Angels: Mike Trout is dealing with a rare back condition (costovertebral dysfunction at T5.”)

soxhop411

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KANSAS CITY, Mo. — The timetable for Mike Trout’s return is not getting any clearer with each passing day.
Angels head athletic trainer Mike Frostad said Wednesday that Trout is improving, but he still has at least a week to go before feeling the full benefits of the cortisone injection he received last week. In the meantime, he will continue to work on core stability and do cardio workouts, without any baseball activity.
Trout’s injury was first diagnosed as back spasms when he left a game July 12. A week later, when the Angels placed him on the injured list, they announced it was rib cage inflammation. Frostad explained that the muscle spasms around the inflammation to protect it. Frostad said it’s technically a “costovertebral dysfunction at T5.”
“This is a pretty rare condition that he has right now in his back,” Frostad said. “(Dr. Robert Watkins), one of the most well-known spine surgeons in the country, if not the world, doesn’t see a lot of these. For it to happen in a baseball player, we just have to take into consideration what he puts himself through with hitting, swinging on a daily basis just to get prepared and then also playing in the outfield, diving for balls. Jumping into the wall, things like that. And there’s so many things that can aggravate it, but this doctor hasn’t seen a lot of it. And he’s one of the best in the country.”


Asked if Trout could miss the rest of the season, Frostad said: “We hope not. I don’t think we’re at a point where we’re going to make that decision. He’s going to have a follow-up here once we get back, and we’ll just kind of see what the doctor thinks at that point. But that really hasn’t been a discussion that we’ve had.”


Frostad added that the Angels will need to keep an eye on this indefinitely.


“Long-term, we do have to look at this as something that he has to manage not just through the rest of this season, but also through the rest of his career, probably,” Frostad said.
https://www.ocregister.com/2022/07/27/angels-mike-trout-dealing-with-rare-back-condition/

Paging @DaveRoberts'Shoes

This is really going to stink for the game, if Trout now has to spend the rest of his career as a part time DH instead of playing the OF like he has up until this point
 

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moondog80

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37 mil for 8 more years. Pujols, Hamilton, Rendon...has any team had worse outcomes form long term deals than the Angels? Hopefully Trout avoids that list.
 

Yaz4Ever

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How much longer do teams continue to sign huge money long-term deals? Trout’s a generational talent and teams are, rightfully, going to point toward him and others when negotiating with players. Devers and Soto are two id love to see us sign long-term, but the people cutting the checks might disagree. Ohtani is another who could be adversely affected by this development.

As a fan of the game, and Trout in particular, I hate to see this. Sure, he’s set for life financially but that’s not everything. Just sucks.
 

LogansDad

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For the future of the sport, just shut him down for the season and do everything you can to get him healthy for the spring. The Angels are going nowhere this season, anyway, and he doesn't need to play for his next contract. Just get him to come back as healthy as possible, please.
 

moondog80

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How much longer do teams continue to sign huge money long-term deals? Trout’s a generational talent and teams are, rightfully, going to point toward him and others when negotiating with players. Devers and Soto are two id love to see us sign long-term, but the people cutting the checks might disagree. Ohtani is another who could be adversely affected by this development.

As a fan of the game, and Trout in particular, I hate to see this. Sure, he’s set for life financially but that’s not everything. Just sucks.
I have often wondered if a team that could afford these deals nonetheless said "we will continue to spend as we have but under no circumstances at all will we ever have a deal that ranks in the top 10 in MLB contracts", and stuck to it, would that result in a better use of resources, in a save-us-from-ourselves kind of way.

I have also wondered if Bloom's policy mirrors this.
 

Red(s)HawksFan

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How much longer do teams continue to sign huge money long-term deals? Trout’s a generational talent and teams are, rightfully, going to point toward him and others when negotiating with players. Devers and Soto are two id love to see us sign long-term, but the people cutting the checks might disagree. Ohtani is another who could be adversely affected by this development.

