Indians center fielder Grady Sizemore could be forced to have arthroscopic surgery on his left elbow if rest doesn't work. Sizemore, who is suffering from inflammation in the elbow, wouldn't return until late July if surgery is required. He is batting .223, with nine home runs and 31 RBIs this season. "There is no structural damage to the elbow," Indians trainer Lonnie Soloff said. "The treatment is rest, or stop doing what caused the symptoms. Unfortunately at the elbow, the thing that causes the soreness is extension."