Yup. you just say constant pain, weakness, can't sleep, poor quality of life.
The General Docs....they don't want you to get the MRI.,..$$$$, they will blow you off (unless you finagle a few PT appointments out of them)
The Ortho guys, they see the stuff all the time and are more open to an MRI.
The PT guys, see the stuff all the time and do a detailed assessment of your current state. They are more open and can help formulate an argument as to why you need an Ortho/ MRI.
Reality, I was pretty messed up (complete labrium detachment) and no amount of PT would save me. It just helps you after surgery.