Chad Fox is landing on the DL again, apparently re-injuring his right elbow playing catch with Scott Eyre. If you play the game of six degrees of separation, Will Ohman's ghost just played a trick on Chad Fox. Or maybe it was just being overly optimistic to expect his oft injured right pitching elbow to hold up. Fox has been on the Cubs 25 man roster for a whopping 17 days. He was activated May 2nd, so in his 2nd stint with the Cubs he's made it to the DL faster than his first. In 2005 he went on the DL April 26th, and he's spared us this time as his injury that year occurred while on the mound. I have vivid memories of his pain on that cold April night in 2005:
when he threw a slider Monday night and felt the "pop," he knew it was bad.
This time the diagnosis is ulnar neuritis or inflammation of the ulnar nerve. For a 37 year old pitcher with a history of 3 surgeries on the elbow (he didn't get surgery after the 2005 event), it's not surprising that pitching, given his surgical history, will make the nerve cranky. The ulnar nerve passes behind the medial/inside of the elbow called the cubital tunnel but this area is what most people call "the crazy bone", which gets it's name because impact to that area often dings the nerve causing sharp pain and tingling. The nerve is susceptible to inflammation leading to what is called cubital tunnel syndrome where the ulnar nerve inflammation leads to pain, numbness or even weakness in the hand, starting on the inside of the elbow and radiating down the forearm into the ring and little fingers. If the symptoms don't calm down with rest and anti-inflammatory medication then there are surgical options including transposing (moving) the nerve to a location anteriorly (further in front of the elbow) where it isn't as likely to be crimped from repetitive bending. There are alot of variations on that surgery. The fact that Chad Fox has had 3 previous surgeries, including Tommy John (Ulnar Collateral Ligament reconstruction), and he opted not to have surgery with his last "event" in 2005 indicates he will pass on any procedure this time as well. Expect the nerve symptoms to calm down but always be eager to come back with repetitive activity. The timeline to recovery? Well Cubs trainer, Mark O'Neal said:
"it could take a week, it could take two weeks, it could take two months. Who knows?"
The extra righty spot in the bullpen moves on. Kevin Hart, Chad Fox and now Jose Ascanio. My guess is if Ascanio, who has been closing for the Iowa Cubs (9 saves) can throw strikes, Lou is gonna fall in love with another hard throwing option out of the bullpen. Ascanio in Iowa has pitched 21 innings, given up 14 hits with a 2.08 era. Now if those numbers could translate to the big club, trainer Mark O'Neal's most pessimistic prognosis just might be a bit too optimistic.
UPDATE [1:00PM CST]: It will indeed be Jose Ascanio getting the call-up.