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Chronic shoulder issues led to Manaea’s surgery, A’s optimistic on return

OAKLAND — There’s no point in guessing how long Sean Manaea might be out. The fact of the matter is, there’s not enough info out on this type of surgery to make a fair estimation. But the A’s have hope.
Manaea underwent successful arthroscopic surgery on his left shoulder with Dr. Neal ElAttrache Wednesday in Los Angeles. Along with repairing his labrum, ElAttrache also cut down part of the bone in Manaea’s shoulder in order to give him more joint space.
Scraping of the bone might sound like something out of a horror movie, but A’s trainer Nick Paparesta said this was actually the best possible scenario for the left-hander.
“We all are very confident and Dr. ElAttrache echoed that,” Paparesta said. “He was very encouraged and excited about how things went and we all feel Sean will be back at the major league level competing again.”
Paparesta revealed the surgery was ultimately a culmination of chronic shoulder impingements Manaea had been dealing with over the past two years, which even required a stint on the disabled list last year because of it.


The A’s allowed Manaea, 26, to pitch through the injury over that time, and were encouraged with the results produced, including a no-hitter against the Boston Red Sox as part of an impressive month of April that saw him earn American League Player of the Month honors.
Manaea was 12-9 with a 3.59 ERA in 27 starts pitching with the pain of the impingements for most of the year. After shutting down a throwing session early when the club was in Minnesota last month, the pain became too much for Manaeae to handle and the club decided to shut him down.
“He got to a point to where he couldn’t pitch anymore with the pain he was in,” Paparesta said. “We tried some conservative measures over the last three weeks to see if Sean could get back and pitch this season, it wasn’t possible, so we went ahead and proceeded with the surgery.”
Manaea will begin rehab Monday in Arizona at the club’s training facilities. He’ll be in a sling to control his range of motion, so the only workouts Manaee will really be able to participate in early on will mostly be pain management exercises.
The A’s will have a better idea of a timeline once spring training begins, but A’s manager Bob Melvin was encouraged by what he heard from ElAttrache after the procedure was finished.
“The surgery went well enough to where there was some hope he could potentially pitch next year later on in the season,” Melvin said. “We’ll leave a ray of hope.”
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— Trevor Cahill (back) felt good and after throwing a 35-pitch bullpen session Wednesday and is expected to start for the A’s Sunday against the Minnesota Twins in what will be the A’s final home game of the regular season.

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