As a fan of the game, and Trout in particular, I hate to see this. Sure, he’s set for life financially but that’s not everything. Just sucks.
I doubt it changes things overall. The owners can't exactly all decide to stop giving out big/long contracts (collusion) and the players would never agree to caps on salary or contract length in a CBA. Owners are going to continue to spend the money one way or another, and all it takes is one owner desperate for the one missing piece to keep setting the market that the rest are forced to follow in order to compete.
 

JCizzle

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For the future of the sport, just shut him down for the season and do everything you can to get him healthy for the spring. The Angels are going nowhere this season, anyway, and he doesn't need to play for his next contract. Just get him to come back as healthy as possible, please.
Unfortunately that seems to be a nearly annual statement when it comes to his injury luck and history:

Mike Trout injury update: Angels superstar diagnosed with 'rare condition' in back that could keep him out long-term | Sporting News Australia
Trout missed the majority of the 2021 season with a, frankly, baffling calf strain he suffered on May 17 against Cleveland.

In 2019, Trout missed significant time with Morton's neuroma, which is a thickening of the tissue around one of the nerves leading to your toes, ending his season 19 games early as he had foot surgery.

He missed 19 more games with wrist inflammation in 2018 and 39 more with a torn thumb ligament in 2017.
 

Kliq

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Trout's a great player, but IDK how much he really matters for the future of the sport. Maybe the future of guys getting $400 million, but I'd argue that Ohtani is substantially more important to the value of baseball than Trout.

Here is a thought I've had that might be bullshit; but I think a player like Trout has been severely handicapped by the evolution of baseball into the three true outcomes, which have devalued some things that had made him a unique baseball superstar; his speed and his ability in the field. Trout is the best player in the game, but stylistically he isn't that different from the other best players in the game; he's a guy with a really high OPS that slugs a lot of homers.

Contrast that with prior generations, in the 2000s you had Barry Bonds, Ichiro, Jeter, A-Rod, etc. In the 90s you had McGwire, Ken Griffey Jr., Tony Gwynn, Barry Larkin, Cal Ripken Jr., etc. One of the reasons I think perhaps Trout has failed to become that kind of household name of prior generations is because there is very little unique to his game, despite his obvious talents. That has almost nothing to do with Trout himself, who possesses all of the skills and abilities to transcend the sport in a Willie Mays-like capacity, but has been hampered by the popular philosophies of the modern game.

I went to an author talk with Howard Bryant, who recently just came out with a book on Rickey Henderson and he was talking with Billy Beane about what Rickey would be like today. Beane was going on about how valuable his ability to get on base would be seen, and how he'd hit for more power and maybe he wouldn't steal that many bases but he'd be such a great player. But in that assessment, it would have lost the identifiable trait that made Rickey Henderson a unique superstar and not just a run-of-the-mill great player.
 

NickEsasky

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I doubt it changes things overall. The owners can't exactly all decide to stop giving out big/long contracts (collusion) and the players would never agree to caps on salary or contract length in a CBA. Owners are going to continue to spend the money one way or another, and all it takes is one owner desperate for the one missing piece to keep setting the market that the rest are forced to follow in order to compete.
Do we possibly see some shift across the board towards shorter contracts with higher AAV instead? Players still make a lot of money while owners are protected a bit. Lowers what a guy can guarantee to make, but if they stay healthy and productive there will be more contracts to be had.
 

trekfan55

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Do we possibly see some shift across the board towards shorter contracts with higher AAV instead? Players still make a lot of money while owners are protected a bit. Lowers what a guy can guarantee to make, but if they stay healthy and productive there will be more contracts to be had.
While reading the numbers may sound crazy it may just be the answer.

If instead of paying Player X $400MM/10 years they pay $400/6 years that yields an average of 66.6MM per year. Sounds all kinds of crazy but then teams can amortize the contract and at the end of the day do not end up paying for 2-3 years of the player being a shell of his former self.

