Seattle right-hander Bryce Miller is not expected to need elbow surgery this offseason, reports Adam Jude of the Seattle Times. Miller had multiple stints on the injured list this past season due to elbow inflammation. He returned for the final six weeks of the regular season and made three starts in the playoffs. “I finished the year the best I felt all year — three good starts, I felt like,” Miller told Jude. “My body and my arm feel good, so just get better, get fully healthy and be ready to go from Day 1 next year.”
Miller was diagnosed with a bone spur in his elbow and received a PRP injection in early June. He relayed to Jude that he has an upcoming appointment to determine the next steps in treatment. Miller said the likely route is a gel cortisone injection early this offseason, and potentially another one at the start of spring training. “Now that we know how to deal with the bone spur, we can figure out what we need to do exactly with it and go from there,” Miller told Jude. He added that he’d be “surprised” if the appointment led to an invasive procedure.
The elbow injury seemed to derail the early portion of Miller’s 2025 campaign. He struggled to a 5.22 ERA through his first eight starts. The control was the biggest red flag. After posting a solid 6.4% walk rate in 2024, Miller nearly doubled that mark to 12.1% over his first 39 2/3 innings. He hit the IL on May 14, though it was a minimum stint. Miller returned at the end of May, but only lasted two starts. He was hammered for eight earned runs over nine innings and headed back to the IL.
The results following Miller’s second absence weren’t much better. He closed the regular season with a 5.62 ERA over eight starts, but there were encouraging signs heading into the playoffs. Miller’s fastball velocity improved by nearly one mph. He cut his walk rate to 6.3%. Miller was mostly done in by a massive 24.5% home run to fly ball rate, which should be expected to regress over a larger sample.
Miller put everything together in the postseason. He limited the Tigers to two runs over 4 1/3 innings in Game 4 of the ALDS. Miller then came through with six dominant innings in a win over Toronto to kick off the ALCS. He returned in Game 5 with four innings of one-run ball, though Toronto’s bullpen couldn’t hold a late lead. Miller’s fastball velocity topped out at 98.1 mph in his second start against the Mariners.
The uneven 2025 season was a disappointing follow-up to a tremendous 2024 for Miller. He built on a solid rookie year, putting together 180 1/3 innings of a sub-3.00 ERA and nearly a strikeout per inning last season. Miller’s 3.85 xFIP and 3.80 SIERA suggested he might not have been as good as his 2.94 ERA, but he looked like a fixture in a talented rotation.
After a remarkably healthy 2024, Seattle’s starters were hampered by injuries this past season. Logan Gilbert spent all of May and part of June on the IL with an elbow flexor strain. George Kirby missed the first two months of the season with shoulder inflammation. Bryan Woo went down with a pectoral injury in September. He was available for just 4 1/3 innings in the playoffs.
Seattle’s rotation led the league in ERA in 2024. The staff slipped to 13th this past season. With Miller managing his elbow injury without surgery, and an offseason for Woo to get back to full health, the rotation should once again be among the best in the league next season. The unit will be key in getting the team back to the postseason in 2026.