Horne Taking It Step By Step

It seems like forever since Alan Horne was named the 2007 Eastern League Pitcher of the Year, especially for Horne himself. Since that time he's had not one but two shoulder surgeries and now he says he's taking it step by step in his latest comeback attempt.

A biceps injury and subsequent control problems marred his 2008 season and that was before it was learned that he needed shoulder surgery immediately following that campaign. Alan Horne pitched a combined 61 innings that following season over three minor league levels and admits now that he never felt himself in his first comeback bid.

He attempted to rehab the injury earlier this year too when, right after Spring Training, he thought he might need rotator cuff surgery. But Dr. James Andrews suggested a series of PRP injections [Platelet Rich Plasma where they draw your own blood, centrifuge it down to the platelets and inject it into the injury to try to promote as much healing as possible], one shot bi-weekly over a six-week period, to see if that could heal him quicker.

Horne took the shots for six weeks, rehabbed his way back for another four weeks after that, and yet his shoulder did not feel any better. It was in early June when all parties decided he needed a second shoulder surgery.

"I tried throwing but from the first throw that first day it felt the exact same," he said of throwing after the PRP injections. "It still really bothered me.

"We figured the shots didn't work and when they got in there [the shoulder] they saw the [rotator] cuff had almost completely healed. They said it was healed back to over an 80 percent fitness, which is very good for a pitcher."

That was very strange considering he had been experiencing so much pain for the better part of two years.

"They were trying to figure out where the pain was coming from," he continued. "They got in and started looking around, and they found out that my bursa sac was really, really inflamed.

"It was the last time they did the surgery too but they really didn't think much of it because I had just got done throwing making my last start a week before the surgery so they figured it was inflamed from that and they didn't think much of it.

"They opened it up and it was just filled with scar tissue. That didn't make sense to them. There was a lot of old scar tissue and some new scar tissue as well. They wound up taking out a large portion of my bursa sac.

"They were looking for a cause to it and they found a bone spur on the very end of the collar bone called the chromium. The bone spur was facing directly down into my shoulder.

"It was wearing a hole straight through my rotator cuff," he continued. "Usually they tear from the side or where the cuff anchors in, but mine was cutting through right in the middle. It cut a hole through my rotator cuff and right into my bursa sac.

"That's what was causing the amount of pain and what was causing the tear, and what was causing all that scar tissue in my bursa sac. They went in and kind of lopped it off straight. It really opened up a lot of joint movement in there."

Horne, who has yet to resume throwing, says that his shoulder finally feels like it did prior to his breakout 2007 season. In fact, he was given the green light to begin throwing again last month but he decided to give it a little more time and won't start throwing until next week.

"My shoulder is pain-free for the first time in three years," he said happily. "It's kind of letting me do anything I want to do, even everyday activities that would have bothered me in the past. It just seems that my shoulder continues to get stronger.

"I kind of reached the point after my last surgery where it never really got any better. It got to the point where it was what it was and I never pushed over the hill or anything. Now it just gets better and better."

He knows he still has to see how the arm reacts once he begins the throwing program after Thanksgiving, and from there that he will need to gain some significant arm strength before even attempting to push it in game speed this upcoming season.

But for a pitcher that has now had three arm surgeries over his baseball life, including two shoulder surgeries, and for one who hasn't pitched much over the last three years and who will be 28 years old next season, he remains quite optimistic.

"I'm lucky that even with the two shoulder surgeries that I've had that I still haven't had a major repair," Horne said. "They haven't sewn my rotator cuff back together again or they haven't had to anchor my labrum down, the things that cause you real problems, the things that everyone raises their eyebrows about when someone has a shoulder surgery.

"I've been very luck as far as stuff goes. We're going to start throwing and see. I already feel better after this surgery than I did at any time after the [first] one.

"It already feels a lot better. I'm definitely positive about it but it's going to be a step at a time type thing. I don't want to get the cart before the horse this time."

