A 2nd Tommy John rehab could be tougher for Angels' Shohei Ohtani. But it's not a given

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A 2nd Tommy John rehab could be tougher for Angels' Shohei Ohtani. But it's not a given
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If Shohei Ohtani has a second Tommy John surgery, it’s possible his recovery might be more difficult than the first — but not a given.

and to the mound on July 26, 2020, in a season delayed by the pandemic. He didn’t retire a batter in his return, got just five outs on Aug. 2 and left with a strained forearm that kept him from pitching until 2021.Combine that with his offense the last three seasons — a .278 average, 124 homers, 290 RBIs and 56 stolen bases entering Friday mostly as a designated hitter — and expectations before the injury were that theIf Ohtani has the surgery, he wouldn’t pitch again until 2025 at the earliest.

A second surgery often is more complicated than a first, with recovery time impacted by scar tissues and bone spurs. Pitchers often can resume throwing in week 17 following their first Tommy John. New York Mets medical director Dr. David Altchek said after a second TJ surgery, throwing might be delayed until week 21 or even 41.

“We think that some of the training methods may have something to do with it: The weighted balls. I’m not against weighted balls. Weighted balls do definitely increase velocity, but they put a lot more pressure on the ligament. If I get to decide what my patients do, I don’t want them to even go near throwing a weighted ball with any velocity for like a year and a half to two years after the surgery.

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