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Washington general manager Jim Bowden said the latest setback was a new injury.
Hill was on a throwing program, including bullpen sessions, and was projected to rejoin the Nationals in September before this injury set in.
Hill has been hampered by injuries throughout his career. He missed the 2005 season after having Tommy John surgery, and missed time in 2006 with soreness in his right elbow.
Last season he was limited to 16 starts by a shoulder injury and a compressed radial nerve in his right forearm.
Hill was 1-5 with a 5.83 ERA in 12 starts this season.
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