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.