Ive have a for the first time a simple rotary cuff injury that was x-rayed & said it is just an inflamed injury, the doc decided physio wasnt requir?

Exercise/NSAID: The rotator cuff is the work horse for the shoulder. It is made up of four muscle/tendons. If injured, and deemed not torn, the standard treatment focuses on calming down the inflammation, avoiding aggravating activities, and restrengthening. Rotator cuff exercises are typically instructed by a physiotherapist but targeted programs for the rotator cuff can be found on the internet as well.

See below: If you have inflammation in the rotator cuff or tendonitis, you most likely wont need surgery you can probably calm down your symptoms with rest, ice, nsaid, cortisone and/or physical therapy if you have a tear, you are most likely to require surgical treatment if you are symptomatic.