I have a tear in my rotator cuff and my elbow, same arm. I've had shot in both and it worked for a while but the pain is back. Now my other shoulder is hurting as well. I was diagnosed with osteoarthritis when I was around 28. My whole body pretty much hurts all the time, making sleep very difficult. I try to stay active. That seems to make things worse. I still walk as much as I can and do strengthening exercises, that's not helping either. It's throughout my whole body. I'm currently 46 years old and I'm very frightened of what my quality of life will be in the next few years. Any advice?