I am new to this site but have been shooting traditional bows off and on for about 20 years. I injured my string shoulder in a LEO training accident over twenty years ago. I was told that I had a partial rotator cuff tear. Regarding surgery, the doctor advised, “let pain be your guide.” I will never be able to achieve a “high elbow draw and release.” I do the best that I can and try to be consistent. These days, I shoot 3 fingers under and use a deeper finger curl. As far as practice, I lean toward shooting a few arrows several times per day. My advice: see a doctor, warm-up, stretch and strengthen, and take care of yourself. The injuries sustained early in life really hurt in the late 60’s. That being said, I am off to shoot a few arrows. Needless to say, I love shooting a trad bow.