I have had a bad shoulder from a ski fall for 6 months. All the Orthopods want to operate except one who honestly told me that there is no orthopedic problem that an operation cannot make worse. I have been having long sessions with a tough female physyotherapist who almost tears my arm off. It is working and I am about back to normal. If there is a tear, (I did not have tear), then an operation may be the best way to go.