Henderson Alvarez leaves start with stiff right elbow

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The elbow injury epidemic simply can’t be stopped.

CSNWashington.com’s Mark Zuckerman reports that Marlins right-hander Henderson Alvarez was removed from his start Wednesday night against the Nationals after experiencing stiffness in his pitching elbow. Alvarez had delivered five scoreless innings against the Nats, lowering his season ERA to 2.97.

The talented 24-year-old is likely headed back to Miami to undergo an elbow exam, and we wouldn’t rule out the involvement of Dr. James Andrews.

Andrew published a position paper Wednesday on the increase of major elbow injuries.

Tommy John surgery has already claimed Jose Fernandez, Matt Moore, Kris Medlen, A.J. Griffin, Martin Perez, Patrick Corbin, Brandon Beachy, Ivan Nova, Josh Johnson, Jameson Taillon, Bobby Parnell, Bruce Rondon, Luke Hochevar, David Hernandez, Cory Gearrin, and Jose Cisnero in 2014.

Justin Verlander earns 200th career win

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Astros starter Justin Verlander wasn’t his usual dominant self on Sunday against the Athletics, but he was good enough to get the win. In doing so, he earned the 200th win of his career, becoming the 117th member of the 200-win club.

Verlander went 5 1/3 innings, yielding four runs (all earned) on seven hits and a walk with six strikeouts. On the season, Verlander is now 12-8 with a 2.65 ERA and a 223/29 K/BB ratio in 169 2/3 innings. Sunday’s win helped the Astros stave off the surging A’s. The Astros now have a one-game lead in the AL West.

Only two active pitchers have more wins than Verlander: Bartolo Colon (247) and CC Sabathia (244). Zack Greinke will likely be the next member of the 200-win club as he currently has 184 to his name.