cortozone shot and prednisone meds., I'm 40 and have bad arthritis in my knuckles,elbow back,knees, and recentley showing up in my shoulder. Try the shots there not that bad,and the med(pred.) works for me, I wouldn't be able to shoot with out it. Like the boys said, second opinion and ask the new dr. about this. Good luck friend, Hope it works for you.