From beat writer Jenifer Langosch of MLB.com:
JUPITER, Fla. — The Cardinals are delaying comment on the results of Jaime Garcia’s exam with team physician George Paletta until after the left-hander visits orthopedist James Andrews for a second opinion on Wednesday.
Garcia began experiencing discomfort in his left shoulder last weekend and flew back to St. Louis on Sunday to have an MRI. Langosch notes that Garcia requested Wednesday’s visit with Andrews, but that doesn’t make it any less ominous.
Garcia was limited to nine starts in 2013 due to May shoulder surgery and struggled with elbow issues in 2012. The 27-year-old southpaw owns an impressive 3.45 ERA and 55.5 percent groundball rate in 551 total major league innings, but arm injuries are now threatening to completely derail his career.
You can probably lock in Adam Wainwright, Michael Wacha, Shelby Miller, and Lance Lynn for St. Louis’ season-opening starting rotation. The final spot likely comes down to Joe Kelly or Carlos Martinez.
Cardinals right-handed reliever Greg Holland has been placed on the 10-day disabled list with a right hip impingement, per a team announcement on Saturday. In corresponding moves, catcher Carson Kelly (right hamstring strain) and lefty reliever Tyler Lyons (back strain) were activated from the disabled list, while catcher Steven Baron was optioned to Triple-A Memphis. The team has yet to reveal how long Holland is expected to be sidelined.
The 32-year-old reliever hasn’t looked quite himself this season, limping toward a 9.45 ERA, 10.1 BB/9 and 6.8 SO/9 in just 13 1/3 innings of work. It’s a concerning departure from the sub-4.00 ERA and NL-leading 41 saves he posted with the Rockies in 2017, though a brief stay on the disabled list may help him iron out some of the issues that have prevented him from replicating those numbers in 2018. This is the first major injury he’s sustained since 2015, when he underwent surgery to repair a torn UCL in his pitching arm; he doesn’t appear to have a history of hip issues, either.
Lyons, 30, will slot back into the bullpen while Holland recovers. The left-hander landed on the 10-day disabled list in mid-May after pitching to a 6.17 ERA, 3.9 BB/9 and 9.3 SO/9 across 11 2/3 innings — underwhelming results, to be sure, but nothing close to Holland’s career-worst output. Lyons saw mixed results in two rehab starts with Double-A Springfield earlier this month, allowing two runs on two hits and recording one strikeout in 1 2/3 innings.