I have had both elbow and shoulder issues probably from a bad car wreck in 2000 where that same arm was broken in 2 places. The shoulder and elbow issues showed up many years later I opted to use Dr Manu Singhal at Flower Mound Orthopedics. No surgery but cortisone shots and a ton of physical therapy both on site and at home for months. It took awhile but finally the pain was gone and so far has not returned and that was several years ago. You have to really stay with with the PT stretching exercises to make it work and last.