Escobar First MLB 7-Day’er?

Yunel Escobar (Toronto Blue Jays) could become the first player to placed on the 7-day concussion DL that MLB instituted just prior to the season.  Slam Sports has all the info and a GREAT picture of the actual injury.

“He smoked me,” LaRoche told reporters, of the collision. “I was going to be real surprised if he didn’t (come out of the game). I didn’t know where in the head it got him.”

Replays showed Escobar’s helmet smashing into LaRoche’s right knee; the collision wrenching his neck at an odd angle. A club trainer stayed with him overnight, wakening him every two hours to check his condition.

Yes most of us would be puzzled as to why he was allowed to continue?  Add to that the constant awakening of him, puzzling?  The current management would indicate that a concussion (a closed brain injury with NO bleeding) should be allowed to rest, including uninterrupted sleep.  Never the less, all eyes will be on how the Jays handle this, and being in Toronto, he is in good hands.

@Stephania_ESPN is confirming the concussion of Escobar, however the Jays ARE NOT putting him on the 7-day DL.

Blue Jays SS Yunel Escobar has concussion. First under new MLB policy. Not going on 7-day DL. Will need clearance from league to return.

LINK

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7 Day DL For MLB

As we also reported back in October Major League Baseball has instituted a concussion specific disabled list.  Previously the shortest stint was a 15 day version, putting the teams in limbo with players that had a concussion.  As we have seen with research a vast majority of those concussed recover in a 7-10 day time frame, this would have precluded teams in MLB from putting a player on the DL.  Essentially playing a man-down until the player recovered, or it was determined that the resolution of the injury would be longer than 15 days.

The new DL and guidelines is definitely a good thing for awareness, and it should allow more teams to be transparent with the concussion episode.

“The one thing you don’t want to do is put someone in position the day after or two days later all of a sudden by saying, ‘Are you feeling OK?”’ Morneau said. “The worst thing you can do with a concussion is rush back to play. You’re diagnosed and you have a week and if it clears up like most people hope it does and they usually do, with most people it’s short-term, that’s the best-case scenario.”

In my opinion this will now allow all concussions to immediately addressed in MLB, Continue reading

Spring Training + Errant Ball = Concussion

Josh Beckett of the Boston Red Sox was struck in the head by an errant ball while in the outfield during Spring Training in Florida.  Initially he was assessed as “OK”, however;

After first saying that pitcher Josh Beckett was OK after getting hit in the head with a ball Monday, the Boston Red Sox later said he was experiencing symptoms consistent with a mild concussion.

Beckett, who was standing in left-center field, went to one knee after he was struck in the left side of the head. Teammates immediately called for the training staff, and he was escorted off the field with his hand on his head.

The Red Sox said the pitcher did not need to be taken to the hospital and was treated at the park. The team later sent him home to rest.

This is a terrible accident but it goes to show that concussions can happen in most circumstances on the field of sport.  There is an issue however in this, the reporting of “mild” should not be to qualify the injury of concussion, rather the symptoms occurring.  What is important is that a concussion is a concussion.  I was relieved that the Red Sox have changed their tune, when I first heard the report I was a bit skeptical about him not having an issue related to concussion.

(SOURCE ESPN.com)

Justin Morneau and A High School Study

Justin Morneau of the Minnesota Twins, who was injured last July sliding into second base from Andy McDonald’s knee, is now in the process of ramping up his activity while recovering from the concussion.  It has been over six months and he has yet to do baseball activity, but his workouts have become strenuous with the goal of being 100% March 1st during exhibition play.

STORY

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The University of Texas at Arlington have begun an official study into concussions and high school athletes.  UTA along with Pantego Christian Academy will be involved in the study that will measure balance and neurocognitive function at baseline and after an injury.

Colin Price, who plays multiple sports, said he suffered a concussion last year during a tackle.

“I didn’t respond to anybody,” Price said. “I didn’t know what was really happening. I didn’t remember where my bag was, I didn’t remember a lot of things. It was weird.”

This may be the only way to get it through the players and parents heads that this is a serious issue, and continual studies and constant education are needed.

STORY

Baseball Player Returns From Concussion

 

Image via Wikipedia

No it is not Justin Morneau, who had his plight with a concussion very well documented, (he will be returning as well) rather Jason Bay.  The overlooked “high profile” player that suffered a concussion in July also.  It was when the New York Mets were in Los Angeles and he ran into the Dodger Stadium wall giving him daily headaches.

 

“It was always about the headaches,” Bay said. “I got so used to having headaches, I didn’t know I had one. . . . Since the end of September, I haven’t had one headache issue.”

