AnalysisInjuryMLBJun 25, 2026, 6:36 PM· 6 min read· #11 of 24 in sports

Progress on the Diamond: Bieber, Rutschman, and Bregman Clear Major Rehab Hurdles

Several major league stars, including Shane Bieber and Adley Rutschman, have cleared significant hurdles in their injury rehabilitations, setting the stage for impactful second-half returns.

By Factlen Editorial Team

Front Office Executives 35%Medical Staffs 35%Fanbases 30%
Front Office Executives
Value these internal returns as cost-free midseason acquisitions that preserve prospect capital.
Medical Staffs
Prioritize cautious, data-driven ramp-ups to prevent secondary soft-tissue injuries during the rehab process.
Fanbases
Eagerly anticipate the immediate on-field impact and emotional boost of seeing franchise cornerstones return for a playoff push.

What's not represented

  • · Minor League Affiliates Hosting Rehab Stints
  • · Players' Agents

Why this matters

As teams brace for the grueling dog days of summer, the return of frontline starters and middle-of-the-order bats acts as a midseason acquisition, potentially shifting the balance of power in tight divisional races without costing prospect capital.

Key points

  • Shane Bieber and Kyle Bradish have advanced to facing live hitters in their UCL recoveries.
  • Adley Rutschman has resumed throwing and rotational drills following an oblique strain.
  • Masataka Yoshida is scheduled to begin a Triple-A rehab assignment for his shoulder injury.
  • Front offices view these midsummer returns as cost-free trade deadline acquisitions.
  • Medical staffs are utilizing data to carefully manage ramp-ups and avoid secondary setbacks.
12-18 months
Typical recovery time for UCL reconstruction
50 pitches
Target pitch count for Nestor Cortes's upcoming rehab start
162 games
Length of the grueling MLB regular season

The grueling marathon of the 162-game baseball season inevitably takes its toll, filling injured lists across the globe with premier talent and testing the depth of every organization. But as the calendar turns toward July, a palpable wave of optimism is sweeping through clubhouses. Several marquee players have cleared significant hurdles in their grueling rehabilitation programs, transitioning from the isolation of the training room back to the active diamond. For fanbases that have spent the spring watching their favorite stars in street clothes, the sight of players taking batting practice or throwing off a dirt mound signals that reinforcements are finally on the way.[1][4]

For front offices locked in tight pennant races, these midsummer medical milestones serve as a crucial lifeline. The impending return of frontline starting pitchers and middle-of-the-order bats acts as a de facto blockbuster trade deadline acquisition—one that dramatically upgrades the major league roster without costing a single piece of prospect capital. Across the league, medical staffs are carefully green-lighting the next phases of recovery for stars who have been sidelined for months, meticulously balancing the urgency of a playoff push with the long-term health of their franchise cornerstones.[4][5]

Some of the most encouraging developments are currently happening on the mound, particularly for pitchers recovering from major elbow reconstructions. Cleveland Guardians ace Shane Bieber, who has been diligently recovering from a right UCL tear, successfully completed a high-intensity bullpen session on June 27. According to team reports, the former Cy Young winner felt strong and is now scheduled to face live hitters in the coming days. This transition to live batting practice is a critical psychological and physical step, testing the structural integrity of the surgically repaired elbow against game-like intensity and adrenaline.[1][2]

Current rehab milestones for key major league stars nearing their return to the active roster.
Current rehab milestones for key major league stars nearing their return to the active roster.

The Baltimore Orioles are also closely tracking the imminent return of their own pitching cavalry, which could shift the balance of power in the American League East. Kyle Bradish, working his way back from Tommy John surgery, reached a major milestone by facing live hitters on June 29. Meanwhile, veteran left-hander John Means, who is also recovering from UCL surgery, is throwing live batting practice and targeting a late-summer return to the major league rotation. For an Orioles team with legitimate championship aspirations, getting two elite, battle-tested arms back for the stretch run is a monumental boost.[1][4]

The psychological impact of these returns cannot be overstated. When a clubhouse sees a respected veteran get back on the mound and let his fastball eat after a year of tedious, painful rehab, it lifts the collective energy of the entire roster. The emotional boost of seeing an ace return to form often galvanizes a team just as the grueling dog days of August approach, providing a fresh spark when fatigue traditionally begins to set in across the league.[4][6]

The psychological impact of these returns cannot be overstated.

