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I'm sorry to hear this pain has returned
Did they ever had an MRI for this?
Is the pain exactly the same pain as 2 years ago?
Okay, this is most likely a strained rotator cuff muscle, and these heal with time, I think it is wise to give it 3-4 weeks to heal, and also to avoid stressing it
That is likely what happened 2 years ago, and you likely aggravated it again, many different movements or exercises can aggravate it, or heavy lifting
You can try to avoid movements that cause pain, it is not easy, but it is possible, you will learn to adapt
Yes, you will likely have to be careful of it for the rest of your life to avoid damage in the future and subsequent surgery
The bursitis may require an anti-inflammatory drug like ibuprofen, and if that does not help, then you may require a steroid injection into the bursa
If you don't learn to lift these object without causing pain then it will eventually tear, if you learn , then you may avoid pain and damage and a tear
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Try 5 pounds to start, and then you may work your way up from there
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