I have had arthritis in my right shoulder for a few years, but in October 2022, I pulled it when a horse I was riding yanked the reins hard. I have had X-rays and an MRI at Sansum Clinic. I can send those results. I was told that I had rather severe rotator cuff injury and that shoulder replacement was the only option, but that since the recovery time was a year and I am (now) 86, that was not reasonable. I have had a few cortisone shots (last on December 1, 2022) and my shoulder seemed not to bother me as much, but within the last week or ten days, and right now as I am writing, it is painful again. I have used Advil, Tylenol, and a rice heat wrap.