NEW YORK - Johan Santana's left shoulder has failed him again. Now he must decide if he has the stomach for another grueling comeback.
After all that arduous rehab work, all those long hours in the training room and on back fields in lonely Florida, Santana probably will have to endure it all again if he wants to resume his major league career.
Even then, a successful return is no sure thing.
Either way, he may have thrown his final pitch for the New York Mets.
The team said Thursday that the two-time Cy Young Award winner probably has re-torn the anterior capsule in his left shoulder and likely will need a second operation that would sideline him for the entire season. Santana missed 2011 following his first shoulder surgery.
"I am not a doctor, nor am I a medical historian, but these injuries are very difficult to recover from after one surgery, and I'm not sure what the history is of recovery from a second more or less identical surgery," general manager Sandy Alderson said on a conference call.
New York owes the 34-year-old left-hander $31 million more as part of the $137.5 million, six-year deal he signed before the 2008 season, and Alderson said the remainder of the contract is not covered by insurance.
Santana had surgery on Sept. 14, 2010, and did not make it back to the majors until last April 5. He went 6-9 with a 4.85 ERA in 21 starts last year and threw the first no-hitter in franchise history on June 1 against St. Louis.