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I believe that surgery should always be your last option, not your first. As such, PT would by my first choice.
It is very difficult to tell if PT would make things worse or even if PT will make it better without knowing a lot more about the pathophysiology of your particular situation.
As such, I agree with you: Have a complete exam by a shoulder specialist and, if indicated by clinical exam, an MRI or other imaging study.
Does this make sense to you?
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