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	<title>Comments on: Chad Billingsley threw a simulated game yesterday, looks OK</title>
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	<link>http://hardballtalk.nbcsports.com/2012/10/30/chad-billingsley-threw-a-simulated-game-yesterday-looks-ok/</link>
	<description>Baseball. Baseball. And then a bit more baseball.</description>
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		<title>By: cur68</title>
		<link>http://hardballtalk.nbcsports.com/2012/10/30/chad-billingsley-threw-a-simulated-game-yesterday-looks-ok/comment-page-1/#comment-391836</link>
		<dc:creator><![CDATA[cur68]]></dc:creator>
		<pubDate>Tue, 30 Oct 2012 16:28:07 +0000</pubDate>
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		<description><![CDATA[Well Billingsley&#039;s injury seems a bit different than your usual TJS injury. They didn&#039;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&#039;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&#039;d heard of PRP most were in the &quot;wait and see how it goes in clinical trials&quot; camp, but they often suggested rest, therapy, and time (providing they weren&#039;t dealing with a professional athlete). I&#039;m pretty certain if they had evidence that PRP healed ligament tears completely they&#039;d do go that route. In the face of evidence that this might be so, this could well be the smart move.]]></description>
		<content:encoded><![CDATA[<p>Well Billingsley&#8217;s injury seems a bit different than your usual TJS injury. They didn&#8217;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&#8217;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&#8217;d heard of PRP most were in the &#8220;wait and see how it goes in clinical trials&#8221; camp, but they often suggested rest, therapy, and time (providing they weren&#8217;t dealing with a professional athlete). I&#8217;m pretty certain if they had evidence that PRP healed ligament tears completely they&#8217;d do go that route. In the face of evidence that this might be so, this could well be the smart move.</p>
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		<title>By: cackalackyank</title>
		<link>http://hardballtalk.nbcsports.com/2012/10/30/chad-billingsley-threw-a-simulated-game-yesterday-looks-ok/comment-page-1/#comment-391760</link>
		<dc:creator><![CDATA[cackalackyank]]></dc:creator>
		<pubDate>Tue, 30 Oct 2012 14:50:48 +0000</pubDate>
		<guid isPermaLink="false">http://hardballtalk.nbcsports.com/?p=250865#comment-391760</guid>
		<description><![CDATA[Let&#039;s see how soon he is ready to throw another one......]]></description>
		<content:encoded><![CDATA[<p>Let&#8217;s see how soon he is ready to throw another one&#8230;&#8230;</p>
]]></content:encoded>
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