NEW YORK -- John Maine was removed from his fourth start in the fourth inning on Friday night after experiencing muscle spasms and pain in his left (non-pitching) elbow. Maine had retired two batters and allowed a hit when manager Jerry Manuel, pitching coach Dan Warthen, trainer Ray Ramirez and catcher Rod Barajas joined him on the mound.
The spasms caused considerable pain and, Maine said, prohibited him from pulling down his left arm as he delivered pitch, thereby diminishing his velocity.
He was understandably dejected by yet another physical malady.
"It's one thing after another. I can't get going," Maine said.
Maine is winless in 2010, with an 8.64 ERA -- down from 10.38 -- in four starts. His longest workday has been five innings
The elbow began to lock in the third as he struck out phenom Jason Heyward for the second time. By the fourth, it had became more painful.
Maine experienced the same problem on July 5, 2008, while pitching in Philadelphia, and he doesn't know the cause. The prognosis for him is day to day.
Marty Noble is a reporter for MLB.com. This story was not subject to the approval of Major League Baseball or its clubs.