Fantasy Injuries with Stephania Bell
Welcome to SportsNation! On Tuesday, fantasy injury expert Stephania Bell will stop by to chat all things injury related. If you have a question on any athletes' sprains, breaks, tears, any injury related question, ask Stephania!
Bell is a physical therapist who is a board-certified orthopedic clinical specialist as well as being a certified strength and conditioning specialist. She is a clinician, author and teacher with extensive experience in sports medicine. An avid fantasy player, Bell spent time at Rotowire.com and on XM Radio's fantasy sports show before joining ESPN.
Bell earned her undergraduate degree from Princeton and her Master's in physical therapy from the University of Miami. A native of San Francisco, Bell roots shamelessly for the 49ers and Giants.
Send your questions now and join Bell Tuesday at noon ET!
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stephania bell (12:01 PM)
Testing out the chat room. Greetings to everyone who is joining here...and to those who will check in later. Great to be back!
Jay (Mountain View, CA)
How much longer should we expect Cliff Lee out? He hasn't had clearance to throw yet... when can we expect him back on the mound?
stephania bell (12:07 PM)
Hi Jay: I'm chatting from Mountain View so have to give the first shout out to the hometown. I think we have to figure it's at least another month for Lee. Still not cleared to throw as he had hoped he would be by now. The Phillies made it clear they would not let him throw until he had zero discomfort (and honestly, why would they?). Obviously he must still be feeling something when they're putting him through stress tests on the elbow (original dx was a flexor tendon strain). Even after he begins throwing there's the matter of returning to full pitching strength. Even if you presume no setbacks, that's going to take a few weeks. So I'd put the earliest at a month, potentially longer depending how he progresses - or doesn't.
Hi Stephania, are you hearing that RG3 is all the way back in his recovery
stephania bell (12:09 PM)
pj: He certainly suggests that he is. Unfortunately, the only true test will come with real-time games. I doubt we'll see anything even in camp that would suggest otherwise. His issue was that he never appeared confident on his feet (and needed better protection). How he moves when escaping pass rush and how comfortable he looks both in and outside the pocket will be the telling points...and we won't get that until preseason games.
Hi Stephania. Do you have any info on CarGo? This surgery update was a bit of a surprise to me, but I have not seen any official diagnosis or timeframe for recovery. Thank you.
stephania bell (12:11 PM)
Chad: The Rockies are hoping the official diagnosis is part of the outcome of the surgery. It is exploratory in nature and depending upon what they find and what they have to do will determine the timetable. He's seeing one of the best, Dr. Thomas Graham in Cleveland. Hopefully we'll know more by later today.
Stephania is Foster healthy? and if so where would you rank him for redrafts
stephania bell (12:13 PM)
Will: I'm assuming you mean Arian Foster. He's on track for where he is supposed to be at this point. He's been cleared for activity which is a great sign. Obviously the true football physical tests don't really happen until training camp. I like him a lot for this year. I also think this has the potential to help with some of his chronic hamstring issues. I'd rank him in top 5 RBs, top 10 overall.
Belt (SF) coming back in late June?
stephania bell (12:16 PM)
Bill: That's the hope, late June or early July. He's just about a month out and is starting to do some baseball activities like hitting off tee (with good hand) and fielding ground balls. Still has a ways to go in the healing process and has to get strength and full mobility back.
Profar back to full health for 2015 or should we be worried about the shoulder?
stephania bell (12:19 PM)
Meister: Hard to be confident about next year when it's not clear he'll be able to make it back by the end of this year. If we don't see him on the field, it will be tough to evaluate. Sure, theoretically the additional time would allow him to make a full recovery but keep in mind he had a setback this year significant enough to threaten the entire season. On the one hand, he's a young guy, plenty of good years ahead. But if he doesn't make it back this year, I'd want to see his performance next year before I invested.
Brandon (Simi Valley, CA)
How is Mat Latos looking? Still scheduled to come off the DL this week?
stephania bell (12:22 PM)
Brandon: It looks like he'll start Saturday, barring some bizarre occurrence between now and then. Given how things have gone since he slipped on the mound and tore his meniscus this spring, I'll feel better once he's actually taken the mound in a big league game. But yes, after Monday's rehab start (and they got him up to his intended pitch count with some additional pitches under the stands after the rain came), it appears he will be given the green light.
