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Why would they not do a shoulder replacement for someone with a bad rotator cuff injury?

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Why would they not do a shoulder replacement for someone with a bad rotator cuff injury?

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Five years ago, I fell while taking the garbage out. I landed right on my left side and separated my shoulder. I opted for conservative care and turned down the surgery. The surgeon said it was a mild-to-moderate shoulder separation so avoiding surgery was an okay option. Well, after all this time, I still have daily pain and clicking in that shoulder. Did I make a mistake by not having the surgery?

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