Noting the injuries: Where the O's stand in player games missed

Henderson and Westburg celebrate win

As the phrase goes the Orioles have been “getting the band back together” getting some of their injured list players back recently as Jacob Webb, Danny Coulombe, Ryan Mountcastle, Ramón Urías, Jordan Westburg and Heston Kjerstad have all made it back to the active roster.

It is a big boost to a team that recently had 12 players on the injured list.

And while the O’s pitching staff took a big injury hit even before the All-Star break, some MLB stats indicate that the Orioles have not been hurt as badly on the injury front as other clubs. At least when looking at player games missed.

This is total games that players on the injured list have missed this year for each club and each missed game counts the same whether it is an All-Star that is out or the last guy on the roster. So we need to keep that in mind.

But here are the top clubs in most player games missed to this point, according to Stats Perform:

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Elias: "We’ve been going through a patch here for a few months and it’s been trying for all of us"

Mike Elias

Executive vice president/general manager Mike Elias’ media availability yesterday in the home dugout at Camden Yards hinted at bad news.

That’s what happens when an organization is pelted with it. The first instinct is to assume the worst and seek shelter.

There were three options with Elias: One or more of the injured players had a setback, a roster move warranted an explanation, or he just decided to meet the press before the last homestand of the season.

Elias declined to make an opening statement, which destroyed the injury theory. And the roster went unchanged.

“If it’s all right with you guys,” he said, “I’ll just open it up to questions.”

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Abrams remains out of lineup, Williams making another rehab start

abrams k @BAL

CJ Abrams remains out of the Nationals lineup for this afternoon’s finale against the Marlins. It’s the third straight game the young shortstop will miss, but the team remains hopeful he could be available off the bench to pinch-hit.

Abrams was scratched from the lineup before Friday’s game after jamming his left shoulder while making a diving play at short Thursday night. Nasim Nuñez will make his third straight start in place of Abrams, playing shortstop and batting ninth. The switch-hitting Rule 5 pick has gone a combined 0-for-6 over the last two games.

“We're gonna hold him back,” manager Davey Martinez said of Abrams during his pregame media session. “We'll hope that maybe he can pinch-hit today. He's still feeling it a little bit, so we'll keep him down. He's getting treatment and everything. Hopefully, he can pinch-hit today and then be ready to go tomorrow.”

The Nats didn’t schedule any further testing for Abrams, specifically an MRI, and are confident there isn’t any significant damage to his shoulder.

“No, the doctor looked at it and said it's just an impingement,” Martinez said. “He thinks there's nothing damaged in there.”

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Injury updates on Urías, Webb, Mountcastle, Westburg and Kremer

Ramon Urias disappointed orange home

Ramón Urías ditched his crutches and is offering positive news on his sprained right ankle, including his readiness to begin baseball activities in a couple of days.

Urías said earlier today that the ankle is feeling “pretty good” and “progressing fast.”

“I’m walking now, it feels pretty normal,” he said while standing at his locker. “Hopefully can start doing some baseball activities soon.”

Urías rolled the ankle while covering third base in the seventh inning of Saturday’s game in Colorado, the same night that he also was hit on the nose by a pitch and Dean Kremer exited in the fourth after taking a line drive off his right forearm.

Kremer is starting tonight. Urías won’t be ready for reinstatement when eligible on Wednesday but is aiming for a return later this month.

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Cavalli throwing first bullpen since bout with "dead arm"

cavalli

MIAMI – Cade Cavalli last stepped on a mound on June 21 with High-A Wilmington. It was the third – and last – of his official rehab starts as he continued his recovery from last year’s Tommy John surgery. And it was the most encouraging of his rehab outings to date: He pitched three scoreless, hitless innings.

The initial target date for his major league return was in late June/early July, which was established after his March 2023 surgery. It was approaching and there was legitimate hope he would rejoin the Nationals rotation for the second half of the season.

But that target date and Cavalli’s whole rehab process was shaken up by a subsequent case of the flu and a period in which he experienced “dead arm” when he threw a ball.

“We shot for a date and we tried everything possible to get there. And sometimes the arm just doesn't respond like we wanted it to,” said Cavalli, who once again met the Nats in Miami from the team’s spring training facility in West Palm Beach, where he was rehabbing. “It wasn't anything horrible. Good news is we're still healthy. Just had to slow it down a little bit. It's part of the TJ recovery, as you know. It's 15 to 18 months for a reason, so we're just taking it slow and easy. Making sure that it's right and that it's the right time when I get back, so that we don't have to have another setback, hopefully.”

