Injury puts Mike Adams' status in flux

ARLINGTON, Texas -- Texas Rangers reliever Mike Adams was diagnosed with Thoracic Outlet Syndrome, which is a condition where the rib bone pushes against a nerve and can cause numbness or pain in the arm or shoulder.

Adams said he hopes to pitch through the pain in the playoffs, as long as he can be effective, but he wants to see some other specialists before figuring out what the plan is for the rest of this season. He will not fly with the team to Oakland late Sunday and will meet with other doctors. He was told he needs to rest for seven to 10 days.

Adams also is dealing with a cervical (neck) strain and hasn't pitched since Thursday. Rangers general manager Jon Daniels said it's possible Adams could meet the team in Oakland at some point.

But Adams still would need to long toss and try to get back on a mound before determining if he can pitch.

"The calendar is what it is, and the timetable is what it is," Daniels said. "There are guys that pitch through it and pitch fine and others who can't."

Daniels said that Adams' symptoms are mild, so it's a matter of seeing if he can respond to treatment and bounce back to where he can still be effective.

Matt Harrison had the same problem and was fine after surgery. Adams said it's "more than likely" that he'll also have to have surgery after the season, though that has not been determined and some players haven't needed surgery.

"I want to do everything I can to pitch this season," Adams said. "But at the same time, I want to make sure that if I do pitch, I'm effective and I have good stuff. I don't want to go out there, especially if it's the playoffs, I don't want to jeopardize anything. If I do pitch again, I want to make sure I have significant stuff."

Adams will be a free agent after this season and knows he also must think about his long-term future. That's another reason he wants to talk to a few more people and come up with a plan that he hopes allows him both to help the team and enable him to bounce back and pitch pain-free in the coming years.

Adams said he talked to Harrison about the symptoms and feels like they are certainly similar. Adams was having trouble getting a feel for his stuff and being consistent.

"That's been my problems this year," Adams said. "I was trying to find that feel. This explains that a little."

Adams, 5-3 with a 3.27 ERA, is the club's primary eighth-inning setup man. In his absence, Koji Uehara and Alexi Ogando will handle that role depending on the situation.