Injury Report 3/11: Spring Training Update

Jeff Davis provides an update in today's edition of the Injury Report.

Vladimir Guerrero Jr.  Left Oblique Strain

Vladimir Guerrero Jr. has strained his left oblique and will be held out of action for approximately 3 weeks. This likely does not alter Vladito’s value for 2019 as he was likely to not begin the season in the majors anyway – he will now rehab instead of just being held down.

This oblique strain has been reported as Grade 1, which is consistent with the provided 3 week timetable. The left oblique produces rotational force through the core of a right-handed hitter, which may limit Vlad until fully healthy. With the young top prospect, I expect that this is part precaution and part means to limit his service time in a more discretionary way. This injury may delay Vlad’s 2019 debut by a week or so, but I don’t expect lingering effects once he is ready.

Estimated return: Mid-to-late April.


Nick Castellanos  Left Hand Contusion

Nick Castellanos was struck on the left hand by an errant pitch. X-rays came back negative for any fractures, and we can assume that the injury is just a contusion at this time. He will miss a day or two, but should return to play shortly.

Estimated return: Ready for Opening Day.


Jose Altuve – Left Side Soreness

Jose Altuve has missed a few games due to left side soreness, and will now be held out for approximately a week to allow him to recover. He is not expected to return to action until 03/17. This appears to be some form of and oblique issue, and the Astros are not typically forthcoming with diagnoses. Given that Altuve has tried to play through this soreness/discomfort, I anticipate that it is at most a grade 1 left oblique strain, which isn’t likely to limit Altuve’s 2019 in a significant way. He may be held out or sit extra days for the first few weeks of the season without lingering effects to follow.

Estimated return: Ready for Opening Day or shortly thereafter.


Luis Severino  Right Shoulder Inflammation

Luis Severino has been shutdown due to right shoulder inflammation. MRI came back negative for any structural damage. Severino received an anti-inflammatory injection, which will prevent him from throwing for two weeks at which point he will be re-evaluated.

Assuming the anti-inflammatory injection is effective, Severino will need time to continue a throwing program and build arm strength and stamina in order to rejoin the rotation. In total, he is not likely to return to regular play until some point in May. Shoulder inflammation can linger and may continue to be an issue for Severino going forward.

Estimated return: Mid-May.


Tommy Pham  Right Shoulder Soreness

Tommy Pham is battling right shoulder soreness, and will be limited for the next few games. This doesn’t appear to be a major concern, and Pham’s 2019 season should not be effected in a major way. He may experience reduced power around the beginning of the year, but there’s no indication that any limitations will linger.

Estimated return: Ready for Opening Day.

Jeff Davis

Jeff is a healthcare professional with experience in upper extremity rehabilitation. Jeff pitched at Northwestern Oklahoma State University. Jeff coaches pitching at the high school level.

4 responses to “Injury Report 3/11: Spring Training Update”

  1. LeftyNation says:

    Have you heard anything on Skaggs and his forearm soreness? Sounds like he’s adding a slider or cutter? He, Musgroves and Stripling are targets available that I like the best.

  2. Ender says:

    I think this is way too aggressive on Vlad. He isn’t just returning from injury and going right to the majors. It is a 3 week rehab minimum and given how overweight he is I’d say this is a 4 week recovery for him. I highly doubt you see Vlad in the majors in April and if it stretches into mid May it won’t be until June just to control arbitration.

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