Setbacks happen in long rehab processes. Cavalli and the Nats just didn’t expect him to have two of them in quick succession when he was sick and then felt like he wasn’t throwing as well as he should have at that point in the rehab.

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James McCann on Orioles' injuries: “I’d say not surprised as much as, ‘Here we go again'"

Dean Kremer after being hit in the forearm

DENVER - The reaction is about what you’d expect. Players watch a teammate sustain an injury and struggle to comprehend the reasoning or keep count.

Zach Eflin is reinstated from the injured list and starts yesterday’s series finale in Colorado, less than 24 hours after a 103.1 mile line drive slams into Dean Kremer’s right arm, creating a Rocky Mountain high welt above his wrist. The Orioles were dumped again into their gain-one, lose-one way of life.

Kremer has avoided the injured list and perhaps the off-day Thursday works in his favor. But he lasted only 3 1/3 innings and manager Brandon Hyde used six relievers in a 7-5 loss. Hyde said yesterday that he’d be surprised if Kremer started in the next four or five days.

Ramón Urías is hit on the nose by a 93.8 mph sinker, stays in the game and rolls his ankle covering third base. He’s on crutches and the 10-day IL, putting the Orioles’ hottest hitter on ice for an indefinite period.

If it wasn’t for bad luck …

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Orioles put Mountcastle on injured list and recall Soto

Ryan Mountcastle shoulder injury

The Orioles can’t keep playing with a short bench. They can’t keep waiting for Ryan Mountcastle’s status to shift from day-to-day.

They also can't maintain a healthy stretch in 2024.

Mountcastle was placed on the 10-day injured list this afternoon, retroactive to Friday, with a left wrist sprain. Infielder Livan Soto was recalled again from Triple-A Norfolk.

The injury occurred Thursday night against the Astros after Mountcastle slid head-first into second base with a double in the second inning. He was removed in the top of the ninth and didn’t play in the next three games.

The earliest that Mountcastle can return is Sept. 2, a day after rosters expand to 28 players.

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More on Eflin's trip to the injured list, Westburg updates his recovery from broken hand

Zach Eflin

NEW YORK – The number of pitchers on the Orioles injured list has grown to eight, including five starters.

Health issues are prevalent throughout baseball, and the Orioles are maintaining their status as shining and painful examples of it. Seemingly at every turn.

Zach Eflin is experiencing some inflammation in his right shoulder that landed him on the 15-day injured list this afternoon. He was supposed to take the ball for Wednesday afternoon’s series finale against the Mets.

The move is retroactive to Saturday.

“Hopefully it’s just short term,” said manager Brandon Hyde. “After his start his shoulder was a little bit sore. It had been getting better the last few days, and so we were kind of hopeful, but also a little bit concerned about it. He had to make the start tomorrow and had him come out and throw a little bit today. We just feel like the right thing to do right now is to give him a little bit extra time with the shoulder.

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Law lands on IL with elbow strain, plus other bullpen roster moves

law vs PIT

PHILADELPHIA – The Nationals figured they were going to need bullpen help after seven relievers combined to cover almost 10 innings over the last two games. They just didn’t figure an injury would also creep up on one of their most trusted relief pitchers.

Right-hander Derek Law landed on the 15-day injured list this afternoon with a right elbow flexor strain, while left-hander Robert Garcia was placed on the bereavement list. To fill their spots in the ‘pen, the Nats selected the contract of left-hander Joe La Sorsa and recalled right-hander Joan Adon from Triple-A Rochester.

Law’s injury comes after he pitched an important scoreless eighth inning last night on 12 pitches to give the Nats a chance to rally in the ninth. The right-hander said he was supposed to go back out for the ninth of a newly tied game, but he and the Nationals decided it wasn’t a good idea with his elbow bothering him, leading to closer Kyle Finnegan coming in and surrendering the game-winning run without recording an out.

“Well, personally, I don't think it's really an injury. I feel pretty good,” Law said by his locker in the Nats clubhouse before tonight’s game. “Like today, I feel like I could throw. It's just kind of when I get up to the max-effort level for the last two weeks, I kinda have been grinding through it.

