Archer undergoes TOS surgery, out for 2020

June 4th, 2020

PITTSBURGH -- won¡¯t be pitching for the Pirates this year.

Archer underwent surgery to relieve symptoms of neurogenic thoracic outlet syndrome (TOS) on Tuesday, the Pirates announced on Wednesday morning. This could bring about the end of Archer¡¯s time in Pittsburgh, which began with a well-intentioned but ill-fated trade with the Rays, if the club does not pick up his $11 million option for next season.

According to the Pirates, Archer is projected to return to full competition for the 2021 season. His operation was performed by Dr. Robert Thompson at Washington University in St. Louis. The Pirates said the decision was made ¡°after consulting with several leading vascular and orthopedic surgeons in recent weeks.¡±

In a conference call with reporters on Wednesday, Pirates general manager Ben Cherington and director of sports medicine Todd Tomczyk provided few specific details regarding the nature of Archer¡¯s injury and the decision-making process that led to him undergoing surgery during this time of uncertainty. Archer, who will remain in St. Louis as he recovers, was not available to comment on his status or his future with the Pirates.

In February, Archer¡¯s Spring Training progression was set back by neck tightness. He was scratched from a scheduled start on Feb. 24 and he did not make his Grapefruit League debut until March 6. According to Tomczyk, Archer gave ¡°some signals¡± at the end of camp that his neck was bothering him again, but he remained on a monitored throwing program after players went their separate ways when Spring Training was suspended due to the coronavirus pandemic.

Cherington said Archer experienced some symptoms commonly mentioned by pitchers with TOS, but not all of them. Tomczyk noted that Archer experienced those symptoms hours and sometimes days after throwing, not during those sessions or even immediately afterward, and called Archer¡¯s injury a ¡°diagnosis of exclusion.¡±

¡°What is consistent with TOS is the inconsistencies, so that¡¯s what makes it sometimes challenging to make a clear-cut diagnosis,¡± Tomczyk said. ¡°But Chris is and was very diligent with marking down what he felt, when he felt it, to help himself and help us and the physicians really pin down the correct diagnosis so we could help him move forward.¡±

Doctors determined that his throwing shoulder and elbow were structurally sound, Tomczyk said, and experts initially ruled out the possibility that he had thoracic outlet syndrome. However, Tomczyk noted that it can take time for doctors to definitively diagnosis the syndrome; reliever Nick Burdi visited multiple doctors before having a similar surgery last year, for instance.

¡°What we know is that in the process of getting to the bottom of what Chris was feeling this spring, we ruled out a lot, and we were left with this diagnosis,¡± Cherington said. ¡°And after a couple consultations with leading vascular surgeons, Chris felt it was time for surgery.¡±

Tomczyk said the 31-year-old right-hander is confident he will experience a ¡°full return¡± to the mound, but it¡¯s worth noting that many pitchers, notably including Matt Harvey, have struggled to regain their prior form after this surgery. It could take six to eight months before he is cleared to throw again, depending on how he recovers.

But will his next step come somewhere other than Pittsburgh? That seems like a strong possibility at this point. The Pirates previously exercised Archer¡¯s $9 million option for this year, making him the team¡¯s highest-paid player, despite the fact that he¡¯s been occasionally injured and often ineffective since they acquired him just before the 2018 Trade Deadline for All-Star outfielder Austin Meadows, right-hander Tyler Glasnow and pitching prospect Shane Baz.

A two-time All-Star and one of the Majors¡¯ more durable starters in Tampa Bay, Archer is 6-12 with a 4.92 ERA and a 1.40 WHIP in 172 innings over 33 starts for the Pirates since August 2018. He missed his final start of the ¡¯18 season with what the Bucs called ¡°continued discomfort of a left groin strain,¡± then two months later underwent surgery to repair a bilateral hernia. He was ready for Spring Training in '19, albeit after an abbreviated offseason training routine, then went on the injured list twice and finished the season sidelined by what the team described as right shoulder inflammation.

Archer reported to Pirate City this year with shorter hair, a simplified pitch mix and plenty of hope that this year would be different. He said he was healthy, encouraged by the changes he made in the second half of last season and excited to work with new pitching coach Oscar Marin.

This offseason, the Pirates will have to either pick up his $11 million option or buy him out for $250,000 without seeing him throw a pitch the rest of the year. Cherington wouldn¡¯t tip his hand on Wednesday, but it¡¯s hard to imagine Pittsburgh placing an $11 million bet on a pitcher coming off this kind of surgery.