But according to the New York Post story the testing never “officially” indicated that he had a concussion.

“By all accounts, I haven’t played baseball, either,” Bay said. “But the workouts we go through are much more strenuous than baseball, and it’s one of those things, it’s not like a hamstring or an elbow where you try to rehab and make it stronger.”

And he said there are no further tests pending to determine whether he actually is healthy.

“I feel fine, but as far as testing and stuff, they couldn’t find anything wrong in the first place, so there’s no baseline to test it against,” Bay said.

It is good to see another player plagued by a concussion feeling 100 percent and ready for action.

Good News From Minnesota

The professional sports in the state of Minnesota received good news on two fronts today in terms of players out with concussions.

Minnesota Wild player Pierre-Marc Bouchard will return to the ice for the first time since the 2008-2009 season.  Bouchard has missed over a year due to post-concussion symptoms and finally has been given the clearance to play.  According to his agent and TwinCities.com, “Butch is back,” and “It’s official.”

Also in the Twin Cities, the Twins first baseman, Justin Morneau proclaimed that he will be ready to resume baseball come this spring.  Morneau has been out of baseball since July 7th when he took a knee to the head sliding into second base.

“There’s not a doubt in my mind I’ll be ready for spring, especially with what I’ve done this week and how it’s reacted and how I’ve felt,” Morneau said. “That’s something that hasn’t even crossed my mind.”

“Two months ago I couldn’t have come out and sat for that long and signed,” he said. “It’s come a long ways. It’s a lot better. It’s not all the way there yet, but it’s close.”

LINK

MLB Concussions

With the World Series upon us, it is a good time to take a look back at the concussion issue as it relates to Major League Baseball.

The sport of baseball is not what we classify as a collision sport, even though there are some “train-wrecks” at home plate and accidents in the field.  We can reasonably expect the concussion rate to be much lower, and it is.  In this past season, there were only 10 concussions listed on the official MLB injury list.  If you take a 25-man roster and multiply that by the 3o teams, you get 750 total players (we know that teams will have more at times due to call-ups and other injuries).  The rate for concussion based on a 25-man roster is 1.3% and for the 40-man roster it is 0.8%, and as you can see that is well below being classified as a major problem.

However, these concussions that occur in baseball seem to last a lot longer.  Justin Morneau of the Minnesota Twins had his season basically cut in half this year due to a concussion.  Both Mike Matheny and Jason Larue were forced into retirement after multiple concussive episodes.  Some of their injuries came from something as innocuous as a foul tip off the mask.

Now MLB wants to possibly shorten the disabled list stint for a concussion.  Shouldn’t it be a longer stay?  Chris Getz, Jason Bay, Nate McClouth, and Justin Morneau all lasted longer than seven days.

The problem is not the stay but the identification and classification of the concussion.  I mention Chris Getz, who was concussed September 15 and never was officially placed on the DL for a concussion.  Could there be more concussions in MLB?  Absolutely.  Could the proposed concussion DL rules help identify these concussions?  Sure.

We will have to wait and see how teams and baseball handle this going forward.  Looking back, you may notice that this issue was possibly overlooked.

Official MLB DL listings for Concussions since 2001

(compiled by The Concussion Blog Editor & Lead Researcher Mike Lutz)

2001 Season

None reported.

2002 Season

6/4/02  SF Placed IF Ramon Martinez on the 15-day DL (concussion)

2003 Season

6/6/03  ARI Placed OF David Dellucci on the 15-day DL (concussion)

6/8/03  CHC Placed 1B Hee Seop Choi on 15-day DL (concussion)

6/28/03  FLA Placed RHP Kevin Olsen on the 15-day DL (concussion)

2004 Season

None reported.

2005 Season

4/12/05  MIN Placed 1B Justin Morneau on the 15-day DL (concussion)

7/15/05  CHC Placed OF Adam Greenberg on the 15-day DL (concussion)

8/11/05  NYM Placed OF Mike Cameron on the 15-day DL (concussion)

8/29/05  CLE Recalled RHP Kyle Denney from Triple-A Buffalo and placed him on 60-day DL (post-concussive symptoms)

2006 Season

6/26/06  SF Placed C Mike Matheny on the 15-day DL (concussion)

2007 Season

4/1/07  MIL Placed 3B Corey Koskie on the 15-day DL (post-concussion syndrome)

5/2/07  ATL Placed C Brayan Pena on the 15-day DL (concussion)

8/11/07  COL Placed INF/OF Jeff Baker on the 15-day DL (concussion)

8/11/07  SD Placed C Michael Barrett on the 15-day DL (concussion)

8/14/07  CIN Placed C David Ross on the 15-day DL (concussion)

