The baseball future of injury-plagued Phillies reliever Scott Mathieson isn't looking great.

Mathieson, who has Tommy John surgery in September of 2006 and then ulnar nerve transposition on the same right arm a year later, is "most likely" going to need reconstructive surgery on his throwing arm yet again.

Mathieson met with Dr. Lewis Yocum, Dr. James Andrews and Dr. Michael Ciccotti since spring training. He recently had an MRI that revealed that the ligament is stretched out.

Mathieson has elected to have Dr. Andrews work on his arm again. He'll have the arm scoped first, but as Phillies team trainer Scott Sheridan said early Saturday afternoon, the right-hander will "most likely need reconstructive surgery again."

According to Sheridan, the success rate for players who undergo a second Tommy John surgery is just 30 percent.