We went to the orthopedic Dr this afternoon to have him determine what route we should take with the torn rotator cuff. Th Dr said he would prefer to avoid surgery if other measures could solve the problem. Today he suggested cortisone shots in each shoulder. His other suggestion was some pain management in the neck to eliminate pain in the lower arms that is probably caused from arthritas and some problems with degenerative conditions that is associated with age. He stated that her age is a factor that doing the surgery would be very hard on her. The other pain management will have to be done by a different specialist. She can have cortisone shots about every 4 months if they seem to be working on the shoulders. Incidently, the rotator cuff damage is in both shoulders. Please overlook my spelling on some of these medical terms . I tend to spell like the Dr writes.