The Philadelphia Phillies just took a tough hit to their rotation. Ace pitcher Zack Wheeler landed on the 15-day injured list with what the team called a right upper extremity blood clot.
Team president Dave Dombrowski confirmed the diagnosis. Wheeler had told the staff his throwing arm felt unusually heavy—a sensation that sometimes points to a circulatory problem.
Right now, there’s no timetable for Wheeler’s return. The Phillies say his recovery will depend on what doctors find and recommend.
Zack Wheeler’s Injury: What We Know So Far
Wheeler pitched five innings in his last game on Friday. Afterward, he told athletic trainer Paul Buchheit that his right arm felt oddly heavy.
That kind of heaviness in sports medicine can mean reduced blood flow, so the team moved quickly to get him checked out. Blood clots can pop up without warning for athletes, and they need fast diagnosis to avoid long-term trouble.
Sometimes, causes are obvious—trauma, sitting still for too long, or even rare genetics. Pitchers, though, have their own set of risks because of all that intense, repetitive overhead throwing.
This makes a condition called thoracic outlet syndrome (TOS) something doctors have to consider.
Understanding Thoracic Outlet Syndrome in Pitchers
Thoracic outlet syndrome happens when blood vessels or nerves get squeezed near the collarbone. That can restrict blood flow or irritate nerves.
Overhead athletes—pitchers, swimmers, volleyball players—deal with this more often. Wheeler’s doctors want to figure out if TOS or some other circulatory issue is behind the clot.
Treatment Options and Recovery Path
Once doctors know what’s causing the clot, they’ll pick a treatment:
- Blood thinners to stop the clot from growing or coming back.
- Catheter-based clot dissolution to break up the blockage directly.
- Rib resection surgery if thoracic outlet syndrome is the culprit, to relieve pressure and restore blood flow.
There are pitchers in MLB who’ve come back after rib resection. Matt Harvey and Chris Young managed to return, though results aren’t always the same for everyone.
What the Data Says About Pitchers’ Recovery
A 2022 study looked at MLB pitchers who had rib resections. 81% made it back to play.
Surprisingly, their careers and stats didn’t really suffer compared to others. That’s at least a little hope for Wheeler and the Phillies, though every player’s story is different.
Impact on the Phillies’ Rotation
Without Wheeler, Philadelphia loses their most dependable starter right when it matters. He’s one of the National League’s top arms, and replacing his command and innings isn’t easy.
The Phillies will have to lean on their depth now. Maybe some younger pitchers or mid-rotation guys get a shot.
They’ve made it clear they won’t rush Wheeler back, not with something this serious. The focus is on a real recovery, not a quick fix, so the team will need to adjust in the meantime.
Looking Ahead for Wheeler and the Phillies
The timeline for Wheeler’s return depends on what doctors find in the next round of tests and conversations with specialists in Philadelphia.
If he needs surgery, he could be out for months. Still, with the right treatment and rehab, he might get back to his old self.
Right now, Phillies fans can only wait and hope for good news from the medical team.
Wheeler’s situation is a big deal for the team’s 2024 season, whether he ends up on the IL for a while or stages a dramatic comeback.
Here is the source article for this story: Zack Wheeler on IL with blood clot: What it means, what to expect
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