The Yankees announced that closer Andrew Miller will be placed on the disabled list with a strained muscle in his throwing forearm.
By Ryan Hatch
NEW YORK — On Wednesday, after a 5-4 loss in 11 innings to the Washington Nationalsat Yankee Stadium, the Yankees announced that closer Andrew Miller would be placed on the disabled list with a strained mass flexor muscle.
The flexor muscles are the muscles that bend or flex fingers. The Flexor Pronator Mass is in your forearm by the elbow. The tendons that connect arm muscles to finger bones stretch from the elbow to the fingers. These muscles and tendons allow a pitcher to grip or throw a ball. Muscle and tendon strains are actually tears.
Because pitchers use these muscles and tendons with great frequency, they are subject to overuse inflammation and injury.
Here’s a description of the injury fromorthopaedic surgeon Dr. David Geier:
A flexor-pronator strain of the elbow is a common source of pain in the elbows of pitchers.
The flexor-pronator muscle are a source of medial elbow pain in throwing athletes.The pain is located on the medial side of the elbow (the inside of the elbow closest to the body). There are many causes of pain on the medial side of the elbow in pitchers and other throwing and overhead athletes, such as medial epicondylitis (golfer’s elbow), ulnar neuritis or ulnar nerve compression, and ulnar collateral ligament injury. Diagnosis of this injury can be difficult.
A flexor-pronator strain can either result from an acute event or can develop as a result of overuse. A pitcher who has an acute flexor-pronator strain will remember a specific throw where he felt sharp pain on the medial side of the elbow. His pain will usually be located just past the bony prominence on the inside of the elbow. He often will have pain flexing the wrist or pronating the forearm.
In high-level athletes an MRI is often ordered to ensure that the pain is not coming from an underlying injury to the ulnar collateral ligament, also known as the Tommy John injury.
Most of the time, a flexor-pronator strain is treated with rest from pitching for several weeks to give the tendons time to heal. Ice and physical therapy can also be helpful to decrease the athlete’s symptoms. As the pain improves, the pitcher will be started on a long toss program prior to returning to full pitching.
By Ryan Hatch