Mika made no comment as to what he may or may not have seen before. He levered himself out of wheelchair and drew himself to his full six feet and four inches. He started with one hand in front of her shoulder, the other in back, applying a small amount of pressure. "There are. Physical therapy, for starters, to see if there is any strengthening we can do. However, it seems very likely that surgical intervention is the only real means of actual improvement at this point." He told her. "Now, I can not promise to fix it entirely, but with some work, we should be able to improve things. I would advise, however, given your profession, you start working on training your nondominant hand. If you can reduce your workload on this shoulder it will improve your level of pain, and over time, I imagine, your playing ability."