I'll try the shots... if my primary doc will give them to me -- for all I know they may not mix well with all my other meds. If that doesn't work, surgery may be an option but I'd rather not go the route until the bitter end. GT, you are absolutely correct in your analysis. You don't realize just how much the arm muscles play a part when doing something as simple as unscrewing the lid on a peanut butter jar until you have bursitis and your upper arm hurts like hell when untwisting a lid. That's crazy. I won't go the bait casting route because I'm into catching fish with a fly rod. I don't eat the steelhead so there would be no point in using spinning gear. I'll let you guys know how this all turns out and thanks for your suggestions. Obviously I'm not the only old guy with a piece of junk body ... I think the warranty has expired.