Passan: Pitching injuries are out of control — and it’s time to take action
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Jeff Passan, ESPN
It’s all so ugly. Every day, it seems, another ulnar collateral ligament falls prey to the mere act of throwing a baseball. In a recent 48-hour period, Eury Perez, Shane Bieber and Spencer Strider — the best young pitcher in baseball, the 2020 American League Cy Young winner and the game’s current strikeout king, respectively — all went down with damaged elbows. A game already too thin on starting pitching continues to lose its greatest talent at an alarming rate.
The elbow crisis has been building for decades, from youth levels to the major leagues, and nobody in a position of power has done anything of substance to address it. This is not a bad stretch of luck or an anomaly. It’s an existential problem for baseball.
In addition to Perez and Bieber, who will soon undergo Tommy John surgery, and Strider, who might need his second at 25 years old, the list of players currently recovering from elbow reconstruction include an MVP (Shohei Ohtani), Cy Young winners (Jacob deGrom, Sandy Alcantara, Robbie Ray), All-Stars (Shane McClanahan, Walker Buehler, Lucas Giolito, Felix Bautista) and young standouts (Dustin May, Andrew Painter, Shane Baz, Kumar Rocker). Reigning American League Cy Young winner Gerrit Cole is out until at least the end of May with elbow issues.
On and on it goes, this unrelenting train of bad news, and if this isn’t a call to action for everyone with a whit of influence in the baseball universe to pour their energy into confronting it, nothing is. For the sake of the game, the whole of the sport must work together to crack a dilemma with no obvious solution.
Which made the dueling statements from the Major League Baseball Players Association and MLB on Saturday so disappointing. An issue this complex, this difficult to wrangle, demands cooperation from all parties with the ability to affect change. Instead, the public proclamations in the wake of the latest Tommy John surgeries oozed pettiness.
The union’s statement focused on the pitch clock, implemented in 2023, and the 2-second reduction with runners on base amended this season. It did not mention the sport’s drastic increase in pitch velocity or the constant maximum-effort approach pitchers take or the extreme emphasis on spin or the proliferation of year-round baseball or any other number of potential contributing factors. It relitigated a single issue — a not-unreasonable one, but one nonetheless — of a multipronged problem, saying: “The league’s unwillingness thus far to acknowledge or study the effects of these profound changes is an unprecedented threat to our game and its most valuable asset — the Players.”
MLB’s response did not help matters. It did discuss velocity and spin — and trumpeted the league’s efforts to combat elbow injuries through a research study it’s currently undertaking. But in trying to defend the pitch clock — one of the defining accomplishments of commissioner Rob Manfred’s tenure — the league cited a study from Johns Hopkins University “that found no evidence to support that the introduction of the pitch clock has increased injuries.”
Without any sense of the exact questions the study sought to answer, the data it combed through and the specificity of its conclusions, it’s difficult to glean anything meaningful from the league’s proclamations. Considering the study remains in peer review, using its unverifiable findings, even as a rejoinder to the union’s statement, speaks to a lack of transparency that’s imperative in tackling the problem.
Here’s what progress would look like: The voices of current pitchers — the ones who step out on the mound knowing their elbows are ticking time bombs — factoring heavily in MLB’s decision-making. They are the ones who feel the pain, who internalize the fear that what’s expected of them — throw harder, spin faster — predisposes them to major surgery. They’re the ones who exist in an industry that asks ever more of them — more velo, nastier stuff, full-tilt all the time — and leaves behind those who don’t offer it.
Pitchers have always gotten hurt — and will always get hurt — but at the highest levels the causes have morphed from longer-term overuse injuries to shorter-burst, higher-intensity, muscles-and-ligaments-can’t-handle-it ones. Teams incentivize pitchers to throw in a way that many experts believe is the root cause of the game’s injury issues. As much as velocity correlates with injuries, it does so similarly with productivity. Throw harder, perform better. It’s a fact. It’s also bad for the health of pitchers — and the game.
At the same time, it’s not the only factor. The fact that the union wants more information on the pitch clock should matter to MLB. Even if the league did bargain for unilateral control over on-field rules changes during negotiations with the MLBPA, it can’t ignore what players continue to begrudge. This isn’t idle bellyaching. Pitchers want to understand why the extra 2 seconds shaved off the clock this year were so imperative. And why they aren’t entitled to one or two timeouts a game when they feel discomfort — a nerve sending a shock of pain up their arm, a muscle spasming and in need of a break. And why there still isn’t an accepted grip agent to help with balls they believe remain inconsistently manufactured. All issues of health.
