Hi - baseballsurfmom, If your son is anxious to get back to playing my advice would be to have the surgery now if you have a good doctor with OCD experience who wants to do it now. My son finally had his surgery on October 15th, prior to that he had rested it for 4 months and x-rays did show improvement but as soon as he started light throwing again he ended up with loose bodies and could not straighten his arm all the way. The first step is always rest but it seems like most of the kids end up needing surgery anyways. After the rest and then the recovery from surgery it will put my son at 1 year without any baseball and he will probably not be doing any pitching for an additional 3 or 4 months after that.