The injury plague that has ruled Detroit Tigers pitcher Joel Zumaya’s career struck again Monday night.

The reliever threw a pitch with one out in the eighth inning that Minnesota Twins outfielder Delmon Young fouled off.

Zumaya’s right arm went limp after the pitch and he fell to the ground, writhing in pain. His right thumb shook as trainers examined him.

The video shows a pitcher in so much pain he can barely walk off the field.

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