Do you think Bryce Harper's July 1st return date is realistic? And what are you expecting from him when he returns? I have concerns his power will be sapped....
stephania bell (12:25 PM)
GB: I think it's at least close. I wouldn't be surprised if he ends up out through the All-Star break. No reason to push him after going through surgery, etc. Harper has indicated he needs to be completely ready to return. I imagine part of that readiness is comfort at the plate, swinging and hitting as he usually does. Most guys do pretty well after this surgery without a loss of power for an extended time. My favorite thing is that he's formally rehabbing his thumb by using his PlayStation. It's actually good thumb dexterity work.
Neil Walker with appendectomy yesterday! How long is the usual down time from that?
stephania bell (12:28 PM)
EJ: Varies. We've seen returns around 8 days (I think that was Matt Holliday a few yesrs back) to over a month. Most hover around the 15-17 day mark. As my colleague Eric Karabell noted this morning though, the power seems to subside for a while after this injury. People react differently to abdominal surgery and while most are done laparascopically (so no major cutting through layers of abdominal tissue), there is still surgery, anesthesia involved.
Randy (Loma Linda, CA)
Do we see Marcus Lattimore in a Niners jersey on the field this year?
stephania bell (12:30 PM)
Randy: I think we will. It remains to be seen in what capacity but that will be established over the course of training camp. He is reportedly doing great but still needs to get accustomed to contact, playing the game at full speed, etc. One day at a time for him...but when you think about what he's been through, the fact we're having this dialogue is amazing.
Brentt (DC) [via mobile]
Any lingering effects for Julio jones this season, seems like they are going to take to slow with him in training camp. Should we be worried for his future and staying healthy?
stephania bell (12:32 PM)
Brentt: They're taking him appropriately slowly given that this is his second fracture to the same bone in his foot. He should do very well but that is predicated upon complete healing of the bone, hence the importance of not doing too much too soon. Since he was out after Week 5 last season, his legs should be in great shape for this fall.
Chris (R.U. Grease Trucks- NJ)
Hi Steph! Are you serious about The Playstation? or were you making a funny? Thanks!
stephania bell (12:32 PM)
Chris: 100 percent serious.
Matt (Los Angeles)
Hi Stephania! Fellow sports PT here. You talked on the Podcast about the research linking high velocity pitchers with the need for UCL reconstructions. Any chance you have and other information so I can find that article?
stephania bell (12:33 PM)
Matt: Welcome, fellow sports PT. Check Am J Sports Med for this year. Can't remember exact citation off the top of my head.
Matt (Los Angeles)
Hi Stephania! What's the word on Michael Cuddyer? He went from healthy to scratched to a fractured shoulder? Anything more specific for us?
stephania bell (12:35 PM)
Matt: Same Matt? If so, unintentional same questioner pick by me. But Cuddyer has a fractured glenoid (socket part of the shoulder for the non-medical folks), apparently the result of jamming his shoulder when he dove to make a play (how it was sore in the first place). 6-8 week return time, I'm guessing closer to 8.
Hey Stephania, What are the prognosis and expectations for joey votto for the rest of this season?
stephania bell (12:38 PM)
Alex: Even the Reds don't know. Sounds like he's come out of a couple of rehab games OK...the Reds wanted to see the effect of playing in back-to-back games (which they should be able to evaluate today) before discussing returning him to the lineup. But their hint the other day that he could be dealing with this ROS tells us they're hoping he can manage it well, not necessarily be fully recovered. Always cause for concern about easy aggravation then. He can still come back and play well but he could potentially go out again anytime.
Matt (Fort Collins)
A Wieters visit to Dr Andrews can't be a good thing. Safe to drop him for this season?
stephania bell (12:40 PM)
Matt: It's not encouraging. I find the timing interesting because after PRP injections and rest from throwing, I would have anticipated a longer interval (closer to 6 weeks) before he'd return for re-evaluation. This makes me think that Wieters is not happy about how he's feeling and wants to return sooner. And that makes me less encouraged about his overall prognosis, as in perhaps he's leaning towards surgery.
