Insight from Houston’s Nonsurgical Orthopedic & Sports MD
As spring training opens, one of the biggest health storylines for the Houston Astros bullpen is the status of closer Josh Hader.
After dealing with shoulder capsule irritation late last season and entering camp with lingering biceps inflammation, Hader has begun a gradual throwing progression.
For pitchers, this phase is critical.
Early throwing work focuses less on velocity and more on restoring mechanics, shoulder stability, and tolerance to repetitive stress. The biceps tendon plays a key stabilizing role during the late cocking phase of throwing, so inflammation here often reflects broader shoulder workload imbalance rather than a simple muscle strain.
The encouraging sign is that Hader is throwing without reported setbacks.
When a pitcher can resume flat-ground throwing early in camp, it suggests the injury is more inflammatory than structural. That significantly improves the outlook for Opening Day availability.
Expected Outlook
Most pitchers recovering from biceps tendon inflammation follow a ramp-up timeline of:
- 1–2 weeks: controlled throwing progression
- 2–3 weeks: bullpen sessions and velocity build
- 3–5 weeks: live hitters and game readiness
If symptoms remain controlled, Hader could realistically be ready near the start of the season. However, any recurrence of shoulder soreness could slow his timeline, especially given his high-velocity workload.
For Houston athletes, this situation highlights an important lesson: shoulder pain in throwing sports should be evaluated early.
Addressing inflammation, mechanics, and workload balance often prevents more serious injuries and keeps athletes performing at a high level.