2008 Season

6/10/08  NYM Placed OF Ryan Church on the 15-day DL (post-concussion syndrome)

7/2/08  HOU Placed C Humberto Quintero on the 15-day DL (concussion)

8/9/08  LAA Placed OF Reggie Willits on the 15-day DL (concussion)

2009 Season

4/10/09  SF Placed RHP Joe Martinez on the 15-day DL (concussion)

7/20/09  SD Placed 2B Edgar Gonzalez on the 15-day DL (concussion)

8/8/09  CIN Placed 3B Scott Rolen on the 15-day DL (concussion)

8/17/09  NYM Placed 3B David Wright on the 15-day DL (post-concussion symptoms)

8/19/09  LAD Placed RHP Hiroki Kuroda on the 15-day DL (concussion)

8/24/09  CIN Placed C Ryan Hanigan on the 15-day DL (concussion)

2010 Season

4/24/10  LAA Placed C Bobby Wilson on the 15-day DL (concussion)

4/25/10  PIT Placed RHP Chris Jakubauskas on the 15-day DL (head contusion and concussion)

6/12/10  ATL Placed CF Nate McLouth on the 15-DL (concussion-like symptoms)

6/22/10  PHI placed C Carlos Ruiz on the 15-day DL (concussion)

7/16/10  MIN placed 1B Justin Morneau on the 15-day DL (concussion)

7/22/10  PIT Placed C Ryan Doumit on the 15-day D (concussion)

7/25/10  SF Placed LF Eugenio Velez on the 15-day DL (head contusion and concussion)

7/30/10  NYM Placed LF Jason Bay on the 15-day DL (concussion)

8/6/10  MIL Placed CF Carlos Gomez on the 15-day DL (concussion)

8/13/10  STL Placed C Jason LaRue on the 15-day DL (concussion)

MLB Considering Shorter DL for Concussion

Major League Baseball has a unique problem when dealing with concussions… the disabled list. The DL can be so complex it warrants its own Wikipedia entry (http://en.wikipedia.org/wiki/Disabled_list). The MLB season is a long grind – days and days of back-to-back games for months on end…yet the shortest stay clubs can place an athlete on the DL is 15 days, which can create roster management problems. For this reason, many clubs are forced to do what they can to avoid sending someone to the DL who really doesn’t need to be there for a full 15 days. Making a DL decision with a concussion can be more complicated than with a “run-of-the-mill” orthopedic injury.  Clubs have been hesitant to diagnose a concussion when one occurs due to the unpredictable recovery rate. But according to reports surfacing today, it appears MLB is preparing to create a shorter DL stay for players with head injuries. Initial reactions appear to be positive, and from what I can tell, seems to be a step in the right direction. This fundamental change would allow clubs the flexibility to wait out every symptom and not rush an athlete back before they should because of  roster management reasons.

AP Report via ABCNews

Morneau Out For Season

With a season that started off as one of his best, Justin Morneau was getting ready for the All-Star Game and helping the Twins push for the playoffs.  Since July 7th, the Minnesota Twins had to do it without one of the best first basemen in the game.  On that day Morneau took a knee to the head while breaking up a double play and sustained a concussion.  Multiple attempts were made to get him back on the field, but each time met with a setback.  Now he has been ruled out of the post season completely by the organization.

Concussions are so different to all other injuries that not one person reacts the same to each incidence.  The Minnesota Twins deserve A LOT of credit by putting this issue front and center and handling it like it should be.

Another Cardinals Catcher to Retire Due To Concussions

Although he was not a “career” St. Louis Cardinal, catcher Jason LaRue is reportedly going to hang up his gear.  He was in the midst of the brawl between the Cardinals and Cincinnati Reds he was kicked in the head by Johny Cueto.  According the to the story from The Canadian Press, LaRue has sustained about 20 concussions over his athletic career.

Canadian Press Story

Its Not Just a Football Thing

Chris Getz of the Kansas City Royals remains out of the line-up after a concussion he sustained on Sunday.  MLB.com (video at the link with story) ran a recent story about his situation and how Ned Yost, the Royals manager, have learned from previous injuries.

In 2006 while Yost was with the Milwaukee Brewers, third-baseman Corey Koskie dove for a ball and while never hitting the ground became concussed.  Koskie has never returned to the sport.

Koskie along with Mike Matheny, MLB catcher, have had their playing days cut short by concussions.  Of most note this season is all-star and MVP, Justin Morneau, who has been out of action since early July.  Morneau took and inadvertent knee to the head while sliding into second base.  He progressed to the point of traveling with the team with intentions of playing and quickly regressed.  It is unknown if Morneau will return this season.