Position players are also making significant, tangible strides in their respective recoveries. Orioles franchise catcher Adley Rutschman, sidelined with a notoriously tricky left oblique strain, has officially resumed throwing and rotational hitting drills. Oblique injuries are incredibly difficult for hitters to navigate because they affect the core mechanics of the baseball swing, but Rutschman's steady progress points toward a highly anticipated return shortly after the All-Star break, giving Baltimore its offensive engine back.[1][3]

Catchers face a uniquely grueling rehab process, needing to restore both their rotational hitting mechanics and their defensive durability.
Catchers face a uniquely grueling rehab process, needing to restore both their rotational hitting mechanics and their defensive durability.

In Boston, the Red Sox are eagerly preparing for the return of outfielder Masataka Yoshida, who is officially set to begin a Triple-A rehab assignment starting July 1 after recovering from a debilitating shoulder labrum tear. The Red Sox medical and coaching staffs are closely monitoring his swing mechanics during these minor league contests, ensuring the surgically repaired shoulder can handle the immense torque required to catch up to elite major league velocity without suffering a painful setback. Getting Yoshida's bat back in the lineup will provide a massive boost to Boston's offensive production.[1][2][7]

Meanwhile, Houston Astros star third baseman Alex Bregman has resumed fielding activities and taking full-speed swings following a frustrating quad strain. Lower-body muscle injuries require a highly calculated and careful ramp-up to ensure players can explode out of the batter's box and cover ground defensively at the hot corner. Bregman's seamless return to the practice field is a highly positive indicator that he will soon rejoin the Astros' lineup.[1][3]

Shorter-term injuries are also resolving nicely for several contenders looking to solidify their rosters ahead of the second half. Detroit Tigers right-hander Jack Flaherty is fully on track to return from the 15-day injured list after recovering from a nagging ankle issue that disrupted his mechanics. Flaherty's imminent activation will provide immediate, high-quality innings to a Tigers rotation that has been heavily taxed in recent weeks, underscoring how even minor injury returns can stabilize a pitching staff and save the bullpen from exhaustion.[3][8]

Average recovery timelines for the most common soft-tissue and structural injuries in professional baseball.
Average recovery timelines for the most common soft-tissue and structural injuries in professional baseball.

As these elite athletes transition from simulated games to official minor league rehab assignments, the medical focus shifts from pure physiological healing to in-game baseball conditioning. Rehab stints are essential, allowing players to regain their timing at the plate, refine their pitch command on the mound, and adjust to the speed of the game in a controlled environment before stepping back under the bright lights of a major league stadium.[2][6]

Ultimately, the franchises that successfully integrate these returning stars while avoiding secondary setbacks will hold a distinct, undeniable advantage down the stretch. In a grueling sport where pure attrition often dictates the final standings, parachuting a healthy, rested superstar into a pennant race might just be the ultimate difference-maker when the calendar flips to October.[4][5]

The ripple effects of these successful injury returns extend far beyond the daily box score. When a team gets a star player back from the injured list, it naturally allows bench pieces and role players to slide back into their optimal, less-pressured positions. This reshuffling lengthens the lineup, optimizes defensive alignments, and restores the manager's tactical flexibility. Furthermore, as the summer trade deadline looms, front offices can negotiate with rival teams from a position of absolute strength, knowing their biggest second-half upgrades are already wearing the team's uniform and simply waiting for the final medical green light.[4][5]

How we got here

  1. Spring Training 2026

    Several marquee players, including Shane Bieber and Kyle Bradish, undergo or continue recovery from major elbow surgeries.

  2. Early May 2026

    Adley Rutschman and Alex Bregman suffer soft-tissue injuries, forcing them onto the injured list and disrupting their teams' lineups.

  3. Mid-June 2026

    Medical staffs clear players to transition from stationary rehab exercises to dynamic baseball activities like throwing and swinging.

