Hello I am writing in regards to my husband, he is 49 yrs old, he is self employed ,he has a tree service for 15 yrs now and been lifting heavy weights now(body building)since he was 15.Doug has been experiencing pain in both shoulders more so in the left shoulder for the past 5 or so years the pain has gotten worse in the last couple of years he has seen a specialist twice in the past few years recent visit few months ago they diagnosed him with no cartlage at all in his left shoulder and a bone spur and some arthritis built upand possibly gout build up in both and their was nothing they could do other than a courtizone shot which he did lasted a week or a shoulder replacement which he does not want to do,his pain level is a 10 most of the time 24/7 lack of sleep is their nothing we can do besides shoulder replacement.