Pitchers know the injury data. They’ve seen the number of Tommy John surgeries ballooning at the big league level. It’s even more pronounced in the minor leagues, and the surge over the last decade does align with the implementation of the pitch clock at lower levels. But it also coincides with baseball’s pitch-design era, in which the use of technology — Trackman and Rapsodo machines that gauge spin characteristics and super-slow-motion cameras that capture grips and releases — allows pitchers to fabricate new pitches not based on their comfort or ease throwing them but detailed movement measurements to which they aspire.
Maybe it’s the clock. Maybe it’s pitch design. Maybe it’s velocity. Maybe it’s all of the above. Regardless of what it is, one truth the baseball universe knows is that the greatest predictor of a future arm injury is a past arm injury. In other words: The litany of pitchers who are hurt now are at far greater risk to get hurt again.
When a sport has evolved to the point where half of its participants are encouraged to compete in a way deeply detrimental to their short-term — and, in many cases, long-term — health, there is no room for politicking, bickering, blaming. With a sound process and commitment from both sides to it, all of the important questions will be asked and, hopefully, answered. This is about the people, and it is about the game, and it is about the awful place where the two are intersecting.
If anything in baseball deserves max effort, this is it.
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Ryan S. Clark
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Kristen Shilton
The 2023-24 NHL regular season was an entertaining one, with races for playoff position, point and goal leaders, and major trophies all coming down to the bitter end.
But not every fan base got to enjoy all of it so much.
With eliminations piling up, it’s time to look ahead to the offseason. Clubs that didn’t quite hit the mark this season will use the draft, free agency and trades in an effort to be more competitive in 2024-25.
Read on for a look at what went wrong for each eliminated team, along with a breakdown of its biggest keys this offseason and realistic expectations for next season. Note that more teams will be added to this story as they are eliminated.
Note: Profiles for the Atlantic and Metro teams were written by Kristen Shilton, while Ryan S. Clark analyzed the Central and Pacific teams. Stats are collected from sites such as Natural Stat Trick, Hockey Reference and Evolving Hockey. Projected cap space per Cap Friendly. Dates listed with each team are when the entry was published.
Jump to a team:
ANA | ARI | BUF | CGY
CHI | CBJ | DET | LA
MIN | MTL | NSH | NJ
NYI | OTT | PHI | PIT
SJ | SEA | STL | TB
WSH | WPG
It all comes down to this. After it looked like the Boston Bruins were going to breeze right by an imploding Toronto Maple Leafs team, the blue and white stormed back to take Games 5 and 6.
Now it’s 3-3 in the series, and a trip to the second round is on the line between the rivals as they face off in Game 7 Saturday night in Boston (8 p.m. ET, ABC/ESPN+).
Which players will be most critical to their team’s success? And who wins the game?
Who is the one key player you’ll be watching for the Bruins?
Ryan S. Clark, NHL reporter: Charlie Coyle. Coyle has two assists and zero goals through six games against the Maple Leafs. It’s a bit jarring, considering he scored a career-high 25 goals and 60 points this regular season (both third most on the team). That allowed the Bruins to get by without more established top-six options down the middle.
This also goes back to Jim Montgomery saying he needs more from his stars. Although he was talking mostly about Brad Marchand and David Pastrnak, the regular-season numbers Coyle put up mean there are expectations for him as well.
Kristen Shilton, NHL reporter: Jeremy Swayman. That’s assuming Jim Montgomery doesn’t go completely off the deep end and start Linus Ullmark in Game 7. Swayman has been the Bruins’ backbone in this series and their most consistent performer — with the .947 save percentage and 1.60 goals-against average to prove it.
But while Swayman has been excellent in these playoffs — and was great in Boston’s last postseason go-around, too — he has never won an elimination game. That will obviously have to change in Game 7 for the Bruins to advance. Montgomery said earlier in the first round he thought Swayman was in the Leafs’ heads a little bit. Well, now it’s time for Swayman to show that script hasn’t flipped to where Toronto is messing with his mojo.
Greg Wyshynski, NHL reporter: Brad Marchand. These are the moments that define a player’s captaincy. I spoke with Marchand before the season, and no one was more disgusted with Boston squandering its series against the Florida Panthers than he was, feeling that the Bruins cost two of their players — Patrice Bergeron and David Krejci — the “fairy-tale ending” that they deserved.
