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According to Jerry Manuel, Johan Santana will miss his start tomorrow and has an appointment to see Dr. David Altchek for his pitching elbow.

Update, 4:50 pm, by Matthew Cerrone:

...from what i can gather, johan has been pitching with a sore back since the all star break, and has seen a specialist for it... but, i had not heard anything about an elbow.... i can't help but wonder if the sore back altered his mechanics and put strain on the elbow... i hope this all works out...

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