I suspect a rotary cuff injury and been self medicating with ibuprofen for 4 weeks. i dont want to unnecessarily spend thousands on drs visit and mr. should i continue to self medicate for another week or visit a physio or should i see a dr.

See your doc: At 32 your symptoms should have cleared by now from simple injury. This could be a lingering bursitis, AC joint arthritis, tendinitis or injury at the rotator cuff if symptoms continue. A PMR doc or orthopedist can examine you and determine if this is significant, and more Important, tell you how to avoid future injury at the site.