CLEVELAND: Indians reliever Andrew Miller was sent to New York to seek a second opinion as the club tries to gather information regarding his ongoing knee issue.

Miller was placed on the 10-day disabled list on May 26 with inflammation in his right knee, the same knee that forced his placement on the DL late last season.

Indians manager Terry Francona indicated a few days ago that Miller might never have completely gotten over the original injury and was instead pitching through it.

Miller started this season strong but then went on the 10-day disabled list in late April with a strained hamstring. When he returned, he wasn’t nearly the same pitcher he was prior going on the DL. He also dealt with a back issue this season.

Miller on Tuesday met with Dr. David Altchek in New York.

The original diagnosis was confirmed, and Miller was cleared for a throwing program with a gradual progression up to pitching off a mound. Though, for now, no timetable has been established for his return.

Indians president of operations Chris Antonetti said on Tuesday this is something the club often does for any injury of consequence, indicating it wasn’t something that necessarily flared up recently.

If it’s something Miller has been dealing with for some time, as well as an injury that might have played a role in his strained hamstring, the Indians would like to gather more information before determining a plan.

“I think a lot of this is to give guys peace of mind,” Francona said. “Not that it doesn’t hurt. We know what’s there, but even he said, … ‘If I know this is what it is and I have to deal with it, I can.’ So, there’s multiple reasons why you do it. But one is also for peace of mind, sure.”

Bieber Fever

Indians prospect Shane Bieber is slated to start Thursday’s game, which means he’ll be making his major-league debut on his 23rd birthday. He’ll then be optioned back to Triple-A Columbus after the start.

It’s a good deal of emotion for a soon-to-be-23-year-old to handle — traveling to Cleveland and then Minnesota, taking the mound in the majors for the first time and then flying right back home.

“[Pitching coach Carl Willis] spent a little bit of time with him, and I got a chance to talk to him a little bit,” Francona said of Bieber. “The last thing you want to do is overwhelm a kid. He’s going to have a lot of emotions going, but I told him, ‘Just take care of your tickets and all that stuff for your family so you can pay attention to the game. When it’s over then you can take it in.’ ”

Bieber has been nothing short of terrific in the minors this season, posting a 1.16 ERA with the RubberDucks in 13 innings and a 1.05 ERA in 34⅓ innings in Triple-A Columbus.

The Indians wanted to give Trevor Bauer an extra day of rest after he threw 127 pitches in Sunday’s 10-9 win over the Houston Astros and decided this was the perfect time to give Bieber his first taste of the majors.

And it could be the beginning of Bieber establishing himself as a potential option for the fifth spot in the rotation despite his having fewer than 40 innings above Double-A.

For now, though, it’s one step at a time.

“His progression has been so exciting for the organization. Just every time someone talks about him they just rave about his routine, his work ethic, his strike-throwing ability,” Francona said of Bieber. “He’s not the finished product. His breaking ball is still a work in progress, but he just fills in the strike zone, which is a good way to start.”

19 in a row

Michael Brantley extended his hitting streak to 19 games with a single in the first inning on Wednesday. It’s the longest streak in the majors this season.

It extended a torrid start to the season for Brantley, who has rewarded the Indians for picking up his $12 million club option. Brantley is now hitting .343, the third-highest average in baseball, to go along with nine home runs and 36 RBI. This season has also marked the fastest Brantley has ever reached the nine-home-run mark.

Ryan Lewis can be reached at rlewis@thebeaconjournal.com. Read the Indians blog at www.ohio.com/indians. Follow him on Twitter at www.twitter.com/RyanLewisABJ.