I am going back to the pain management doc tomorrow-he's the one I started with for the sjogrens and arthritis. He had given me a shot in the shoulder before we knew it was a rotator cuff tear. I am going to ask to temporarily increase my pain medication to get through pt and so I can sleep. I only take a small amount (5mg twice a day) so I cant imagine it would be an issue. I am going on my third day of only having been able to sleep for two hours. I started out in the bed-then recliner-sofa and back to the recliner. I had a pt eval and start it tomorrow. Everyone I have talked to that has pt for rotator cuff says the pain is worse with pt.