.
City Section champion Jayden Rendon showed good form in his bid to defend the state 300 hurdles crown, posting the fastest prelims time (36.80). He also advanced to the finals in the 110 hurdles with a 13.83 effort. Moorpark’s Davis Benson (14.03) nabbed the last spot.
Corona Santiago’s Braelyn Combe, right, wins the first heat of the 800 meters at the CIF state track and field preliminaries on Friday.
(Steve Galluzzo / For The Times)
Corona Santiago senior Braelyn Combe won her 1,600 heat in 4:46.88 and is set for a four-lap battle with San Diego Section champion Chiara Dailey of La Jolla, who won the second heat in 4:46.00. Combe is the defending champion, having edged Hanne Thomsen of Santa Rosa Montgomery by five hundredths of a second in the finals last year.
“I just wanted to advance with as little effort as possible,” Combe said. “It was not as hard as I expected. I don’t want to leave any regrets. I’m taking it one race at a time.”
Combe also had the fastest time (2:08:25) of three heats in the 800 meters.
Venice senior Lawrence Kensinger, who set the City Section shot put record with a state-leading throw of 65 feet 11 inches last week, had the third-best mark at prelims (59-6¾) and easily advanced to the finals. Defending state high jump champion JJ Harel of Sherman Oaks Notre Dame tied nine others for the second-best mark (6-6) heading into the second day.
Aliso Niguel senior Jaslene Massey had the top marks in the girls shot put (51-3¾) and discus (175-6) and transgender athlete AB Hernandez from Jurupa Valley was the leading qualifier in the girls long jump (20-5½) and triple jump (41-8½) and was one of 13 qualifiers in the high jump.
AB Hernandez competes at the CIF state track and field preliminaries at Buchanan High School on Friday.
(Tomas Ovalle / For The Times)
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We’re approaching the biggest sporting event North America has ever hosted.
The 2026 FIFA World Cup takes place across the USA, Canada and Mexico in 13 days.
Bettors and fans already have their sights set on the global spectacle, which will kick off on June 11. The World Cup final will be held at New Jersey’s MetLife Stadium on July 19, 2026.
After the World Cup groups were announced in December, Spain opened as the favorite at +450, followed by England (+550) and France (+750).
Now, with less than two weeks to go, Spain has slightly drifted to +475, with both France and England making up ground on the oddsboard.
Let’s dive into the odds via DraftKings Sportsbook as of May 29.
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2026 World Cup winner odds
Spain: +475 (bet $10 to win $57.5 total)
France: +500 (bet $10 to win $60 total)
England: +650 (bet $10 to win $75 total)
Brazil: +850 (bet $10 to win $95 total)
Argentina: +900 (bet $10 to win $100 total)
Portugal: +1000 (bet $10 to win $110 total)
Germany: +1400 (bet $10 to win $150 total)
Netherlands: +2200 (bet $10 to win $230 total)
Norway: +3500 (bet $10 to win $360 total)
Belgium: +3500 (bet $10 to win $360 total)
Colombia: +4000 (bet $10 to win $410 total)
Morocco: +5000 (bet $10 to win $510 total)
Uruguay: +5000 (bet $10 to win $510 total)
United States: +6000 (bet $10 to win $610 total)
Switzerland: +6500 (bet $10 to win $660 total)
Japan: +6500 (bet $10 to win $660 total)
Mexico: +8000 (bet $10 to win $810 total)
Croatia: +8000 (bet $10 to win $810 total)
Ecuador: +8000 (bet $10 to win $810 total)
Senegal: +9000 (bet $10 to win $910 total)
Sweden: +10000 (bet $10 to win $1,010 total)
HOST NATIONS
United States
The United States is led by Christian Pulisic, Weston McKennie, Tyler Adams, and Chris Richards, with several players competing in Europe’s top leagues. The U.S. has appeared in 11 previous World Cups, with its best finish coming in 1930 when the team reached the semifinals.
Canada
Canada’s key players include Alphonso Davies and Jonathan David, giving the squad top-tier pace and goal-scoring ability. Canada has made two previous World Cup appearances, and is still looking for its first win ever in the tournament.
Mexico
Mexico’s top contributors include Raul Giménez and Edson Álvarez, forming a strong mix of attacking talent and midfield stability. Mexico has played in 17 previous World Cups and reached the quarterfinals twice, in 1970 and 1986.
