I was advised to have shoulder replacement surgery (reversal) over 18 months ago, but since it doesn't sound like something to look forward to, I'll let my pain level dictate the timing.

Cortisone shots still provide some relief, and I'm checking out the PRP injections. From what I've read, the PRP is most effective when combined with hyaluronic acid (quotes I've gotten for PRP alone are $700 and $900 in central Florida).

I've tried OTC lidocaine roll-on, 4%, with some relief. The 5% lidocaine patches are much better but my insurance will not renew. I have found a 5% cream that helps a little more and that's about the best out there ("Hempvana" on Amazon). It absorbs fairly quickly and, because it's a cream, you're not confined to the usual rectangular shape of the patches.

Hope this helps.

The 4% lidocaine OTC patches work well too. ...and I love the roll on and spray, especially for feet and back. The spray goes on cold and is instant relief, for me....and the brand I use even sprays upside down, so you can get it everywhere you want!!

I've needed a right shoulder replacement for about 5 years now, and have had well over 15 cortisone injections...Sometimes as often as every 2 months. They still work, but I'll often use a small 4% patch as well, especially in the winter time.