johan santanaWhen New York Mets lefty Johan Santana was placed on the DL on Saturday, his previously sprained ankle was reported to be the culprit. Santana sustained the right ankle injury while covering first base on July 6 and, though he has pitched three times since, he has not been effective. In fact, since throwing 134 pitches in the Mets’ first ever no-hitter seven weeks ago, even in the period prior to his sprain, Santana’s effectiveness had waned and his ERA climbed. Santana has consistently denied any problems with his shoulder, with the exception of now reporting shoulder fatigue due to his altered mechanics because of the ankle issue.

Santana had the anterior capsule of his shoulder repaired in September 2010, causing him to miss the 2011 season. The now 33 year-old returned to form upon his return. Though there are certainly stresses placed on his glove-side ankle in pitching (particularly as his left lower extremity absorbs considerable forces as the follow-through is completed and it becomes the primary weight-bearing side), there is reason to be concerned about Santana’s shoulder, even in the absence of reported complaints. Without benefit of first hand information, one can’t help but wonder if, as is often the case, “fatigue” is more than it is made out to be, even if only a mild inflammatory condition.

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About the author

Abby serves as the Injury Expert for CBS New York where, since 2010, her Injury Breakdown Blog examines injuries in professional sports. She also blogs on health & fitness as well as sports injuries for Huffington Post, and Recovery Physical, where her blog earned a top ten mention for physical therapy blogs in 2012 @ In a ranking of the Top 30 Healthcare Blogs for 2012, Top Masters in Healthcare also rated Abby’s blog in the top three in Physical Therapy! Abby is the founder of Fit-Screen and she welcomes your comments and questions!