New York Yankees manager Aaron Boone recently delivered concerning news about right-handed reliever Jake Cousins, revealing that the pitcher may require Tommy John surgery due to a UCL injury. According to Gary Phillips of the New York Daily News, Boone indicated that while the decision is not yet finalized, Cousins is currently seeking multiple medical opinions to determine the next steps.
The potential need for Tommy John surgery marks a significant setback for Cousins, who has yet to pitch in a major league game this season. His 2025 campaign has been marred by injuries, starting with a forearm strain that sidelined him during spring training’s Grapefruit League action. This was followed by a right elbow flexor strain, which landed him on the 60-day injured list before Opening Day.
Cousins’ recovery efforts hit another snag in mid-May when he experienced pectoral discomfort, further delaying his return. Despite completing the necessary bullpen sessions and live batting practice, his rehab assignment with High-A Hudson Valley was underwhelming, as he posted a 7.71 ERA over 2 1/3 innings before the UCL injury halted his progress.
Aaron Boone said Jake Cousins is trending toward Tommy John surgery, but that hasn’t been decided yet. #Yankees
— Gary Phillips (@GaryHPhillips) June 14, 2025
The 30-year-old reliever, acquired by the Yankees from the Chicago White Sox in March 2024, had shown promise in the previous season. In 2024, Cousins recorded an impressive 2.37 ERA across 38 regular-season innings for New York. However, his postseason performance was less stellar, with a 9.00 ERA over six playoff appearances.
If Tommy John surgery is confirmed, Cousins faces a lengthy rehabilitation process, typically spanning 12-18 months, which could significantly impact his career trajectory. For the Yankees, losing a reliable bullpen arm like Cousins is a tough blow as they navigate the challenges of the 2025 season. Fans and the organization alike will be hoping for clarity on his condition and a successful recovery, though the road ahead appears daunting for the talented reliever.