This, however, must come with a modification of the luxury tax as it is curremty calculated on AAV (no cap shenanigans like the NFL). I am on board (of course it not my money).
 

Red(s)HawksFan

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Do we possibly see some shift across the board towards shorter contracts with higher AAV instead? Players still make a lot of money while owners are protected a bit. Lowers what a guy can guarantee to make, but if they stay healthy and productive there will be more contracts to be had.
Probably not without a change to the CBA. I think part of the reason teams do these super long deals is that the length somewhat moderates the AAV so it's less harmful to the luxury tax calculations. Higher AAVs might push teams up to and over the luxury tax more often, though with shorter deals they might be able to dip under more easily also.
 

Petagine in a Bottle

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Do we possibly see some shift across the board towards shorter contracts with higher AAV instead? Players still make a lot of money while owners are protected a bit. Lowers what a guy can guarantee to make, but if they stay healthy and productive there will be more contracts to be had.
I don’t think so, because the players don’t want that. The recent trend is for players to get extremely long deals - often with multiple player opt outs. It’s certainly in the players favor, but it only takes one team to agree to a deal and someone always does. Look at Soto or Devers; most seem ok with deals of ten years plus for each of these guys, right? Even though Trout is a perfect example of “shit happens”.
 

Ale Xander

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Soto is more valuable if he goes to a high profile team. He has the personality (and youth) to help baseball more than Trout.
 

BoSox Rule

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We’ve been completely robbed of a player that had a legit shot at the record for position player WAR through 2019.
 

Murderer's Crow

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For the future of the sport, just shut him down for the season and do everything you can to get him healthy for the spring. The Angels are going nowhere this season, anyway, and he doesn't need to play for his next contract. Just get him to come back as healthy as possible, please.
I'd argue the future of the sport belongs to some of the young players now (Soto, Tatis, Witt, Robert, Vlad Jr) + Ohtani. Trout is still the best player in baseball but he's 30 and I don't even think he's the most popular player on the Angels. Ohtani jerseys have outsold Trout, one of the best all-time players, for basically 3 years.
 

LogansDad

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I'd argue the future of the sport belongs to some of the young players now (Soto, Tatis, Witt, Robert, Vlad Jr) + Ohtani. Trout is still the best player in baseball but he's 30 and I don't even think he's the most popular player on the Angels. Ohtani jerseys have outsold Trout, one of the best all-time players, for basically 3 years.
I agree (and would most definitely add Julio to the list), and you make a good point.

I just think it will suck if we have to watch the all time great of our generation hobble to the finish line.
 

Kliq

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We’ve been completely robbed of a player that had a legit shot at the record for position player WAR through 2019.
There a number of people who could have had a shot of that record if it were not for injuries.
 

scottyno

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There a number of people who could have had a shot of that record if it were not for injuries.
Not like Trout. Through 2019 he was year after year setting the MLB record for "most war through age x" Then he fell behind in 2020 due to COVID and then the injuries hit.
 

radsoxfan

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Very oddly worded injury update, not surprised Trout is downplaying it. Rightfully so.

Based on what they are saying, he doesn't have a "rare condition". He gets sore where his 5th rib connects to his spine. Sometimes people get inflammation, stress related changes, or soreness in weird random places, it doesn't mean they have some "rare condition".

Now there are some specific diseases that can cause preferentially cause inflammation at this "costovertebral junction" (like ankylosing spondylitis or other pretty uncommon inflammatory diseases).

But barring any other information, "costovertebral dysfunction at T5" isn't a rare condition, it's a sore mid back.
 

jon abbey

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I thought it was strange when they said the cortisone injection they were trying with him needed two weeks, as I thought those were usually just a few days.
 

Comfortably Lomb

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There a number of people who could have had a shot of that record if it were not for injuries.
Griffey. 76.2 bWAR through age 30 season, 7.6 bWAR age 31 through age 40 season (Trout is in his age 30 season and currently has 79.9 bWAR, fwiw). I recall the vibe in the 2000s with Griffey was like what we're seeing with Trout... "oh, Griffey is on Sportscenter again, what did he hurt now?"

