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While I am not an advocate for running to the doctor with every ache and pain, I am unclear as to why the doctor did not do an MRI. An x-ray is not going to show what he should be looking for. That is not the purpose of x-rays. When I had my first shoulder surgery, the physician's assistant and the orthopdic doctor made an incorrect diangosis based off of an x-ray. I had both open and closed MRI's and thank goodness 7 months later they did my first surgery. I have to say it doesn't make sense that because you are strong nothing could be wrong. Personally, I would find another doctor and get a second opinion. The shoulder is so complex. I actually had to have a second surgery as my doctor the first time somehow missed my partially torn bicep. I guess I dont feel confident in the doctor saying because you are so strong you cant have a tear. I never had any pain in my shoulder till the day I injured it and yet based on how I acquired my injurty it is pretty inconceivable that I had no idea the muscle was tearing and fraying and it was. While I injured it per se on an excercise, the damage was due to another sport. So, I would probably get another opinion at this point unless you can live with the pain and make gains.
As you said though you want to "pay him later" I would just suggest you rethink this. Impingment alone may necessitate surgery where they go in and abrade the bone to give you more space.
As far as partial versus total tear. I obviously had a partially tearing muscle I was totally unaware of til I did upright rows one day. My seonc surgery to figure out why I was in so much pain was because the first doctor missed my partially torn bicep. So, until the second surgeon went in, neither one of us was really sure what was going on. So, he basically clipped my bicep tendon at the long head and said it grows back naturally, and did some other clean up work related to scar tissue.
Good luck! I could bitch all day long about shoulders:-)
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