Paul Skenes Downplays Injury Risks, Says 'Nobody in the Big Leagues Has My Stuff'

Pittsburgh Pirates ace Paul Skenes understands the injury risks that come with pitching, but it's not something he spends much time thinking about.
Speaking to Sports Illustrated's Tom Verducci, Skenes said "nobody in the big leagues has my stuff" and explained his approach to staying healthy is to study what the most durable pitchers from this generation have done and hope that future generations can look at him as an example.
"Yeah, that’s the goal," Skenes said. "Nobody in the big leagues has my stuff. We’re writing our own book. Because I’ve tried it the other way. It doesn’t work. It’s my game out there. There is no model for me."
Pitcher injuries are one of the biggest concerns facing all 30 MLB teams. A 2024 study conducted by MLB in which over 200 experts from all levels of baseball were interviewed found that the primary driving force of injuries is chasing max velocity and "stuff" quality.
The study found that both injured list placements and days missed on the injured list for pitchers have more than doubled from 2005 to '24. One interesting element was that most of the injuries spike in March during spring training.
Skenes told Verducci he didn't read the MLB study, in part because he's more interested in learning what the non-injured players were doing. He did cite Gerrit Cole as one example of reliability, though Verducci noted that comment came three days before the New York Yankees right-hander got Tommy John surgery.
"I’m trying to know more than anybody else," Skenes added. "There is an element of chance to it. There’s also an element to do everything you can and know your body. And I think that a lot of people they just don’t know what they don’t know. I’m trying to be the first guy to do these things, right?"
It's extremely rare now to find any pitcher, let alone a top one, who hasn't had Tommy John surgery. Justin Verlander made it 17 years in the big leagues before having it in 2021, which seems like a miracle in hindsight.
Cole played 12 full seasons before his elbow blew out in spring training. Shohei Ohtani, Sandy Alcántara, Jacob deGrom, Tyler Glasnow, Shane Bieber, Spencer Strider, Chris Sale and Luis Severino are among the pitchers who have had Tommy John surgery within the last five years.
Skenes isn't throwing his fastball as hard as he did last year with an average velocity of 98.0 mph (down from 98.8 mph in 2024). His sinker is up nearly three miles per hour compared to last season (96.9 to 94.0).
Given how out of the blue these significant injuries to pitcher elbow's seem to be, there's no way to predict if it might happen. You just hope that they are doing everything possible to prepare their arm for the strain of throwing at max effort and things work out okay.
Things have been just fine for Skenes so far with a 2.39 ERA and 39 strikeouts in 37.2 innings in six starts for the Pirates this season.