“The elbow has just been kind of barking. I think it's the flexor area. Honestly, it kind of came up during that rain game. When I was throwing, it was just soaking wet. I kind of felt something in there and I was just battling through it for a little bit. And finally, it just caught up yesterday. I was supposed to go back out for that ninth and I came in, not that there was no way I could do it, but I just didn't think it was the right decision to go back out there and do that. So I think just a little time off. Sadly, it has to be 15 days. I think I probably only need five or six, maybe seven. But I'll take my time, get right and be back in September.”

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Gallo set to begin rehab assignment; Williams, Cavalli throwing

Joey Gallo home run trot

Joey Gallo is finally ready to start playing in games again. Minor league games, to be sure, but games nonetheless.

Gallo, out nearly two months with a strained left hamstring, is set to begin a rehab assignment Tuesday with Triple-A Rochester, which could put the big slugger on track to rejoin the Nationals’ major league roster next week.

The 30-year-old is expected to play five innings at first base Tuesday when the Red Wings open a six-game road trip in Buffalo. He’ll then serve as designated hitter Wednesday, then play right field Thursday.

With the Nationals needing outfield help after the trades of Lane Thomas and Jesse Winker, and with Juan Yepez having hit well since taking over at first base last month, Gallo could wind up seeing more time in right field once he returns from the injured list.

“We’ll see how things go,” manager Davey Martinez said. “I love him playing first base; he’s done really well over there. But there will be some times when I might have to put him right field, so I want him to get some reps out there.”

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Gallo nearing rehab assignment, Cavalli still waiting to ramp up

gallo fielding blue

The time has come and passed to trade Joey Gallo, who the Nationals signed to a one-year, $5 million contract before spring training in hopes the veteran slugger could be a chip by the deadline. Now the club is just hoping he can return to the field soon for the final stretch run of the season.

Gallo, 30, has been on the 10-day injured list with a left hamstring strain since June 12. Although the former All-Star and Gold Glove Award winner was only batting .164 with a .606 OPS, five home runs, 11 RBIs and 71 strikeouts to 21 walks, the Nats would like him back as soon as possible to lengthen their lineup and play defense at multiple positions.

Although there were no real injury updates from manager Davey Martinez ahead of Friday’s opener against the Brewers, the closest thing was that Gallo hopefully could start a minor league rehab assignment as soon as next week.

“There's really nothing. Still nothing, no change. Everybody's still the same,” Martinez said of the team’s injury report to start his pregame session with the media. “I'm hoping, honestly, that Joey Gallo this weekend makes some progress and he'll go out on a rehab assignment sometime early next week. So right now that'll be the only change.”

While the slugger struggled at the plate, Gallo was playing solid defense for the Nats at first base, with 6 Defensive Runs Saved in 316 ⅓ innings. He also won both of his Gold Gloves earlier in his career while playing the outfield, so the Nats may have him play more out there over these next two months. Although Dylan Crews’ anticipated major league debut during that time would probably limit opportunities there.

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Cavalli close to ramping up again after bout of flu, dead arm

cavalli throwing blue

Cade Cavalli hoped all along to make his return from Tommy John surgery in June. And if not June, at least by July. But as the clock continues to tick and the right-hander still finds himself waiting to restart the latest phase of his extensive rehab program, it has become clear the Nationals are only going to be able to get a handful of big league starts out of their 2020 first-round pick before season’s end.

Cavalli, who had elbow ligament replacement surgery in March 2023, has made only three official minor league rehab starts, none since June 21 for Single-A Wilmington. In the month since that outing – he tossed three scoreless, hitless innings – he has been sidetracked both by the flu and a period in which he experienced “dead arm” when he threw.

The dead arm period, which manager Davey Martinez revealed for the first time today, prompted the Nats to further delay Cavalli’s throwing progression.

“We just wanted to keep him down, and honestly slow him down a little bit,” Martinez said. “He had that dead arm for a little while. And him being sick, we just didn’t want to push him. … It’s one of those things, he’s so young and he’s a big part of our future. We want to make sure we do everything right for the kid. We talked to him. He was in agreement. He wanted to take a little bit of a break, and then we’ll go from there.”

Cavalli, who turns 26 next month, remains in D.C. with the Nationals. He’s scheduled to go to West Palm Beach, Fla., next week and start his progression all over again, throwing off flat ground, then off a mound, then against live hitters before he goes on another rehab assignment.

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Gray to have elbow surgery, ending his 2024 season (Ferrer reinstated)

Josiah Gray

The Nationals returned from the All-Star break in high spirits. Everyone seemed to enjoy the much-needed week off after a brutal stretch to end the first half of the season.

