Mods: im not asking for medical advice. Just curious to know what routes and channels others with a similar history have taken to address said situation. I am a 31 year old expat in the Middle East. I've rotator cuff tears on both shoulders (according to MRI) and patella femoral syndrome on both knees ( X ray). Any sort of exercise will end up in pain and I don't mean the good kind. I've had prp injections on both shoulders to no avail. I'm due for an MRI on both shoulders to see if there has been any progress with the PRP but I'm confident there has been no improvement. Some of you may suggest physiotherapy but it sucks here. I know the exercises necessary from the physiotherapy sessions I've had in London (hometown) but don't have the discipline to stick to it. What you're really paying for when you arrange therapy is for them to stay on top of you because we're not disciplined enough without their influence. Besides, by shoulders seem beyond therapy at this stage. Surgery may be an option but I could be out for a year since it's both shoulders.