ulnar collateral ligament (UCL) and missed the rest of the season. On November 11, it was announced that he would undergo ligament replacement surgery (more commonly known as Tommy John surgery) and miss the entire 2009 season. He underwent surgery one week later on November 18. Neshek recovered to make the Twins' 2010 roster out of spring training. In innings pitched in April, he had a 4.15 ERA with two runs and two hits allowed. On April 15, he was put on the disabled list due to middle finger inflammation. But when he was re-examined, an MRI revealed that the injury was not in fact in the middle finger but rather in the palm of his right hand. He angrily wrote about this not only on his website but also on Facebook, where he said he was "not happy with anything that has gone on, especially when it could have been taken care of three weeks ago and I was told the wrong info." This raised Twins manager Ron Gardenhire's ire, in that his young pitcher had publicly criticized the Twins' organization and their medical staff, but the matter was eventually settled, Neshek saying "Gardy and I are on the same page" and vowing that once healthy he would be willing to pitch wherever the Twins assign him, calling the whole thing "a miscommunication." After his time on the DL ran out, he was optioned to Triple-A Rochester, but he was later recalled to the majors on September 6. Neshek finished the season 0–1 with a 5.00 ERA in 11 games, recording nine strikeouts and eight walks in nine innings pitched. San Diego Padres Neshek was acquired off waivers on March 20, 2011, by the San Diego Padres. He was designated for assignment on August 20 after going 1–1 and recording a 4.01 ERA with 20 strikeouts in innings over in 25 appearances for the Padres. At season's end, he became a free agent. Baltimore Orioles organization On January 30, 2012, Neshek signed a minor league contract with the Baltimore Orioles and was invited to spring training. He ultimately did not make the opening day roster and spent the next several months at Triple-A Norfolk Tides. For the week of June 25 – July 1, he was named the International League's Pitcher of the Week. He notched three saves and eight strikeouts in innings pitched, and had not surrendered a