20+ years as an overhead athlete plus 30+ years ;lifting did a number on my shoulder:
arthritis
bursitis (debris in the bursa)
inflammation
impingement
tear
thickening of muscles
My doctor suggested external rotation exercises, shock wave therapy and acupuncture.
When asked about peptides he said that no conclusive evidence is available.
What are your thoughts?
Short story i have had 1 shoulder rebuilt some after tearing the infraspinatus and supraspinatus off the bone as well as having a ruptured biceps fixed in 1 surgery 25 years ago. There were other lesser issues as well. Had the other shoulder replaced 12 years ago.
If you want to get better without surgery give the rehab a try what can it hurt.
Rotational exercises are to help strengthen muscle imbalance. If you are arthritis/deposits it may be uncomfortable. But so is having the imbalances get worse. And continued lifting will make things worse almost for sure. That is just how it goes. The other therapies may help deal with the pain but i have no experience with them. But on the other side masking pain just makes it easier to do more damage without noticing it. I found John Meadows spider crawls great for keeping my shoulders in a more natural positron. As compared to the rotated forward position the lifting and modern society leads us to having. Working on your weak points can only help you with what ever issue you may have.
Peptides never did a thing for me and i tried them a few times. But it seems your shoulders are in better shape then mine so maybe they may help you healing. But once things are very damaged they just seem to help with discomfort and reduce inflammation from my experience.
Low dose Nandrolone did nothing for me. It was not enough to help deal with the inflammation from the instability from the tears or the bone on bone.
Any tear of any real size will leave things unstable. Which allows wear and tear to happen at a faster rate. My torn labrum is what likley lead to having a replacement.
I quit doing over head presses years before the surgeries and can't say i lost any size. Whenever i throw them back in my shoulders are aching with in a month or 2. Delts can be stimulated well without raising the elbow above shoulder level. Dips are a thing of the past. Rotating the elbow behind the body and putting a load on it is not really what the shoulder was built for from my understanding. Dumbbells, machines that mimic arcing motions lateral raises have been more of a mainstay for me for many years.
But my rebuilt shoulder has gotten down to a little bone on bone and will get replaced one of these years although it causes me no real discomfort. But 40+ years of lifting tends to wear things down from my experience. Especially when decades are spent chasing weights, reps and muscle growth. But i can't complain about the fun i had along the way.