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I'd work on alignment, posture and core.
I'm a big fan of Revolution in Motion in Southern California. I was lucky enough to work out with them for a weekend years ago.
If your spine becomes more aligned, decreasing some kyphosis, that can help scapular motion and shoulder health. It helped me quite a bit.
It appears you guys have had experience in this. In your opinion do you think it possible that I treat this without the intervention of a physiotherapist? I.e. - by just what I read online and youtube? I know my condition pretty well and have a decent understanding of what's required.Fantastic advice! The days of prescribing the cookie cutter internal/external rotation exercises for shoulder injuries are gone. Most people don't realize that thoracic spine problems and the orientation of the scapula are probably the biggest cause of shoulder injury. And you can have all the surgeries you want, you will keep getting injured. Its like replacing tires on a car with shot suspension and alignment. My recommendations are:
-Foam rolling. both for working out the adhesions and the self massage aspect of it and also for working on thoracic extension.
-Find a way to really massage the upper traps hard and get them to loosen up.
-Work the lower traps and serratus anterior muscles to restore balance to the shoulder girdle.
-You might want to consider more PRP after you have been doing this a while. Also, look into prolo-therapy for shoulders. Its extremely interesting.
Once you work this for a while you shoulder joint will be allowed to start to heal. It will all take time but you really have no choice but to work this hard.