But the vibes in the clubhouse took a turn when the team received some unfortunate, though not totally unexpected, news: Josiah Gray has a partial tear of his right UCL and will require elbow surgery, ending his season and delaying his start to next year.

The right-hander experienced elbow discomfort during his last rehab start on June 30 with Triple-A Rochester, so the Nationals shut him down and scheduled an MRI and a consultation with specialist Keith Meister during the All-Star break.

The results were what they feared the most.

“It got looked at by Dr. Meister over the All-Star break and we found a little partial tear in UCL. So we're gonna opt for elbow surgery here,” Gray said in front of his locker in the Nats clubhouse before the second-half opener against the Reds. “It's gonna, obviously, end the year for me. I got a long road ahead, but that was kind of what the doctor saw and we got that opinion from him and we're kind of going to hit the ground running.”

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Gray shut down with elbow discomfort, will get new MRI

Josiah Gray

Josiah Gray is unlikely to pitch again for some time after the right-hander experienced elbow discomfort during his last rehab start, prompting the Nationals to schedule an MRI and a consultation with Dallas specialist Keith Meister during the All-Star break.

Though they don’t yet know the extent of this setback, the Nationals and Gray admittedly are worried about the possibility of a serious injury that requires him to miss considerable time after he already spent nearly three months trying to make it back from a flexor strain in his elbow and forearm.

“I’m a little concerned right now,” manager Davey Martinez said. “We got him ramped up, he looked good. Last outing, the velo wasn’t there. He said he just felt tired. His arm, he felt like he had nothing in there. So we’ll wait and see what happens.”

Gray was making his fifth rehab start of the month Sunday, his previous outing Tuesday for Triple-A Rochester going exceptionally well: six innings of one-run ball on 73 pitches. This latest appearance bore little resemblance to that one, with Gray getting roughed up for seven runs in three innings and his fastball topping out at 91.9 mph.

“Honestly, I felt really good going into it,” the 26-year-old said. “And then in between innings, I didn’t feel like I was recovering well. I just felt a little fatigued. Told the trainers, and we tried to get ahead of it. We’ll see what we’ve got when we get the MRI.”

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This, that and the other from the Bronx

Corbin Burnes

NEW YORK - The wise and accomplished veteran is an Oriole for reasons beyond his awards and ace status.

Corbin Burnes can teach. He can mentor. And man, is he needed right now.

The rotation is crumbling at Burnes’ feet. John Means, Tyler Wells and now Kyle Bradish underwent surgery on their right elbows. Reconstructive, repairs, whatever. It’s all bad. And Dean Kremer can’t help because he’s on a rehab assignment with Triple-A Norfolk.

The other starters behind Burnes include Grayson Rodriguez, who hasn’t pitched a full season in the majors, and Cade Povich, who’s made a grand total of three starts. Albert Suárez hadn’t appeared in a major league game since 2017 prior to this season.

Burnes spoke to Rodriguez recently and also Bradish before news of his Tommy John surgery. The advice wasn’t complicated but the urgency rang loud and clear.

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Coulombe injury latest obstacle Orioles must clear

Danny Coulombe

The Orioles are tested almost on a daily basis. The opponent is just a fragment of it.

Injuries are rampant throughout baseball and no one is feeling sorry for manager Brandon Hyde’s club, but a hug now and then would be nice.

The Braves are trying to catch the Phillies without outfielder Ronald Acuña Jr., who now has torn the anterior cruciate ligament in both knees in the last three years. The Phillies just lost catcher J.T. Realmuto to right knee surgery and already were missing shortstop Trea Turner and outfielder Brandon Marsh to hamstring injuries.

The Yankees are fighting to stay ahead of the Orioles while waiting for Gerrit Cole to make his 2024 debut. Outfielder Juan Soto missed time with left forearm inflammation. Mariners first baseman Ty France fractured his right heel.

This is just scratching the surface, which feels more like deep cuts.

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Williams' rehab includes two-week shutdown from throwing

williams v BAL

Trevor Williams will be shut down from throwing for two weeks after an MRI revealed a flexor muscle strain in the right-hander’s forearm. How much time the Nationals veteran starter will need to return after that remains an open question.

“There’s positive news from it: Everything structurally looks good. It’s just going to take some time,” Williams said this afternoon. “That’s the positive news. I wish it was just one start that I was skipping to be able to let my body recover. But unfortunately, it’s not that way.”

