In case any physician or clinician tries to tell you that a large tear in the (supraspinatus portion of the) rotator cuff in the shoulder cannot be healed, other than selling you expensive steroid injections, or alternatively refers you to a specialist for a future surgery, mostly years later after having been on a lengthy wait list. Then my experience maybe helps to clear this up.
FIRST, explanation of what all these medical terms mean. [ https://physioworks.com.au/injuries-conditions-1/rotator-cuff-tears ]. The supraspinatus is one of the posterior muscles surrounding the shoulder, specifically the rotator cuff (source of many injuries), the others are trapezius and the largest the deltoid. Important to know is that these are some of the muscles needed to lift or rotate the upper arm.
Unfortunately, when an injury occurs, usually very painful, the first treatment seems to always be prescribing pain medications including most often steroid injections into any of the upper arm muscles. More than not, nilly/willy anywhere. Resulting in either subduing pain, not longer than 4 months, or what is worse, resulting in no pain reduction. Does that sound familiar ?
Plus, injections should always be given ‘guided’ (using a monitor) and by a specialist to know where the needle goes in. Remember, once an injection received, this treatment may go on forever, mostly not resulting in any repair of a tear in the muscle’s tendon. The opposite may more likely be the case.
Surgery ? Not the answer either. Why ? Firstly, surgery cannot be done for elderly patients because their tissue is thinner. Ergo, the tear will probably get worse. Secondly, even if the surgery is using good healthy tissue, no guaranty that pain is resolved and all is well.
Here is my case. January 2016 received an injury in my right arm. Throughout 2016 pain went into my right shoulder. October 2016 ultrasound shows sub deltoid bursa inflammation [Bursa m/l is padding between muscles and bone.], but no focal tears. November 2016 first corticosteroid injection into sub deltoid by GP (no ‘guidance’). After that, I was pain free for 3.5 months. March 2017 the second corticosteroid injection (both were using Triamcinolone acetonide) into my deltoid. No pain reduction whatsoever. Done by same GP in office unguided.
April 2017 several physio therapist sessions, with pretty severe moving of my right arm and shoulder. Needless to say the pain I suffered. June 2017 third and last steroid injection, done guided in hospital, using Depo Medrol. Again, pain was worse after that.
Referred to physiatrist specialists. End June 2017 request for MRI of shoulder.
December 2017 results of MRI id’d : Large tear involving supraspinatus portion of rotator cuff. The doctor who had requested this MRI told me, and I quote:
“There is nothing we can do about this, except continue steroid injections. Surgery is out of the question” [mind you, I never considered surgery] . More steroid injections, thanks, but no thanks.
Instead, I started healing myself since October 2017. My program:
Five times a week working in the local YM/YWCA swimming pool, aqua fit program or swim, then warm pool, weights, carefully moving my right arm and shoulder, to strengthen the surrounding muscles.
What helps is heat. When tissue is still inflamed, ice. I bought myself equipment such as ice pack, and a little ultrasound machine, for that torn upper arm and shoulder. Cannot say, that that helped a lot. Neither did Voltaren gel.
When moving or rotating my right arm, very carefully done. After not being able to lift my right arm, I can do it now, best when heated (under hot shower or in steam room). I am doing better now. Best yet, I save money by helping myself. [At this point I need to mention, be careful, follow your own instincts and programs.]
Checking the NET, there are umpteen sites on “healing rotator cuff tears”, most of them try to sell something. Found a fairly good one :
[ http://www.aidmyrotatorcuff.com/rotator-cuff/stretching-and-exercise-for-a-rotator-cuff-tear.php ]. Also my good book bought ten years ago gives lots of insights. 
NOTE. I have not yet had a follow up ultrasound to actually see if that tear is smaller or fluids are still retained. Not likely at my age (80 years) I would get anything done anymore. Nor, do I make the premise that any of such injury can be completely healed.
Los Angeles Adventurer All Suite Hotel Inglewood
Los Angeles Adventurer Hotel – passing through
[ http://www.laadventurerhotel.com/ ]. Address: 4200 W Century Blvd, Inglewood, CA 90304.
In summary, this hotel is at best a backpackers inn, it is awful.
My recent experiences summarized. On my way down south to Mexico I needed to stay overnight in Los Angeles, CA. I had booked this hotel using http://www.booking.com. It is near LAX, L.A. Airport and advertised a number of included FREE services, such as BF, free Airport Shuttle to and from, free popcorn, free glass champagne on arrival, and whatnot. When entering the small messy lobby, there is a list on the wall listing all of these free included services and extras. These are included in the room price.
I have not seen any of this FREE stuff. I arrived late L.A., called shuttle service at this hotel from the airport outside an area which is reserved for shuttle buses from all L.A. hotels. We waited 40 minutes till a large black van arrived at the Airport, to pick me up.
This hotel is noisy, smelly (cannabis smoking), and the reception on my first arrival there was unacceptably rude with another guest, a Chinese man. Yelling and insulting this man, making nasty discriminatory comments on his being Chinese, and threatening to call the police. Just because he had requested another room. His room did not have a workable shower. Was scary this situation. In all my travels, this was a first for me.
I spent a few hours, getup early and got the hotel shuttle alright, to bring me to the airport. On my return back to Canada, I needed again to stay overnight at this same hotel.
Calling the hotel shuttle service from the airport, no response, a different company responded. I took a taxi to the hotel, cost US$25. The room I got was nice, I must say, with a nice clean renovated bathroom. The TV was on, the remote belonged to a different machine, no way to turn this off. So I pulled the plug to shut down this noise.
Got up early again, again no BF.
How they charge beats me. On arrival they take again a credit card for so called incidentals, although my cost for this room is already charged by booking.com on my MasterCard. The incidentals referred to apparently are a number of little bottles inside the rooms, sample liquor bottles, in case a guest actually uses them. I would not touch any of this with a pitch fork. On departure a guest will then be asked if they took any of this. Nobody does. Then the reception make out another receipt with another charge US$35, and on same receipt a refund of -US$35. Checked my MC account online, if in fact all of this has been charged correctly. Between the (incidentals) amount the night before and the refund the night after, there is a difference in US to C$ conversion. For many guests this seems beneficial to this hotel. Credit card charges are to Crown Airport Hotel Inglewood. Check it out: [ https://www.tripadvisor.ca/Hotel_Review-g32525-d77998-Reviews-Crown_Airport_Hotel-Inglewood_California.html ].