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Good suggestions for the most part here. Surgery is always an option of last resort once all other options have been exhausted.
You didn't say anything about epidural steroid injections which are almost always tried prior to surgery unless the impingement is severe.
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For me there is only the traveling on paths that have heart, on any path that may have heart. There I travel, and the only worthwhile challenge is to traverse its full length. And there I travel, looking, looking, ...breathlessly.
-Carlos Castaneda
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