Mike Pelfrey SP MIN 9 Hrs

Mike Pelfrey (elbow) began a throwing program on Wednesday.

Pelfrey has been out since May 2, first with a groin strain and then nerve irritation in his elbow. He's got a long way back, but it's a step in the right direction. Pelfrey could be back with the Twins for a September cameo if things progress well.

Mike Pelfrey SP MIN 27 Days

Twins general manager Terry Ryan said Friday that Mike Pelfrey no longer has numbness in his hand.

Pelfrey underwent surgery in June to relieve pressure on the ulnar nerve in his throwing elbow. Ryan said that he "wouldn't be surprised" if the righty is done for the season -- and in all likelihood, he is -- but he left the door open for a September return.

Mike Pelfrey SP MIN 1 Month

Twins transferred RHP Mike Pelfrey from the 15-day disabled list to the 60-day disabled list.

The move opened up a spot on the 40-man roster for Yohan Pino. Pelfrey underwent surgery last week to relieve pressure on the ulnar nerve in his throwing elbow and is likely done for the season.

Mike Pelfrey SP MIN 2 Months

Mike Pelfrey will be sidelined for the next 2-4 months after having surgery Tuesday to relieve pressure on his ulnar nerve.

It's an operation that seems likely to end his season. Pelfrey had been on the disabled list with a groin injury, but he had to be shut down late last month due to the elbow issue. If his season is indeed over, Pelfrey will have posted a 7.99 ERA over five starts. He's under contract for $5.5 million next season.

Mike Pelfrey SP MIN 2 Months

Mike Pelfrey (elbow) is scheduled to see Dr. James Andrews on Monday.

Pelfrey is on anti-inflammatory medication, but it hasn't completely solved his nerve issue. The right-hander started the season off poorly with a 7.99 ERA in his first five outings. Any sort of elbow surgery would put the remainder of the 2014 campaign in jeopardy.

Mike Pelfrey SP MIN 2 Months

Mike Pelfrey's rehab has been shut down for a few days as the Twins wait to see how his elbow reacts to anti-inflammatory medication.

Hopefully he's able to resume throwing soon. While no structural damage was found in an MRI taken last week, Pelfrey is going to receive a second opinion from Dr. James Andrews. Pelfrey underwent Tommy John surgery in 2012. This season, he had put up an ERA of close to 8.00 prior to being shut down with a groin injury. The elbow issues only began to flare up during his minor league rehab sessions.

Mike Pelfrey SP MIN 2 Months

Mike Pelfrey (groin, elbow) will receive a second opinion from Dr. James Andrews.

Pelfrey's elbow is fine structurally, but it's possible he'll need minor surgery to fix some nerve irritation. The right-hander is dealing with some tingling in his fingers, a condition that evidently dates back to spring training. It's not clear how long a procedure would sideline him.

Mike Pelfrey SP MIN 2 Months

Mike Pelfrey (groin) has been diagnosed with nerve irritation in his right elbow.

Pelfrey was said to have been shut down from his rehab assignment due to shoulder issues, but it's apparently his elbow that's the concern. The righty is experiencing some tingling in his fingers as a result of the nerve irritation. The Twins don't think the ailment is serious, but it's not clear how long Pelfrey will be out.

Mike Pelfrey SP MIN 2 Months

Mike Pelfrey (groin) returned from his rehab assignment on Wednesday due to shoulder soreness.

That's not a good sign. Pelfrey had been improving after being placed on the DL with a groin strain, so the shoulder issue is a new development. Pelfrey will be examined by team doctors on Wednesday, and more should be known about any new injuries and a possible timetable for return from those ailments.

Mike Pelfrey SP MIN 3 Months

Mike Pelfrey will make a rehab start Friday for Triple-A Rochester.

Pelfrey will throw around 60 pitches in the start, his first since hitting the disabled list on May 2. He'll have 30 days to rehab before being required to be activated, and the Twins will likely take their time to ensure the 30-year-old makes it back healthy.