Marchand didn’t have a point in Game 7 against the Panthers last season. He hasn’t hit the score sheet in the past two losses to the Maple Leafs. He didn’t have a shot on goal in Game 5, and he has six penalty minutes combined in those two losses. He’s the heartbeat of the Bruins. If he’s not a difference-maker in Game 7, it’s another “fairy tale” with “THE END” printed on page one for Boston.
Who is the one key player you’ll be watching for the Maple Leafs?
Clark: Max Domi. What Domi accomplished in the playoffs last year by helping the Stars get to the Western Conference finals showed he can be a key player for a playoff contender. He leads the Maple Leafs in points, and he has looked like one of their better players to this stage.
Three of his four points have been assists, which means he’s able to facilitate play for others. But it also goes back to what he did last year. The 13 points Domi had in 19 playoff games with the Stars is what made him such an attractive option in free agency. Now it’s about seeing whether Domi can continue building his postseason résumé with the sort of performance that can get the Leafs into the second round.
Shilton: Mitch Marner. There’s something about Auston Matthews not being in the Leafs’ lineup — it just brings out the best in Marner. He was sensational for Toronto in Games 5 and 6, revealing a confidence and determination at both ends of the ice that was lacking in his previous playoff performances.
Where Marner could have more of an impact is on the scoresheet. He has just one goal and two assists through the six games, and while Toronto has benefitted in its comeback from contributions outside the core, it would be a boost for both Marner and the Leafs to see him capitalize on those golden opportunities (like when his shot went off the post in Game 6). It feels like Marner is still on the cusp of a breakthrough, production-wise. There’s no time like Game 7 to make that a reality.
Wyshynski: Joseph Woll. Stanley Cup playoff history includes a number of rookie goalies popping off and becoming postseason heroes. I’m not saying Joseph Woll is going to be Ken Dryden or Patrick Roy or even Cam Ward, but he has given the Leafs everything they need in goal right now: a .964 save percentage and an 0.86 goals-against average in his two games since replacing Ilya Samsonov.
The huge goaltending advantage Boston had with Jeremy Swayman has been mitigated. We’ve got some proof of concept now with Woll, as he played well in last season’s playoffs, too. The Leaf-iest thing would be for Woll to melt down and give up three goals in the first 10 minutes in Game 7 on the road. But at this point, I’d be surprised if the rookie goalie costs them the game — and not surprised at all if he’s the reason they win it.
The final score will be _____.
Clark: 4-3 Bruins in OT. How much did the Bruins learn from last year’s first-round exit, and can they avoid a similar fate Saturday? Those are the two major questions they’ll be seeking to answer. One way to answer those questions is by establishing the “big period” like they did in Game 1, when they scored three goals in the second period and again in Game 3 when they scored three in the final frame.
Maybe that happens. Or maybe it’s too late given how they’ve looked in Games 5 and 6. But if the Bruins want to win this game, it’s about trying to find that one period in which they can pump in multiple goals, with those goals coming from different parts of their lineup.
Shilton: 2-1 Leafs. Scoring has been at a premium lately in this series, and given how well Swayman and Woll are playing, Game 7 doesn’t project as a barn burner. Boston was in control, but now the Bruins look lost at times.
Toronto has played with Game 7 levels of urgency twice already, and Boston will have to match that on the fly come Saturday — while grappling with how they went from dominant to docile so quickly. The Bruins have had their chances to close the Leafs out, but Toronto has snatched all the momentum; plus, the Leafs have been a terrific road team all season (and in this series).
Wyshynski: 3-1 Leafs. Bruins coach Jim Montgomery went from calling their first-round disaster last season a teachable moment after Game 5 to declaring that Boston is not living in the past after Game 6. Sorry, but the déjà vu is simply too strong here: 3-1 lead, overtime loss at home, loss on the road, back to Boston for Game 7.
The Bruins look slow. They look ineffective. The Leafs are playing the kind of simple, straight-ahead game the Bruins used to be known for playing: dominating zone time and the face-off circle. I’m not sure Boston can flip the script. The Bruins have lost six straight games with a chance to clinch a playoff series, tied for the seventh-longest streak by any team in NHL history.
We all assumed the pressure of a Game 7 in Boston would crush the Maple Leafs. At this point, is there any question that the Bruins are the ones with the flop sweat?
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