¡°We won¡¯t have games to evaluate, but there will be other information that we have at that time that we don¡¯t have now. So we¡¯ll just want to take all the time we have,¡± Cherington said. ¡°With really any decision that we¡¯d make in baseball operations, we want to take all the time we possibly can until we have no time remaining and then make the best decision we can at that time.¡±

If they¡¯re able to play this year, the Pirates must fill Archer¡¯s spot in the rotation while also moving forward without Jameson Taillon, who will return in 2021 after recovering from Tommy John surgery this year. They should be able to put together a starting five (or six) with Joe Musgrove, Trevor Williams, Mitch Keller, Derek Holland, Steven Brault and/or Chad Kuhl, with depth options like JT Brubaker and James Marvel also available.

Cherington said the Pirates have discussed more creative pitching plans, too. During an interview on KDKA-FM, manager Derek Shelton said there¡¯s a ¡°strong likelihood¡± that Pittsburgh will use an opener or ¡°piggyback¡± pitchers, deploying multiple multi-inning arms instead of a traditional starter.

¡°We believe that we have a good, healthy group of pitchers who have a chance to be effective at the Major League level this year. Some of them will be in more traditional starting roles. Some may not,¡± Cherington said. ¡°In some cases, when we get to play, you may see different ways to get to those 27 outs. That¡¯s something that we¡¯re fortunate that Shelty and the coaching staff are really open-minded and creative with. So, again, we¡¯ll focus on continuing to prepare the group of pitchers that we have for that, and we¡¯re all hoping to get to games as soon as we can.¡±

