I had strengthening exercises under physio supervision for 18 months before reverse shoulder replacement but four months after RSR I am still in worse pain and function then before my surgery - the surgeon will not advise me and I am struggling with independent research to work out how to fix this. The pain is worse in biceps but the muscle itself is not bulging and I think the tendon is problematic. It had been flicking over the implant when I first started exercises. A complication, that I was overdue for cervical spine pulsed radio frequency treatment, has ruled out that issue now since 5 August.