### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
my husband age 44 now had a serve injury to his L-should approx 17 years ago..he fell from 20 feet up and landing on the concrete head and shoulder. at this time,a dr only slinged the injury and told him it would heal fine this way! my husband believing in the dr did what was told of him..leave it alone! now 17-18years later it effects his life so badly that he just cries or gets angry because of the unbareable pain! we have seen several doctors and no one will offer surgery or anything else for him. we have been told that the injury is too old to do anything about and the arthisis has incased itself around the bone and now the good shoulder(R-shoulder)is compensating for the bad one and now both are outta wack! what can we do? who do we see? this even effects our love life,hes in too much pain or the shoulder just simple pops out of the socket and my poor husband just cries,sometimes all night long in his sleep! thank you! susan

### output:

Hello, I have studied your case. There is possibility of rotator cuff weakness post injury reverse shoulder replacement may help in reducing symptoms of arthritis. You may need Ultrasonography or if possible MRI /X-ray to see details. You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case. He will guide you for active and against resistance shoulder exercises. If possible consult orthopedic surgeon who is specialist in shoulder replacement surgery. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care.