I spent a lot of time and money with another PT in the city, got a special arthogram MRI done, went to the surgeon who thankfully still recommended PT rather than surgery. Then a friend of mine strongly recommended Sam. The MRI did show a couple of tears etc. Sam focused on the symptoms and categorically told me that my symptoms were not caused by tears but muscles not engaging. I was feeling better after the first visit and after the 2nd visit fully resumed all activities.