ANAHEIM -- Right-hander David Festa might be one step closer to finding out the cause of his nagging pain in his throwing shoulder.

Festa, who was shut down on Sept. 2 , met with Dr. Keith Meister on Tuesday. After an MRI and a clinical evaluation, Meister believes Festa has neurological thoracic outlet syndrome. He referred Festa to Dr. Gregory Pearl, a vascular surgeon in Dallas, for further evaluation.

According to Twins head athletic trainer Nick Paparesta, neurological thoracic outlet syndrome is usually caused by the overdevelopment or underdevelopment of a muscle that impedes the brachial plexus nerve, the nerve in the shoulder.

“There’s nerve roots that go down into your pec, they go down into your lower arm,” Paparesta said. “There may be something impeding one of those ner

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