The plantar fasciitis in Albert Pujols’ left foot has become so painful that he will likely be unable to play first base for an extended period of time, according to the Los Angeles Times‘ Bill Shaikan.

Pujols said of the injury, an inflammation of the tissue that stretches across the bottom of the foot, “I’m dying. It’s hurting real bad.”

The 33-year-old started at designated hitter for the fourth straight game on Sunday and ninth time in 17 games this season, compared to eight games at first base. He entered Sunday’s game with a .322 average and .939 OPS — both slightly below his career numbers.

In 2012, Pujols’ first season in the American League, he played 120 games at first and 34 at DH.