I'm guessing Trout's future is basically a string of injury riddled seasons. He really needs to DH more and move to LF/RF to reduce some of the wear. 8 years at $37M/yr left.
 

Kliq

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Griffey. 76.2 bWAR through age 30 season, 7.6 bWAR age 31 through age 40 season (Trout is in his age 30 season and currently has 79.9 bWAR, fwiw). I recall the vibe in the 2000s with Griffey was like what we're seeing with Trout... "oh, Griffey is on Sportscenter again, what did he hurt now?"

I'm guessing Trout's future is basically a string of injury riddled seasons. He really needs to DH more and move to LF/RF to reduce some of the wear. 8 years at $37M/yr left.
Yeah, like part of the reason the career WAR record is the career WAR record is because Barry Bonds (or Willie Mays) were really good for a super duper long time.
 

Max Power

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Mickey Mantle was 90.1 through his age 30 season. A-Rod had 85. Pujols was 81.4. Most Hall of Famers got in there because they were great in their 20s and then hung around long enough to put up big career totals.
 

Yelling At Clouds

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Folks who keep comparing age-30 seasons, the original post said that Trout looked like he had a shot at breaking the WAR record as as of 2019, his age 27 season, the last one before the pandemic and now two consecutive injury-marred years. Trout at 72.5 had more bWAR than Griffey, Mantle, A-Rod, or Pujols through age 27 (Mantle was the closest of this group).
 

Comfortably Lomb

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Folks who keep comparing age-30 seasons, the original post said that Trout looked like he had a shot at breaking the WAR record as as of 2019, his age 27 season, the last one before the pandemic and now two consecutive injury-marred years. Trout at 72.5 had more bWAR than Griffey, Mantle, A-Rod, or Pujols through age 27 (Mantle was the closest of this group).
Yea, but no one really wants to talk about that because Trout is kind of boring and plays for the Angels. Yay, he was 20% better than these other guys. Griffey, now that guy was fun. Here's 21 minutes of Griffey hitting dingers which is way more fun than I've ever had watching Trout.
 

Max Power

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Folks who keep comparing age-30 seasons, the original post said that Trout looked like he had a shot at breaking the WAR record as as of 2019, his age 27 season, the last one before the pandemic and now two consecutive injury-marred years. Trout at 72.5 had more bWAR than Griffey, Mantle, A-Rod, or Pujols through age 27 (Mantle was the closest of this group).
So he fell off the pace sooner than the others. Even the best players of all time in their 20s are a decent bet to drop off a cliff when they hit 30. I guess teams are pricing that reality into the AAV of these 10-15 year contracts, or they're just hoping to be bailed out by inflation or their own version of the Punto trade.

Yea, but no one really wants to talk about that because Trout is kind of boring and plays for the Angels. Yay, he was 20% better than these other guys. Griffey, now that guy was fun. Here's 21 minutes of Griffey hitting dingers which is way more fun than I've ever had watching Trout.
20% better according to WAR, which is a kind of bullshit number anyway. Baseball is entertainment and competition. Lots of walks and being really good at everything isn't as entertaining as watching someone who is really great at one thing. And the Angels haven't been competing for anything since he's been there. So mock all you'd like, but it's perfectly reasonable to rather watch Griffey play and beat the Yankees in the 1995 ALDS than watch Trout lead his team to another 78 win season.
 

Mystic Merlin

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So he fell off the pace sooner than the others. Even the best players of all time in their 20s are a decent bet to drop off a cliff when they hit 30. I guess teams are pricing that reality into the AAV of these 10-15 year contracts, or they're just hoping to be bailed out by inflation or their own version of the Punto trade.



