May 31: Manoah is headed for a second opinion on his elbow, Jake Woodford Jersey TSNs Scott Mitchell. His initial diagnosis isnt yet known, but Mitchell adds that its expected Manoah will be sidelined for an extended period of time. May 29: left tonights start against the White Sox in the second inning. The team announced he experienced elbow discomfort. Manager John Schneider told the Toronto beat after the game that Manoah will get an MRI tomorrow ( via MLB.coms Keegan Matheson). Manoah lost the first month of the season after battling shoulder discomfort during the spring. He was reinstated on May 5 and has taken the ball five times. The burly right-hander was out to an encouraging start to the season, working to a 3.70 ERA with 26 strikeouts and eight walks acro s 24 1/3 innings. Manoah wasnt back to his Cy Young finalist form of 2022, but it was a substantial improvement over last years disappointing season. Theres little to be done now beyond hoping that imaging doesnt reveal any structural concerns. Manoahs fastball sat in the typical 92-93 MPH range during the first inning. He didnt top 90 MPH in the second inning until throwing a 91.4 MPH sinker to start his at-bat. Manoah seemed to wince after releasing that pitch and departed the game following a mound visit (video provided by Sportsnets Shi Davidi). came in for 3 1/3 scorele s innings of emergency relief to help Toronto to a 3-1 victory. The Jays are working with limited rotation depth behind their front five of , , , and Manoah. Offseason signee has been on the injured list since April 30 with back inflammation. , who opened the season in the rotation when Manoah was on the shelf, has been out for the last month with forearm tendinitis. Rodrguez and Francis are each on rehab stints with Triple-A Buffalo. While both pitchers should be back before long, theyve each got questions about their viability as starters. Rodrguez barely pitched in 2023 as he went through the proce s of applying for free agency. He pitched out of the bullpen in Japan two seasons ago. Francis was rocked in his first two MLB starts this year and quickly kicked to multi-inning relief, where he had more succe s last season. , who has a 4.81 ERA over eight starts with Buffalo, is the only other traditional starter on the 40-man roster. Toronto brought back old friend on a minor league deal earlier this month, but he has given up 17 runs in 10 2/3 Triple-A innings. , another recent non-roster acquisition, has surrendered 12 runs in 14 1/3 Triple-A innings in a swing role. Top prospect is back on the minor league IL because of a nerve i sue in his elbow. If Manoah needs to go on the injured list, Espino seems the logical choice to hold the fort until Rodrguez is ready to return. Torontos rotation would look perilously thin in the event of any other injuries. While the Jays benefitted from remarkable rotation health last season, they relied on Richards to kick off a few bullpen games last summer while Manoah was in the minors. Perhaps theyd look at that as another short-term solution, but starting pitching would likely be a deadline priority if the Jays are in the postseason picture in July. Bruce Kison Jersey