ST. LOUIS (AP) — Cardinals left-hander Jaime Garcia will undergo thoracic outlet surgery Friday to relieve nerve issues in his pitching arm, shoulder and hand. Garcia and doctors believe the injury has dogged him for several years.
Garcia referred to the procedure, which involved the removal of the first rib, as the "most logical and only option I have." He made the announcement on his 28th birthday and wryly noted, "I think I've had about 27 birthdays better than this."
The recovery period is three to four months, and the oft-injured Garcia is confident he will be back next season for the final year of a $27 million, four-year contract.
"Obviously, this is a really tough surgery and it's not easy to come back," Garcia said Tuesday. "They're taking a piece of bone out of my body and I don't think anybody wants to go through it.
"I'm already thinking about being for sure ready to go."
General manager John Mozeliak said the team would likely have a better handle on Garcia's future in two months.
Mozeliak said earlier in the week he believes the defending National League champions have enough pitching even though Michael Wacha also is on the 15-day disabled list with a stress fracture in his pitching shoulder. Joe Kelly (hamstring) is expected to rejoin the rotation on Friday.
The Cardinals, who already had ruled Garcia out for the year, were initially surprised by the pitcher's decision to have the procedure done by an outside specialist and rejecting other treatment options, and then revealing plans before informing the team. Garcia is having the surgery done by Dr. Robert Thompson of St. Louis.
Garcia first discussed his symptoms with Dr. George Paletta, the former Cardinals team physician who operated on his shoulder last year, who recommended he see a specialist. He also consulted with Gregory Pearl, who did the same surgery on former teammate Chris Carpenter and had the same diagnosis of thoracic outlet syndrome, a disorder when the nerves in the space between the collarbone and first rib become compressed.
"Obviously, when you think about this type of surgery there's certain risks involved," Mozeliak said. "But based on how he's feeling and his past history he feels like this is a last resort."
Before this season, Garcia said, "I had no idea the syndrome even existed."
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