For the second time within four years, Mets pitcher Matt Harvey is facing season-ending surgery. However, it should be remembered surgery to treat thoracic outlet syndrome in his right shoulder should not be interpreted to mean it is career ending.
One day after being placed on the 15-day disabled list, Harvey was examined today in St. Louis by Dr. Robert Thompson. This syndrome is when nerves and blood vessels are compressed because of a closure in a passageway through the base of the neck and armpit.
GM Sandy Alderson told reporters today at Cit Field the pressure could be caused by several ways, including muscle build up, contact with the bone and repetitive movement caused by pitching. Alderson said Harvey’s options are two-fold: 1) season-ending surgery which could take four months to recover, and, 2) a nerve-block injection, which is temporary.
Alderson said surgery is likely unavoidable, which makes this a no-brainer of a decision.
“I do believe that surgery is probably inevitable and more a question of timing than anything else,” Alderson said. “So obviously to the extent that we’re backed up for a period of time, it begins potentially to encroach on 2017 as well.”
Alderson said pretty much the same thing in 2013 about Tommy John surgery. Harvey balked, but eventually relented to the obvious choice. Had he chosen surgery immediately, he might have had more time in rehab and consequently the innings limit might have become less of an issue.
Should Harvey choose the injection and makes it through the season, there’s no telling how it would impact his performance. However, if he takes the injection and eventually requires surgery, it could cost him all of 2017. And, with him becoming a free-agent after the 2018 season, that doesn’t leave much time for him to make a positive impression on potential suitors.
Harvey is in his second year following Tommy John, which can sometimes be the most difficult as proven by his 4-10 record and a 4.86 ERA in 17 starts. In Monday’s game he gave up 11 hits in 3.2 innings and avoided defeat by a late rally by the Mets.
After the game, manager Terry Collins said Harvey complained he couldn’t feel the ball.
“Obviously it was happening during the game,” Collins said. “He didn’t say anything until after the game.”
Why Harvey didn’t say anything is anybody’s guess, but falls into line with how he’s handled things in the past. I don’t know what option Harvey will choose about surgery, but based on the information already given, it would be the prudent choice both for his health, comeback and financial future.
As for the Mets, they will be forced to scramble, but with how he’s pitching so far, will they really be missing that much?