question: ultrasound on left shoulder, findings: There is a focal partial articular surface tear at subscapularis attachment with 8mm retraction of fibers. Remaining rotator cuff tendons are intact. Mild subacromial bursitis with bursal distortion and symptomatic impingement at 60 degrees abduction. AC and glenohumeral joints are relatively normal. I have been prescribed Tramadol but it doesn t seem to do anything. What should I do? Caleb