  4. Late June 2026

    Pitchers begin throwing live batting practice and position players head to minor league affiliates for official rehab assignments.

Viewpoints in depth

Front Office Executives

General managers view returning stars as the ultimate trade deadline acquisitions.

For front offices, navigating the summer trade market is a delicate balance of improving the major league roster without mortgaging the franchise's future. When a star player returns from the 60-day injured list, it effectively acts as a blockbuster acquisition that costs zero prospect capital. Executives often build their midseason strategies around these internal medical timelines, opting to hold onto top minor leaguers if they know an elite arm like Shane Bieber or a bat like Adley Rutschman is weeks away from activation.

Medical and Training Staffs

Athletic trainers emphasize the danger of rushing the final stages of rehabilitation.

While fans and managers clamor for immediate returns, medical staffs operate on strict, biomechanical timelines. They understand that the most dangerous period for an athlete is the transition from controlled rehab environments to full-speed, in-game action. Secondary injuries—such as a hamstring pull compensating for a healing ankle, or shoulder inflammation following elbow surgery—are highly common if the ramp-up is rushed. Trainers rely on objective data, such as markerless motion capture and force-plate metrics, to ensure a player's kinetic chain is fully restored before green-lighting their return to the major league roster.

What we don't know

  • Whether these returning pitchers will immediately regain their pre-injury velocity and command upon activation.
  • If any of the players currently on rehab assignments will suffer setbacks that delay their return to the major leagues.
  • How front offices will adjust their trade deadline strategies if these internal reinforcements fail to materialize in time.

Key terms

Tommy John Surgery
A surgical procedure where a torn ulnar collateral ligament in the elbow is replaced with a tendon from elsewhere in the body.
Live BP
A practice session where a pitcher throws at full speed to actual batters, simulating game conditions without the stakes of an official match.
Rehab Assignment
A period where a major league player is sent to a minor league affiliate to play in games and test their injury recovery before rejoining the main club.
Oblique Strain
A tear or stretch in the abdominal muscles used heavily by baseball players during the rotational movements of swinging and throwing.
60-Day IL
An injured list designation for players requiring long-term recovery; it removes the player from the team's 40-man roster to free up a spot for a replacement.

Frequently asked

What is a minor league rehab assignment?

A rehab assignment allows an injured major league player to play in official minor league games to regain their timing and conditioning before returning to the active roster.

How long does Tommy John surgery recovery take?

Recovery from ulnar collateral ligament (UCL) reconstruction typically takes 12 to 18 months for pitchers, depending on the severity of the tear and the player's rehab progress.

Why are oblique injuries so difficult for baseball players?

The oblique muscles are central to the rotational torque required to swing a bat and throw a baseball. Even minor strains can cause severe pain and drastically alter a player's mechanics.

Do players get paid while on the injured list?

Yes, major league players continue to receive their full salary and accrue major league service time while on the injured list.

Sources

Source coverage

8 outlets

3 viewpoints surfaced

Front Office Executives 35%Medical Staffs 35%Fanbases 30%
  1. [1]SIC ScoreFanbases

    MLB Injury Updates: Latest News on Bradish, Bieber, Rutschman & More

    Read on SIC Score
  2. [2]RotoWireFanbases

    Real-time Fantasy Baseball Injury News and Updates

    Read on RotoWire
  3. [3]International Business TimesFanbases

    A comprehensive look at the major injuries impacting MLB teams

    Read on International Business Times
  4. [4]FanSidedFront Office Executives

    MLB injury updates that will change the pennant race

    Read on FanSided
  5. [5]FantasySPFront Office Executives

    The latest fantasy baseball injury news and IL updates

    Read on FantasySP
  6. [6]MLB.comMedical Staffs

    MLB Injury Report and Roster Moves

    Read on MLB.com
  7. [7]The Boston GlobeMedical Staffs

    Red Sox injury updates: Yoshida nears rehab assignment

    Read on The Boston Globe
  8. [8]The Detroit NewsFanbases

    Tigers' Jack Flaherty on track to return to rotation

    Read on The Detroit News
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