BRICKS
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Steroid injections (cortisone) are pretty much a band aid for your symptoms and can actually lead to further injury. Ortho surgeons are going to limit that to 3 injections for this reason, and then it's on to cold steel. I'm assuming you know this already since I know you research things pretty well. An ultrasound can give you some idea if there is a tear, or fluid build up. If you are adamant about not getting things surgically corrected an MRI isn't necessarily warranted, but if surgical repair is necessary I personally would want one rather than do the "we'll scope it and find out then" approach. And also personally if I would follow a steroid injection with shoulder rehab and not go back to business as usual for a while.
Good luck, hope it's nothing that requires surgical repair.
Good luck, hope it's nothing that requires surgical repair.