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Yes and they said they thought it was spur by the X-ray, he is going for 2nd opinion. Dr said surgery and 4 weeks off or play with it and get anti inflam meds?.

I have read alot that pitchers even pitch with it, and might be a case of some people tolerated pain more than others?. But it is his JR year and of course it is a big deal.
Bone spurs are generally not something that would inhibit activity depending, of course, on the symptoms and exact location. If pain is present, it's most likely caused by the spur pressing against other bones or soft tissue. In most cases, bone spurs can be cared for by way of simple therapeutic measures such as ultrasound, and the like, with surgery as a last-ditch resort. Assuming the X-ray showed minimal ossification, I would have him seek the necessary treatment and monitor his pain while throwing. With some ibuprofen along the way, he should be fine.
From what I've heard, almost any pitcher that has been throwing all his life has some sort of bone spur. Sometimes they lead to pain and inflammation, but other times they don't which I think may be the case for most people. A lot of times people are unaware they even have them. I personally had a bone spur the size of finger nail in my elbow, and I was totally unaware. That is until I was forced to get Tommy John surgery, and also had that removed.

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