BOSTON, MA – SEPTEMBER 22: Triston Casas #36 of the Boston Red Sox watches his three-run home run against the Minnesota Twins during the first inning of game one of a doubleheader at Fenway Park on September 22, 2024 in Boston, Massachusetts. (Photo By Winslow Townson/Getty Images)

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Curt Bishop

By Curt Bishop

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The Boston Red Sox are off to a very slow start this season. They entered Wednesday's game against the Houston Astros with a record of 1-4 and sat at the bottom of the American League East.

They lost Alex Bregman in free agency, but were able to add pieces such as Ranger Suarez, Willson Contreras, Sonny Gray and Caleb Durbin, so their slow start is a little bit surprising. Contreras was added due to uncertainty surrounding the health of Triston Casas.

Casas missed most of the 2025 season after suffering a knee injury in May. Unfortunately for the Red Sox, the 26-year-old may be delayed a little bit. According to Tim Healey of The Boston Globe, Casas suffered a setback in his rehab.

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"He has a strained left intercostal (a muscle near the oblique/ribs)," Healey posted Wednesday on X. "He is shut down from hitting until symptoms subside and hasn't gotten an MRI; the Sox will see how he progresses in the coming days."

BOSTON, MA - SEPTEMBER 22: Triston Casas #36 of the Boston Red Sox watches his three-run home run against the Minnesota Twins during the first inning of game one of a doubleheader at Fenway Park on September 22, 2024 in Boston, Massachusetts. (Photo By Winslow Townson/Getty Images)

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This is tough news for the Red Sox, who have needed a jolt offensively. The potential return of Casas could allow them to use Contreras as a designated hitter to open up a spot.

However, that isn't going to be possible for a while. The Red Sox may end up being without him for a little while longer as a result.

Casas hit just .182/.277/.303 with three home runs, 11 RBI and a .580 OPS before his injury last season. He was an American League Rookie of the Year candidate in 2023 but has struggled at the plate over the past two seasons.

It will be interesting to see how long Casas will be set back.

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