Shoulder impingement

cookiepic, I see chiropractors.
My spine sometimes gets stuck in a slight twist which raise the rib under the should blade which raise the blade alter the all the shoulder blade connections to my discomfort. Side sleeping can be made less of problem with pillows https://www.amazon.com/Sleeper-Ergonomic-Rotator-Shoulder-Between/dp/B0FJ2623QF which might also help your neck (or make it worse), I've tried a few of the pillows. I don't love them, maybe haven't found the right one. All of the chiropractors work well, though.

I had shoulder pain too and had an MRI done. I had frozen shoulder and a rotator cuff tear and had 2 arthroscopic surgeries to repair it. It is a lot better now. I tried pt before the surgeries but it did not help. Good luck finding the right solution.

@cookiepic You said "Pt is good as long as your going. Once you stop pain most times comes back." As a long-time, chronic pain sufferer, with rheumatoid and osteoarthritis, an overactive inflammatory response to many triggers, and a laundry list of other issues, I used to think that too. Then I found a different kind of Physical Therapist - mine is a pain management specialist, a "manual therapist", whose goal is to provide the tools to manage my conditions, with periodic "tune-up" visits.

What is different?
The evaluation - they take the referral, and use it to diagnose the root of the problem(s).
The approach - they find or design specific stretches, movements or exercises to help minimize the pain, GRADUALLY add flexibility and strengthen. They offer counsel on icing, anti-inflammatory meds, sleeping positions, etc.
They reevaluate every 4-6 weeks and adjust my regimen.
I started with twice a week, then extended to weekly, biweekly and finally monthly visits - so the "50 visits a year rule" covers the whole year.
I feel responsible for my own health and well-being, so I stretch and exercise each day on my own, beginning before I get out of bed. Not every exercise, every day - a lot of different things that keep me moving.
When I get into a "bad place", first I review my own actions to see if I stopped doing what I should, or started doing what I shouldn't. If the answer is "No" I look for more guidance from the doctor and PT.

Can you get a referral to a PT who does this? It is usually through a rehab center, trauma or orthopedic hospital, not someone who comes with a "standard" set of exercises.

@sueinmn I get excellent help from my osteopath/MD, who does various types of manual work on me, and suggests useful exercises…my sessions are also often teaching sessions for advanced DO residents, since my doc is also a med school professor. Win win !

I am going through a period of pain with my "good" shoulder that has not been replaced I think the pain management doctor and clinic is a good suggestion. In that way you can cope with the pain. Also, I had horrible bone pain a few months ago, my Dr took labs and found my Vitamin levels way down, so started with D3 once a week and B-12 pretty much the same. IT took away pain that went all through the bone. My joint replacements were painful too. Keep trying it's better than letting the pain take over. Good luck.

I recommend watching Dr. David Middaugh’s YouTube videos. He is knowledgeable and helps people heal to avoid surgery. You can search YouTube via his name and El Paso Manual Physical Therapy. His advice and exercises helped me with shoulder pain.