Voltaren is prescription here in the states. But everyone that I've met that has used it, said it works really well.
Just be careful with how much NSAID's you take, they can wreak havoc on your liver if you overdo them.
I had what the MRI showed as a partial labral tear and a partial RC tear. When the doc went in with the arthroscope, it turned out that the labrum was holding on by a thread and the RC was torn through about 70%, so he completed the tear and repaired it.
Unless this is a minor tear and not giving you much grief, surgery is inevitable. PT and anti-inflammatories won't do much. By the time I opted for the surgery, I couldn't sleep through the night and every time I rolled over on my shoulder, I woke up. I too had excellent ROM, but the pain ultimately was too much.
Rehab sucked. 6 weeks in a sling, with PT starting a few days after surgery. But I'm two years post-op and much stronger than I was before.
I was with a group of friends a couple days ago, and one, a popular psychologist in our area with a busy practice, said that he heard more about rotator cuff injuries than any other physical complaint, and encouraged me to get the surgery. I can't imagine what we are doing that is bringing this on, since by and large we are less physical in our work. At any rate, I'm resigned to the surgery, but want to wait for warmer weather to make clothing easier. If it gets worse, of course, I'll do what I have to, but I'm still mystified that this has become such a common injury. You'd think we were all a bunch of lumberjacks!
This time, like all times, is a very good one, if we but know what to do with it. Ralph Waldo Emerson
Any given day you are surrounded by 10,000 idiots. Lao Tsu, founder of Taoism
Before you consider the surgery, try Bio Sync.... Check it out on line.... Of form of healing that is very powerful... Saved hundreds of people from the surgery.....