question: I am 49 yr old male. I have grade 2-3 testicular varicocele?as well bulging. I fell about a month ago on some ice and landed on my tailbone and palms of hands. Really hurt my rotator cuff. Also I was diagnosed in 1992 being HIV positive. I am in physical therapy and I have some pain medicine but it s not enough with all I have going on. I don t feel like my ortho doctor is taking in my whole case and treating me enough. Should I try pain management or new ortho specialist?