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\r\n \r\n\r\nA biceps injury and subsequent control problems marred his 2008 season and that was before it was learned that he needed shoulder surgery immediately following that campaign. Alan Horne pitched a combined 61 innings that following season over three minor league levels and admits now that he never felt himself in his first comeback bid.
\r\n
\r\nHe attempted to rehab the injury earlier this year too when, right after Spring Training, he thought he might need rotator cuff surgery. But Dr. James Andrews suggested a series of PRP injections [Platelet Rich Plasma where they draw your own blood, centrifuge it down to the platelets and inject it into the injury to try to promote as much healing as possible], one shot bi-weekly over a six-week period, to see if that could heal him quicker.
\r\n
\r\nHorne took the shots for six weeks, rehabbed his way back for another four weeks after that, and yet his shoulder did not feel any better. It was in early June when all parties decided he needed a second shoulder surgery.
\r\n
\r\n\"I tried throwing but from the first throw that first day it felt the exact same,\" he said of throwing after the PRP injections. \"It still really bothered me.
\r\n
\r\n\"We figured the shots didn't work and when they got in there [the shoulder] they saw the [rotator] cuff had almost completely healed. They said it was healed back to over an 80 percent fitness, which is very good for a pitcher.\"
\r\n
\r\nThat was very strange considering he had been experiencing so much pain for the better part of two years.
\r\n
\r\n\"They were trying to figure out where the pain was coming from,\" he continued. \"They got in and started looking around, and they found out that my bursa sac was really, really inflamed.
\r\n
\r\n\"It was the last time they did the surgery too but they really didn't think much of it because I had just got done throwing making my last start a week before the surgery so they figured it was inflamed from that and they didn't think much of it.
\r\n
\r\n\"They opened it up and it was just filled with scar tissue. That didn't make sense to them. There was a lot of old scar tissue and some new scar tissue as well. They wound up taking out a large portion of my bursa sac.
\r\n
\r\n\"They were looking for a cause to it and they found a bone spur on the very end of the collar bone called the chromium. The bone spur was facing directly down into my shoulder.
\r\n
\r\n\"It was wearing a hole straight through my rotator cuff,\" he continued. \"Usually they tear from the side or where the cuff anchors in, but mine was cutting through right in the middle. It cut a hole through my rotator cuff and right into my bursa sac.
\r\n
\r\n\"That's what was causing the amount of pain and what was causing the tear, and what was causing all that scar tissue in my bursa sac. They went in and kind of lopped it off straight. It really opened up a lot of joint movement in there.\"
\r\n
\r\nHorne, who has yet to resume throwing, says that his shoulder finally feels like it did prior to his breakout 2007 season. In fact, he was given the green light to begin throwing again last month but he decided to give it a little more time and won't start throwing until next week.
\r\n
\r\n\"My shoulder is pain-free for the first time in three years,\" he said happily. \"It's kind of letting me do anything I want to do, even everyday activities that would have bothered me in the past. It just seems that my shoulder continues to get stronger.
\r\n
\r\n\"I kind of reached the point after my last surgery where it never really got any better. It got to the point where it was what it was and I never pushed over the hill or anything. Now it just gets better and better.\"
\r\n
\r\nHe knows he still has to see how the arm reacts once he begins the throwing program after Thanksgiving, and from there that he will need to gain some significant arm strength before even attempting to push it in game speed this upcoming season.
\r\n
\r\nBut for a pitcher that has now had three arm surgeries over his baseball life, including two shoulder surgeries, and for one who hasn't pitched much over the last three years and who will be 28 years old next season, he remains quite optimistic.
\r\n
\r\n\"I'm lucky that even with the two shoulder surgeries that I've had that I still haven't had a major repair,\" Horne said. \"They haven't sewn my rotator cuff back together again or they haven't had to anchor my labrum down, the things that cause you real problems, the things that everyone raises their eyebrows about when someone has a shoulder surgery.
\r\n
\r\n\"I've been very luck as far as stuff goes. We're going to start throwing and see. I already feel better after this surgery than I did at any time after the [first] one.
\r\n
\r\n\"It already feels a lot better. I'm definitely positive about it but it's going to be a step at a time type thing. I don't want to get the cart before the horse this time.\"
\r\n
\r\n

\r\n \r\n \r\n \r\n\r\n
\r\n

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\r\n

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