For Dustin McGowan, the theme is achingly familiar.

Since 2008, the Toronto Blue Jays pitcher has spent most of his working days in Dunedin, recovering from various surgeries and assorted setbacks. He has undergone three surgeries on his shoulder and one on his knee. He had lost count of the setbacks.

This week, he was long-tossing in the outfield when he felt something pull in his neck, in the vicinity of his right shoulder, which a surgeon worked on last August.

“I was long-tossing a pretty good ways,” McGowan said Thursday. “That might have been the whole reason what triggered this. I did a day of long, long tossing – way out there – and I probably shouldn’t have got that far out. After that, I came in a little sore.”