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Chad Billingsley threw a simulated game yesterday, looks OK

Oct 30, 2012, 10:30 AM EDT

Chad Billingsley AP

Chad Billingsley‘s season ended prematurely with a partial tear of an elbow ligament. He and the Dodgers decided to forego Tommy John surgery in favor of platelet-rich plasma injections.  So far so good, reports Dylan Hernandez of the Los Angeles Times:

Chad Billingsley pitched to hitters for two pain-free innings Monday, a sign that he may be able to avoid reconstructive elbow surgery this off-season.

“It looks like he’s going to be ready for the 2013 season,” said Dave Stewart, Billingsley’s agent.

He threw around 40 pitches and touched 94 on the gun. Good signs, even if it’s hard to remember many guys with such injuries who didn’t, eventually, have to go under the knife.

  1. cackalackyank - Oct 30, 2012 at 10:50 AM

    Let’s see how soon he is ready to throw another one……

  2. cur68 - Oct 30, 2012 at 12:28 PM

    Well Billingsley’s injury seems a bit different than your usual TJS injury. They didn’t report a sprain of any sort. Just a tear. Sprain = stretching/fraying. Commonly in pitchers the UCL frays first THEN tears. On exam (MRI, ultra sound) they see the stretching/fraying and they know its only going to get worse till the UCL frays enough to snap. A tear with no sprain is more the sort of thing non-pitchers get. The average non-pitcher will tear that UCL playing pickup football or maybe even fooling around arm wrestling. For the likes of us a partial tear might heal with rest if there’s no associated fraying of the UCL. The orthopods I used to work with were pretty ambivalent about cracking a joint open when things might heal if left alone since surgery on a joint increases the risk of arthritis to a virtual certainty. While they’d heard of PRP most were in the “wait and see how it goes in clinical trials” camp, but they often suggested rest, therapy, and time (providing they weren’t dealing with a professional athlete). I’m pretty certain if they had evidence that PRP healed ligament tears completely they’d do go that route. In the face of evidence that this might be so, this could well be the smart move.

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