Koufax's 1964 season started with great expectations. On April 18, he struck out three batters on nine pitches in the third inning of a 3–0 loss to the Cincinnati Reds, becoming the only National League pitcher to have two nine-pitch/three-strikeout half-innings.[36] On April 22, however, he felt something "let go" in his arm. Koufax ended up getting three cortisone shots for his sore elbow, and missed three starts.
On June 4, playing at Connie Mack Stadium against the Phillies, Koufax walked Richie Allen on a very close full-count pitch in the fourth inning. Allen, who was thrown out trying to steal second, was the first and last Phillie to reach base that day. With his third no-hitter in three years, Koufax became only the second pitcher of the modern era (after Bob Feller) to pitch three no-hitters.[48]
Koufax jammed his pitching arm in August while diving back to second base to beat a pick-off throw. He managed to pitch and win two more games. However, the morning after his 19th win, a shutout in which he struck out 13 batters, he could not straighten his arm. He was diagnosed by Dodgers' team physician Robert Kerlan with traumatic arthritis. With the Dodgers out of the pennant race, the book was closed on Koufax and his 19–5 record.[49]
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