Shoulder Issue - After MRI

I got the results from last week’s MRI arthrogram on my shoulder. It showed a tearing of the superior and anterior labrum with hill-sachs deformity. There is a note in the report of Bankart lesion of left shoulder. I don’t remember him using this term. The surgeon of course has told me that surgery is the option to fix it. He said it was pretty ground up inside.
I began the Starting Strength program about a month ago to get my shoulder stronger (and the rest of me as well). I cannot overhead press at all right now. Anything above my head has a chance for my shoulder to feel like it pops out of place. As I was swiftly reminded during the first session. Benching has also been a struggle as it causes a pain deeper in my shoulder. Squatting has been slightly challenging since I can’t get the bar low enough due to my shoulder.
All around my shoulder is pissing me off.
So the main question, is surgery the only option to get this fixed permanently? Or could I strengthen my shoulder muscles enough for this not be an issue?
Thanks in advance!

How old are you?

Did you have a shoulder dislocation? Based on the findings of the MRI, it sounds like it.

It sounds like surgery is going to be the way to go here.

Thank you, sir.

I am 38. I don’t recall ever having it dislocated, never had to go the doctor about it. The doctor reading the MRI said it looked like it had been dislocated before. I landed on it during a motorcycle accident as teenager. It flared up again a few years when it felt like it popped out during my sleep but it always felt more like the muscles were twisting around as opposed to the bones being out of socket. Since then, it has been giving my all sorts of trouble.

Any suggestions on whether to adjust my nutrition over the next few weeks after surgery? I’ve been following the recomposition macro formula laid out in the To Be A Beast article.

I’m still new to strength training so please forgive any ignorance on my part. Thanks for all you do!

Yeah, based on those MRI findings it sounds like you dislocated it in the past.

I don’t have any “standard” macro guidelines for that situation – you’ll have to see what your activity levels, body weight, and body composition do after surgery to guide further management.