Orioles sending John Means to first rehab stint since Tommy John surgery

The Orioles are sending left-hander John Means on a minor league rehab stint on Thursday, tweets Roch Kubatko of MASNsports.com. He’ll take the ball for their Double-A club in Bowie.

It’ll be Means’ first game action since he underwent Tommy John surgery last April. The 16-month recovery timetable is towards the longer end of the typical TJS rehab, in part due to a back strain Means suffered this past May. 

The rehab outings represent his final steps as he builds back to MLB readiness. Pitchers are typically allotted 30 days on a stint, though players working back from Tommy John procedures can get a longer window with league approval.

If all goes well, it stands to reason Means will be back on the Camden Yards mound sometime next month. The 2019 All-Star will get to pitch in a pennant race for the first time in his career. After Tuesday's dramatic loss at the hands of the Astros, Baltimore holds a two-game lead on Tampa Bay in the AL East.

A few other health situations around the game:

• The Angels placed shortstop Zach Neto on the 10-day injured list on Friday due to lower back inflammation. A specific recovery timetable is unclear, though he’ll be out well past the minimal stay. Manager Phil Nevin informed reporters (including Rhett Bollinger of MLB.com) that Neto will be out for several weeks after recent imaging revealed increased inflammation. The club still expects the rookie infielder back before season’s end, but it’s another hurdle for a team that has been floundering since the deadline. Luis Rengifo has kicked over to shortstop with Neto out while Brandon Drury handles second base.
• Dodgers reliever Blake Treinen has missed the entire season after undergoing shoulder surgery last November. The club announced a rough 10-month recovery timetable at the time of the operation. Almost exactly 10 months out, Treinen has yet to begin a rehab assignment. The veteran right-hander has been throwing bullpen sessions, however, and he told reporters Tuesday afternoon he remains hopeful of getting back to the majors this year (relayed by Jack Harris of the Los Angeles Times). Treinen has barely pitched over the last two seasons because of shoulder woes but had a 1.99 ERA over 72 1/3 frames in 2021. The Dodgers hold an option for next year valued somewhere between $1M and $7M depending on his health status.
• Rangers All-Star backstop Jonah Heim took batting practice and caught a bullpen session Tuesday afternoon, writes Evan Grant of the Dallas Morning News. It’s his first cage work since tearing a tendon sheath in his left wrist two weeks ago. The Rangers expressed initial concern that Heim would require season-ending surgery, though it seems he’ll be able to play through the discomfort (likely before an offseason surgery). Grant notes that Heim — normally a switch-hitter — may have to swing solely from the left side for the time being, as the wrist is in more pain when he hits right-handed. Heim has been excellent from both sides of the dish this season, and Texas has righty-swinging catchers Mitch Garver and Austin Hedges as their duo with Heim out. Even if skipper Bruce Bochy wanted to limit Heim’s looks against left-handed pitching, Garver — a career .272/.366/.523 hitter against southpaws — should be well equipped to step in.