Diamondbacks reliever A.J. Puk has paused his throwing program after experiencing renewed elbow soreness, manager Torey Lovullo told reporters on Friday (link via Nick Piecoro of The Arizona Republic). Puk will visit Dr. Neal ElAttrache before deciding on next steps. Lovullo called it “slight discomfort” and noted that the star southpaw initially hoped he could continue throwing through it.
Puk has been out since the middle of April with a flexor strain. The organization has remained hopeful that he’ll be able to rehab the injury without requiring surgery. That’s presumably still the case, but any kind of setback for a forearm/elbow injury is worrisome. That’s especially true considering Puk has a 2018 Tommy John surgery on his medical chart. Even if the follow-up visit goes well, the shutdown will push back his return timeline to some extent.
It’s the latest bad news for a reeling Arizona bullpen. Puk and Justin Martinez were supposed to serve as Lovullo’s 1-2 punch in the late innings. Puk made eight appearances before his IL stay. Martinez got into 17 games and suffered an elbow injury of his own last week. That one immediately proved serious, and the team announced this evening that he’s headed for the second elbow surgery of his career.
Arizona’s bullpen has been a huge weakness. They entered play tonight with a 5.21 earned run average that ranks 27th in MLB. The injuries to Puk and Martinez are the biggest factors, but they’ve also seen former key contributors Ryan Thompson and Kevin Ginkel struggle through rough years. Low-cost acquisitions Shelby Miller and Jalen Beeks have been their most reliable relievers. The D-Backs will need to acquire multiple bullpen arms if they’re in position to add at the deadline.