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The Toronto Blue Jays have had unfortunate, unexpected bad luck with their starting rotation's health. José Berríos was expected to return to Toronto soon, but he has suffered a setback with his elbow injury. He recently met with Dr. Keith Meister, a renowned elbow surgeon, and they are continuing to discuss what approach they will take.

Cody Ponce suffered an ACL injury in his first start back in MLB after four seasons overseas. Shane Bieber has been out all season recovering from elbow inflammation. He has thrown a few bullpens and is expected to face live hitters soon. This progress will allow his expected return in late May or early June, provided he continues taking steps in the right direction. 

Max Scherzer has made only five starts, and they were a roller coaster ride full of ups and downs. He's now on the injured list due to forearm tendinitis and swelling in his ankle. He received cortisone shots for both to see if he can return sooner rather than later. A timetable will be established once the team sees how his body reacts to the shots. 

Bowden Francis underwent UCL surgery in the offseason and won't return until next season. Eric Lauer was filling in the rotation void, but his performance was hideous. He has since been designated for assignment.  

There are no clear answers to address the opening in the rotation at the moment. The Blue Jays already hit the free agent market and added Patrick Corbin because they had no prospects that were ready to be called up. Ricky Tiedemann looked like an option for promotion during spring training, but he was shut down with elbow soreness. He's started throwing on a mound, but he's being eased in after missing all of 2025 recovering from Tommy John surgery. Tiedemann is unlikely to return until later in the second half of the season.

However, there may be a solution to the rotation void currently on the Blue Jays roster. That option is Spencer Miles, who has been working as a long reliever this season. He's performed well in his rookie campaign, posting a 3.00 ERA over 21 innings with an 18:5 strikeout-to-walk ratio and a 3.36 FIP (entering play on May 15).

Miles got the start on May 10 against the Los Angeles Angels, though he was really more of a "long opener" in that game. He threw 38 pitches over three scoreless innings, while allowing two hits and striking out two.

The Blue Jays' coaching staff will have to tightly monitor his workload, as the Rule 5 draft pick only pitched 7.1 innings in each of his two seasons in the minors (2022 and '24). Miles missed the 2023 season due to back surgery and the 2025 season due to undergoing Tommy John surgery.

With his success this season, Miles is the obvious choice to become the fifth starter, even if it's only for a few innings each outing before he turns things over to the bullpen. However, with his limited experience and production, the righty will need to be closely monitored. There have already been too many injuries to the starting rotation that the coaches and front office have had to try to solve. The season hasn't started the way the Blue Jays expected after a World Series trip last fall, but the beauty of Major League Baseball is that there are 162 games on the schedule, so the Jays have plenty of time to get their issues figured out. 


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