The Nats placed Williams on the 15-day injured list today, calling up left-hander DJ Herz from Triple-A Rochester to make his major league debut tonight against the Mets. The IL move is backdated to June 1, so Williams technically will be available to return as soon as June 16. But there doesn’t appear to be any reason to believe he’ll actually be ready that soon.

Williams said he felt fine during his last start Thursday in Atlanta, when he held the Braves to one run over 5 2/3 innings, throwing 95 pitches (his second-highest total of the season). But when he went to play catch the next day in Cleveland, he said his arm didn’t respond the way it usually does. And when the discomfort lingered through the weekend, the Nationals had him get an MRI to determine if there was an injury.

That MRI showed no issues with Williams’ elbow ligament or tendons, so the injury is purely muscular. Manager Davey Martinez called that diagnosis “best-case scenario.”

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Thomas looking to lengthen Nats lineup in return from IL

Lane Thomas

ATLANTA – Lane Thomas stepped up to the plate in a major league game for the first time since April 23 on Monday afternoon. After missing 29 games with a left MCL sprain, he was finally back in the No. 2 spot in the Nationals lineup for their series opener against the Braves.

Thomas took the third pitch he saw – an inside changeup from right-hander Charlie Morton – and ripped it into the left field corner. He sprinted out of the box, rounded first base and slid into second feet first for a double, his first of the year and just his third extra-base hit.

There was no hesitation. The knee is fine.

“No, if that was the case, I don’t know if I’d be here,” Thomas said yesterday of any mental handicaps coming back from an injury like that. “So I definitely got through all of those barriers with some of our medical staff. I feel good.”

Thomas came around to score easily on Eddie Rosario’s RBI double two batters later. He then doubled leading off the top of the ninth, again taking an off-speed pitch on the inside part of the plate and driving it into the left field corner. In his first game off the injured list, he finished 2-for-5 with two doubles and a run scored.

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Gray faces live hitters for first time, Cavalli strikes out eight in rehab start

gray pitching blue

It wasn’t much, only 23 pitches to a pair of hitters standing in front of a screen as several coaches and trainers watched from behind. For Josiah Gray, though, this was a significant step: His first time facing live batters since going on the injured list more than six weeks ago.

“Definitely put a smile on my face,” the Nationals right-hander said, “being able to get some pep back in my step and know that I’m able to go out there and face hitters. That’s what I love to do. That’s what I like: To just go out there and compete. So just a really, really important day, and I’m definitely going to enjoy this one.”

On the 15-day IL since mid-April with a flexor strain in his right elbow, Gray was cleared to start throwing again in short order. And he has been throwing off a bullpen mound for several weeks now.

But the Nationals wanted to hold off before taking this next step, wanting to make sure the 26-year-old was both in good physical shape and with clean pitching mechanics first.

“The thing is, we really want to try to keep this as more of a prevention thing,” manager Davey Martinez said. “We don’t want him to get hurt again. So we wanted to make sure we took time, that he was in his legs, that everything was sound. And then we can build up from there.”

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Thomas continues rehab, Wood out with hamstring tightness

thomas on second gray

Members of the local media walked into the Nationals clubhouse this afternoon expecting to see a familiar face back at his locker. But lo and behold, it was the same 26-man group getting ready for tonight’s series opener against the Mariners.

Lane Thomas will continue his minor league rehab assignment over the next couple of days, manager Davey Martinez announced, ending speculation that the outfielder would rejoin the team for the holiday weekend.

Finally cleared to return to game action since landing on the 10-day injured list on April 24 with a left MCL sprain, Thomas has made three rehab appearances with Double-A Harrisburg this week, going 2-for-9 with a double, a walk, two strikeouts, a stolen base and an outfield assist. He played a full nine innings for the first time Thursday night. He's leading off and serving as the designated hitter tonight.

“He played nine innings yesterday. He's feeling better,” Martinez said during his pregame media session. “Just as I thought, playing nine innings, being on his feet, he's a little sore. But he's getting there. He wanted to play a couple more games and then we'll see how he comes out of it. I know they got a day off on Monday, so we'll re-evaluate him after this weekend. But he's doing good. He's getting some at-bats. He's gonna play nine innings again today. We'll go day-by-day with him.”

The Nationals offense could use Thomas right now. They have scored two or fewer runs in seven of their last 11 games, losing nine overall. And although the 29-year-old got off to a slow start this year (.184 average, .503 OPS, two home runs, 10 RBIs), he was their most productive hitter last year. At the very least, he could provide more protection in the lineup for the slumping CJ Abrams.

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