Connelly Early has posterior elbow inflammation

Early’s odds of returning before the end of the season took a major hit when he experienced forearm tightness during a live batting practice session earlier this month. The 24-year-old has been out with posterior elbow inflammation since late June and remains without a clear return timetable following this latest setback. The procedural move opens up a spot on Washington’s 40-man roster to claim starter Matt Waldron off waivers.

Early is working his way back from posterior elbow inflammation, so his now feeling tightness in his forearm is not a great sign. Nationals manager Drew Butera said that the team will be “ultra cautious” with Early and “hit pause” on his throwing program for now before deciding on next steps. With Washington now 5.5 games out of a playoff spot, there’s a good chance we won’t see Early pitch any games for them this season.

Early is scheduled to throw again later this week. Nationals president Paul Toboni told reporters earlier on Monday that Early will begin a minor league rehab assignment in early August. The 24-year-old southpaw was acquired from the Red Sox for Curtis Mead over the weekend. He’s been out with posterior elbow inflammation since late June. He’ll need a couple weeks to build up his pitch count and stamina in the minors before making his Washington debut.

Early was acquired from the Red Sox on Saturday night in exchange for Curtis Mead. The left-hander has been out since June 30 with posterior left elbow inflammation. He will likely require at least three rehab starts to build up his pitch count before he makes his way back onto an MLB mound, so, assuming he progresses without any setbacks, he could be pitching for the Nationals in the final week of August or early September. Of course, whether or not the team is still in the playoff race by then may determine how they use Early, who is just 24 years old and is clearly an important part of Washington’s future.

Obviously, there’s nothing at all guaranteed for the Nationals here, but turning Mead, who was acquired after being DFA’d by the White Sox in March, into a pitcher who was universally regarded as a top-75 prospect at the start of the season and who has posted a 3.24 ERA through 21 major league starts, seems like a major win for the organization. There is the huge caveat that Early is currently on the IL with elbow inflammation. Also, his peripherals aren’t as strong as that 3.24 ERA. Still, he projects as a fine middle-of-the-rotation starter for the long haul, even if his recovery from his current elbow issue doesn’t go as hoped. The Red Sox, for what it’s worth, seemed optimistic that he’d be ready to contribute in September. The Nationals, meanwhile, will replace Mead with Brady House. They’ll still probably trade another infielder, too, with Luis García Jr. most likely to go.

Unless Early is damaged goods — and he obviously currently is on the IL with elbow inflammation — this seems like a pretty weak return for the Red Sox. Mead has broken out nicely with a .256/.351/.505 line this year, but not with the kind of exit velocity numbers that suggest he’s going to be an above average regular going forward, especially given his lack of defensive value. The Red Sox figure to use him a lot at DH for now and then mix him at third and first if Roman Anthony gets healthy and the outfield gets overcrowded again. Masataka Yoshida will lose at-bats in Boston. The Nationals will recall Brady House to replace Mead, according to Spencer Nusbaum.

Early increased his flat-ground throwing distance to 90 feet after playing catch from 75 feet on Friday. The 24-year-old lefty hit the injured list with posterior elbow inflammation back on July 1. He’ll ramp up his throwing progression over the next few weeks and should make it back to Boston’s rotation at some point in the second half.

Early had gone for a second opinion on his elbow injury, but it appears that the Red Sox and Early are happy with what they saw. Early has missed about three weeks since being placed on the injured list on July 1 and may require a rehab assignment before he’s ready to return. It’s still great news for the Red Sox that they avoided a major injury here.

Tracy cautioned not to read too much into it and that most pitchers that are dealing with arm-related injuries do head for a second opinion. Early landed on the injured list earlier in the week due to what was termed posterior left elbow inflammation. The Red Sox should have another update on his status in a few days.

This is not a surprise after Early left last night‘s game with elbow discomfort, but it is a sign that the Red Sox don’t envision this is a minor issue. The team is sending the left-hander for additional imaging on Wednesday, and we will wait to see the results of that before making any predictions on his timeline. If you can hold him on your roster until the imaging results are back, that would be preferential. Patrick Sandoval may be an option to take his place in the rotation in the coming weeks.