seductrice.net
universo-virtual.com
buytrendz.net
thisforall.net
benchpressgains.com
qthzb.com
mindhunter9.com
dwjqp1.com
secure-signup.net
ahaayy.com
tressesindia.com
puresybian.com
krpano-chs.com
cre8workshop.com
hdkino.org
peixun021.com
qz786.com
utahperformingartscenter.org
worldqrmconference.com
shangyuwh.com
eejssdfsdfdfjsd.com
playminecraftfreeonline.com
trekvietnamtour.com
your-business-articles.com
essaywritingservice10.com
hindusamaaj.com
joggingvideo.com
wandercoups.com
wormblaster.net
tongchengchuyange0004.com
internetknowing.com
breachurch.com
peachesnginburlesque.com
dataarchitectoo.com
clientfunnelformula.com
30pps.com
cherylroll.com
ks2252.com
prowp.net
webmanicura.com
sofietsshotel.com
facetorch.com
nylawyerreview.com
apapromotions.com
shareparelli.com
goeaglepointe.com
thegreenmanpubphuket.com
karotorossian.com
publicsensor.com
taiwandefence.com
epcsur.com
southstills.com
tvtv98.com
thewellington-hotel.com
bccaipiao.com
colectoresindustrialesgs.com
shenanddcg.com
capriartfilmfestival.com
replicabreitlingsale.com
thaiamarinnewtoncorner.com
gkmcww.com
mbnkbj.com
andrewbrennandesign.com
cod54.com
luobinzhang.com
faithfirst.net
zjyc28.com
tongchengjinyeyouyue0004.com
nhuan6.com
kftz5k.com
oldgardensflowers.com
lightupthefloor.com
bahamamamas-stjohns.com
ly2818.com
905onthebay.com
fonemenu.com
notanothermovie.com
ukrainehighclassescort.com
meincmagazine.com
av-5858.com
yallerdawg.com
donkeythemovie.com
corporatehospitalitygroup.com
boboyy88.com
miteinander-lernen.com
dannayconsulting.com
officialtomsshoesoutletstore.com
forsale-amoxil-amoxicillin.net
generictadalafil-canada.net
guitarlessonseastlondon.com
lesliesrestaurants.com
mattyno9.com
nri-homeloans.com
rtgvisas-qatar.com
salbutamolventolinonline.net
sportsinjuries.info
wedsna.com
rgkntk.com
bkkmarketplace.com
zxqcwx.com
breakupprogram.com
boxcardc.com
unblockyoutubeindonesia.com
fabulousbookmark.com
beat-the.com
guatemala-sailfishing-vacations-charters.com
magie-marketing.com
kingstonliteracy.com
guitaraffinity.com
eurelookinggoodapparel.com
howtolosecheekfat.net
marioncma.org
oliviadavismusic.com
shantelcampbellrealestate.com
shopleborn13.com
topindiafree.com
v-visitors.net
djjky.com
053hh.com
originbluei.com
baucishotel.com
33kkn.com
intrinsiqresearch.com
mariaescort-kiev.com
mymaguk.com
sponsored4u.com
crimsonclass.com
bataillenavale.com
searchtile.com
ze-stribrnych-struh.com
zenithalhype.com
modalpkv.com
bouisset-lafforgue.com
useupload.com
37r.net
autoankauf-muenster.com
bantinbongda.net
bilgius.com
brabustermagazine.com
indigrow.org
miicrosofts.net
mysmiletravel.com
selinasims.com
spellcubesapp.com
usa-faction.com
hypoallergenicdogsnames.com
dailyupdatez.com
foodphotographyreviews.com
cricutcom-setup.com
chprowebdesign.com
katyrealty-kanepa.com
tasramar.com
bilgipinari.org
four-am.com
indiarepublicday.com
inquick-enbooks.com
iracmpi.com
kakaschoenen.com
lsm99flash.com
nana1255.com
ngen-niagara.com
technwzs.com
virtualonlinecasino1345.com
wallpapertop.net
casino-natali.com
iprofit-internet.com
denochemexicana.com
eventhalfkg.com
medcon-taiwan.com
life-himawari.com
myriamshomes.com
nightmarevue.com
healthandfitnesslives.com
androidnews-jp.com
allstarsru.com
bestofthebuckeyestate.com
bestofthefirststate.com
bestwireless7.com
britsmile.com
declarationintermittent.com
findhereall.com
jingyou888.com
lsm99deal.com
lsm99galaxy.com
moozatech.com
nuagh.com
patliyo.com
philomenamagikz.net
rckouba.net
saturnunipessoallda.com
tallahasseefrolics.com
thematurehardcore.net
totalenvironment-inthatquietearth.com
velislavakaymakanova.com
vermontenergetic.com
kakakpintar.com
begorgeouslady.com
1800birks4u.com
2wheelstogo.com
6strip4you.com
bigdata-world.net
emailandco.net
gacapal.com
jharpost.com
krishnaastro.com
lsm99credit.com
mascalzonicampani.com
sitemapxml.org
thecityslums.net
topagh.com
flairnetwebdesign.com
rajasthancarservices.com
bangkaeair.com
beneventocoupon.com
noternet.org
oqtive.com
smilebrightrx.com
decollage-etiquette.com
1millionbestdownloads.com
7658.info
bidbass.com
devlopworldtech.com
digitalmarketingrajkot.com
fluginfo.net
naqlafshk.com
passion-decouverte.com
playsirius.com
spacceleratorintl.com
stikyballs.com
top10way.com
yokidsyogurt.com
zszyhl.com
16firthcrescent.com
abogadolaboralistamd.com
apk2wap.com
aromacremeria.com
banparacard.com
bosmanraws.com
businessproviderblog.com
caltonosa.com
calvaryrevivalchurch.org
chastenedsoulwithabrokenheart.com
cheminotsgardcevennes.com
cooksspot.com
cqxzpt.com
deesywig.com
deltacartoonmaps.com
despixelsetdeshommes.com
duocoracaobrasileiro.com
fareshopbd.com
goodpainspills.com
hemendekor.com
kobisitecdn.com
makaigoods.com
mgs1454.com
piccadillyresidences.com
radiolaondafresca.com
rubendorf.com
searchengineimprov.com
sellmyhrvahome.com
shugahouseessentials.com
sonihullquad.com
subtractkilos.com
valeriekelmansky.com
vipasdigitalmarketing.com
voolivrerj.com
zeelonggroup.com
1015southrockhill.com
10x10b.com
111-online-casinos.com
191cb.com
3665arpentunitd.com
aitesonics.com
bag-shokunin.com
brightotech.com
communication-digitale-services.com
covoakland.org
dariaprimapack.com
freefortniteaccountss.com
gatebizglobal.com
global1entertainmentnews.com
greatytene.com
hiroshiwakita.com
iktodaypk.com
jahatsakong.com
meadowbrookgolfgroup.com
newsbharati.net
platinumstudiosdesign.com
slotxogamesplay.com
strikestaruk.com
trucosdefortnite.com
ufabetrune.com
weddedtowhitmore.com
12940brycecanyonunitb.com
1311dietrichoaks.com
2monarchtraceunit303.com
601legendhill.com
850elaine.com
adieusolasomade.com
andora-ke.com
bestslotxogames.com
cannagomcallen.com
endlesslyhot.com
iestpjva.com
ouqprint.com
pwmaplefest.com
qtylmr.com
rb88betting.com
buscadogues.com
1007macfm.com
born-wild.com
growthinvests.com
promocode-casino.com
proyectogalgoargentina.com
wbthompson-art.com
whitemountainwheels.com
7thavehvl.com
developmethis.com
funkydogbowties.com
travelodgegrandjunction.com
gao-town.com
globalmarketsuite.com
blogshippo.com
hdbka.com
proboards67.com
outletonline-michaelkors.com
kalkis-research.com
thuthuatit.net
buckcash.com
hollistercanada.com
docterror.com
asadart.com
vmayke.org
erwincomputers.com
dirimart.org
okkii.com
loteriasdecehegin.com
mountanalog.com
healingtaobritain.com
ttxmonitor.com
nwordpress.com
11bolabonanza.com