UEFA TEAMS TO KNOW
Spain
Spain’s top talents include Pedri, Lamine Yamal and Rodri, forming a core that blends elite playmaking with scoring depth. Spain has appeared in 16 previous World Cups and won the tournament once, lifting the trophy in 2010. The team also won the 2024 Euros.
France
France enters with Kylian Mbappé as the star player, with the 26-year-old just five goals shy of passing Miroslav Klose (16) for the most career goals at the World Cup. France has made 16 previous World Cup appearances and won the title twice, in 1998 and 2018.
England
England’s key players include Harry Kane, Jude Bellingham and Declan Rice, forming one of the nation’s strongest generations in decades. England has reached 16 previous World Cups and won the trophy once, in 1966.
Germany
Germany features Florian Wirtz, Jamal Musiala and Joshua Kimmich as central figures in a talented squad. Germany has participated in 20 previous World Cups and won four titles, most recently in 2014.
Portugal
Portugal’s top group includes Bruno Fernandes, Vitinha, with Cristiano Ronaldo still involved as the team’s all-time leading scorer and cap leader. Portugal has competed in eight previous World Cups and recorded its best finish in 2006, reaching the semifinals.
Netherlands
The Netherlands features top players such as Virgil van Dijk, Ryan Gravenberch and Denzel Dumfries, forming a core built around elite defending and midfield control. Memphis Depay should also be on the team, the country’s all-time leading goalscorer. The Netherlands has appeared in 11 previous World Cups and finished as runner-up three times, in 1974, 1978 and 2010.
CONMEBOL TEAMS TO KNOW
Argentina
Argentina is anchored by Lionel Messi, with Julián Álvarez, Enzo Fernández and Lautaro Martínez— headlining one of the most talented rosters in the tournament. Argentina has played in 18 previous World Cups and won three, including the most recent tournament in 2022.
Brazil
Brazil’s roster is led by Vinícius Júnior, Raphinha and Marquinhos, giving the team elite attacking and defensive quality. Brazil has appeared in every World Cup and holds a record five titles, with its most recent one coming in 2002.
Uruguay
Uruguay’s leading players include Federico Valverde, Darwin Núñez and Ronald Araújo, forming a core with elite midfield range and speed. Uruguay has appeared in 14 previous World Cups and won the tournament twice, in 1930 and 1950.
Colombia
Colombia is headlined by Luis Díaz and James Rodríguez, with the former playing for Bayern Munich and the latter having a decorated World Cup résumé. Colombia has made six previous World Cupsand recorded its best finish in 2014, reaching the quarterfinals.
CAF TEAMS TO KNOW
Morocco
Morocco’s key contributors include Achraf Hakimi, Noussair Mazaroui and Brahm Díaz, each with major European club experience. Morocco has appeared in six previous World Cups and achieved its historic best finish in 2022, reaching the semifinals.
Senegal
Senegal’s top players include Sadio Mané, Kalidou Koulibaly and Idrissa Gueye, forming one of Africa’s most experienced cores. Senegal has appeared in three World Cups and reached its best finish in 2002, advancing to the quarterfinals.
Ghana
Ghana is led by Mohammed Kudus, Antoine Semenyo and Inaki Williams, giving the squad strong playmaking and midfield presence. Ghana has competed in four previous World Cups and reached its best result in 2010, making the quarterfinals.
AFC TEAMS TO KNOW
South Korea
South Korea is headlined by Son Heung-min, supported by key players such as Kim Min-jae and Lee Kang-in. South Korea has played in 11 previous World Cups and reached its best finish in 2002, advancing to the semifinals as co-host.
Japan
Japan features Takefusa Kubo and Kaoru Mitoma as its leading players, blending top European experience with emerging talent. Japan has appeared in seven previous World Cups and reached the Round of 16 four times, its best result to date.
Australia
Australia’s top players include Jackson Irvine and keeper Mathew Ryan as its most experienced members. Australia has competed in six previous World Cups and reached the round of 16 twice, in 2006 and 2022.
OFC TEAMS TO KNOW
New Zealand
New Zealand is led by all-time leading scorer Chris Wood, with 45 international goals to his name. New Zealand has appeared in two previous World Cups (1982, 2010), and did not advance from the group stage in either appearance.
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