Mri back. looks like a lot of degen rotator cuff issues but the pain is bad! work is lot of heavy overhead lifting. (bread del.) will therapy work ?

Rest first: The first thing you need is some rest. At your age though, you need to keep moving the shoulder, but not so much as to exacerbate the injury. Your orhtopod and therapist can best determine just how much you can push it, and your job sounds like it may be excessive, at this point.

I think so: If you combined it with steroid injection and occupational therapy.