When Napoli arrived in Boston for a physical on Dec. 10, he expected the procedure to be routine. Certainly, he had no way of knowing that an MRI on his hips — regions that had never hindered him, and that had come up clean as recently as his physical with the Rangers last March — would lead to a renegotiation, a host of medical consultations and the ultimate revelation that he has avascular necrosis (AVN) in both hips, a degenerative condition in which a lack of blood flow to the region creates the potential for arthritis or even the destruction of the hip joint.
“I didn’t know I had it. It was definitely a shock to me,” said Napoli. “I’m able to put things behind me, and there’s nothing I can really do about that. I put it behind me, and I’m going to do whatever I can to keep myself healthy and move forward. I’m just going to have to deal with it and put it behind me and try to do the best I can to keep myself on the field and help us win in any way.”
Still, Napoli and his agent, Brian Grieper, suggested that at this stage of the condition, it should not be an impediment to his ability to stay on the field. Given that an MRI of the hips 10 months ago did not reveal evidence of AVN, that the catcher was asymptomatic during the season and even the offseason (he has been unhindered in his offseason workouts) and that Napoli is now being treated by Dr. Joseph Lane of the Hospital for Special Surgery in New York (and receiving medication intended to slow the progress of the condition), both had an optimistic outlook while discussing the now-official one-year, $5 million deal with the Red Sox that includes incentives that could increase Napoli’s earnings to $13 million in 2013.