Whats the scoop of bundy? See him by August?
stephania bell (12:43 PM)
John: Or perhaps a little sooner. If he starts a rehab assignment, as scheduled, this weekend, there's a 30-day counter that begins for pitchers. Even if you add in the few days of All-Star break, that puts him in line to return by late July, of course presuming no setbacks. You still have to temper expectations for a guy coming back from TJ surgery but as far as the actual date, it looks like late July.
Bill (Los Angeles, CA )
Any idea when you think Alex Guerrero will be healthy after getting his ear partially eaten off from Olivo? I think Dodgers would have called him up with Gordon getting injured.
stephania bell (12:45 PM)
Bill: It's such an unusual injury that there's no real established timetable. The Dodgers did indicate some positive news though in that he's getting some tissue growth where the ear had been damaged by the bite (still so bizarre to write that)so that's encouraging for him. The main thing it would seem is getting his timing back once he's cleared to return to full baseball activity. And with Gee able to pinch hit yesterday, sounds like they're not overly concerned about the severity of his injury.
John (CA) [via mobile]
Timetable for Dillon gee? All the news has seemed to stop after a small setback.
stephania bell (12:49 PM)
John: You're right. I hadn't heard much either. Th last we heard from Gee was when he aggravated his injury in late May, something he had said he was hoping to avoid by not rushing things. ANd then he rushed. I'm guessing the team - and Gee - are staying tight-lipped to avoid any setting of expectations and then potential disappointment. Lat injuries can be six to 8 week injuries outright, factor in the setback and I wouldn't think we'd see huim before late June at the earliest.
Roger Dorn (Austin, TX)
Gerrit Cole: projections on whether he'll return to form post-DL? Cingrani had a smiliar injury and has struggled.
stephania bell (12:51 PM)
Roger: Part of the challenge with Cole is figuring out exactly what's going on. It's labeled as "fatigue" which really doesn't tell us anything structurally and makes it hard to evaluate what a reasonable timetable is. I think the most encouraging thing is that he's resumed some light throwing on flat ground but obviously there is a progression to returning to the mound. Unfortunately, no way to legitimately predict outcome-wise at this point.
Bob from Erie [via mobile]
Question about Brian Hoyer's ACL tear. From everything i've been hearing and reading he is doing well and ahead of schedule. The Browns are keeping him out of 11 on 11 drills. Will he be healthy enough to win the competition over Manziel or will his injury ultimately keep him on the sidelines for Week 1 of the NFL season?
stephania bell (12:55 PM)
Hi Bob from Erie: Hoyer does sound like he's doing well. Very typical to keep him out of 11 on 11 drills at this point. Rehab at this stage is a matter of re-introducing activity gradually. I don't think health would keep him from potentially being the starting QB this season.
do you expect Victorino to run when he returns from the DL? Boston is being very cautious with his recovery process
stephania bell (12:58 PM)
Dan: Caution is definitely warranted given that he has had the hamstring issues (and groin and back) going back to last season, maybe even longer. Even if he has a successful rehab assignment, they'll be worried about this flaring up again. After all, he had an entire offseason and everything started all over again shortly after the season got underway. Have to believe it will be on Victorino's mind too and that he'll pick his running spots carefully.
Jim (cape cod)
How about Prince Fielder for 2015? Thanks!
stephania bell (1:00 PM)
Jim: Like his chances. The neck fusion should heal well. The bigger concern will be recovery from the nerve injury and him getting his full arm strength back. On the plus side, he may have had some weakness but he was still functioning fairly well (not hitting well but overall functioning well). On the down side, we don't really know (since he didn't tell anyone for some time) how long this was a problem. The longer it was an issue, the longer potentially for a full return.
stephania bell (1:02 PM)
Time for me to vacate the chat room everyone. Thanks so much for coming. Always great to be back with you. Excellent questions, as always! Look forward to continuing the Tuesday chats. Check the time going forward as it may fluctuate.