Dr. Neal ElAttrache has been at the center of modern sports medicine for decades. From working alongside legends like Frank Jobe and Lew Yocum to helping evolve the Tommy John procedure itself, he’s been in the room for nearly every major shift in how elite athletes recover, return, and redefine what’s possible.

Now he’s back at the center of baseball’s next medical leap. On this episode of Injury Territory, Will Carroll sits down with Dr. ElAttrache to discuss the new “NanoNeedle” procedure that has suddenly become one of the biggest stories in baseball after its use on Tarik Skubal and Blake Snell.

The conversation goes far beyond the headlines. What actually makes this procedure different? Why are recoveries potentially moving faster? Are teams beginning to rethink the entire cycle of elbow injuries before reconstruction becomes necessary?

ElAttrache explains how minimally invasive procedures are changing the decision tree for pitchers, why “less invasive” doesn’t mean “less serious,” and how advances in imaging, instrumentation, and rehab are reshaping sports medicine in real time. There’s also a fascinating discussion about the evolution of pitching injuries, the pressures of modern velocity, and where baseball medicine could be headed next.

This is one of the most important voices in sports medicine talking about one of the most important developments in baseball health. Subscribe to Injury Territory for more conversations on baseball injuries, biomechanics, workload, surgery, rehab, and the future of player health.

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