However, the latest update on Festa's injury suggests that the young pitcher may not return at all next season. Twins believe starting pitcher David Festa suffering from thoracic outlet syndromeFesta, 25, met with Dr. Keith Meister in Texas this week. After the visit, Twins head trainer Nick Paparesta told Betsy Helfand of the St. Paul Pioneer Press that he believes Festa is suffering from neurological thoracic outlet syndrome. While venous TOS tends to have less long-term impact, multiple pitchers who suffered from neurogenic TOS have notably declined in performance since being diagnosed. Stephen Strasburg made just eight starts after undergoing neurogenic TOS surgery, and Chris Archer and Matt Harvey went from elite starters to struggling veterans after undergoing neurogenic TOS surgery.