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Pitching injuries continue to be an issue in MLB. How it’s impacting pitchers at all levels

Keith Meister is worried. The 63-year-old orthopedic surgeon feels as if he’s screaming into a void, his expert opinion falling on deaf ears.

Meister, whose slight Southern twang sweeps into conversation through his 20-plus-year career in the Lone Star State as the Texas Rangers’ team physician, is a leading voice in baseball’s pitching-injury epidemic. Meister wants the sport to err on the side of caution and create change to save pitchers’ arms. The trend, Meister says, stems from the industry-wide push to increase speed, spin and break at all costs.

While MLB and the Major League Baseball Players Assn.