20% better according to WAR, which is a kind of bullshit number anyway. Baseball is entertainment and competition. Lots of walks and being really good at everything isn't as entertaining as watching someone who is really great at one thing. And the Angels haven't been competing for anything since he's been there. So mock all you'd like, but it's perfectly reasonable to rather watch Griffey play and beat the Yankees in the 1995 ALDS than watch Trout lead his team to another 78 win season.
Who can really disagree with someone’s preference for watching Griffey over Trout, but the Angels’ struggles for the last decade plus have nothing to do with Trout’s performance.
 

BoSox Rule

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You can argue all day that Griffey was more fun to watch than Trout, and while it may true it doesn’t mean it’s relevant or make him a better player. I will certainly remember to deduct points from his legacy, however, for not drafting trading for, or signing the modern incarnations of Alex Rodriguez, Randy Johnson, Edgar Martinez, Jay Buhner or just anyone really above replacement level in his duties as GM.
 

8slim

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Trout's a great player, but IDK how much he really matters for the future of the sport. Maybe the future of guys getting $400 million, but I'd argue that Ohtani is substantially more important to the value of baseball than Trout.

Here is a thought I've had that might be bullshit; but I think a player like Trout has been severely handicapped by the evolution of baseball into the three true outcomes, which have devalued some things that had made him a unique baseball superstar; his speed and his ability in the field. Trout is the best player in the game, but stylistically he isn't that different from the other best players in the game; he's a guy with a really high OPS that slugs a lot of homers.

Contrast that with prior generations, in the 2000s you had Barry Bonds, Ichiro, Jeter, A-Rod, etc. In the 90s you had McGwire, Ken Griffey Jr., Tony Gwynn, Barry Larkin, Cal Ripken Jr., etc. One of the reasons I think perhaps Trout has failed to become that kind of household name of prior generations is because there is very little unique to his game, despite his obvious talents. That has almost nothing to do with Trout himself, who possesses all of the skills and abilities to transcend the sport in a Willie Mays-like capacity, but has been hampered by the popular philosophies of the modern game.

I went to an author talk with Howard Bryant, who recently just came out with a book on Rickey Henderson and he was talking with Billy Beane about what Rickey would be like today. Beane was going on about how valuable his ability to get on base would be seen, and how he'd hit for more power and maybe he wouldn't steal that many bases but he'd be such a great player. But in that assessment, it would have lost the identifiable trait that made Rickey Henderson a unique superstar and not just a run-of-the-mill great player.
I got to thinking about this post as Wade Boggs is being discussed on the main board.

I suspect that the biggest reason Trout never became the kind of mainstream star like the players you cited is because he's not into marketing himself, has played almost entirely on mediocre teams, and baseball itself isn't anywhere near the national sport it was 20+ years ago.

But I also think there's something to the homogenization of players that has occurred. There's a bunch of guys I grew up watching -- Boggs, Ozzie Smith, Willie McGee, Tony Gwynn, Henderson, and many more -- that today wouldn't have the same style of play as they did back in the 80s/90s.
 

moondog80

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I suspect that the biggest reason Trout never became the kind of mainstream star like the players you cited is because he's not into marketing himself, has played almost entirely on mediocre teams, and baseball itself isn't anywhere near the national sport it was 20+ years ago.
The last part -- it's because this is 2022 and he plays baseball.
 

Petagine in a Bottle

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It’s amusing that Albert Pujols had more career WAR at age 35, than he does now, at age 42. Same goes for Miguel Cabrera, more at age 33 than he does now, at age 39.
 

koufax32

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Yea, but no one really wants to talk about that because Trout is kind of boring and plays for the Angels. Yay, he was 20% better than these other guys. Griffey, now that guy was fun. Here's 21 minutes of Griffey hitting dingers which is way more fun than I've ever had watching Trout.
Thank you for posting that video! Two things:
1. He’s #1 on the list of players I would have loved to see play for the Red Sox.
2. I stopped watching as soon as he showed up in a Reds uniform.