Hi Recently I have been having shooting pain in right

Patient : Hi. Recently I have been having shooting pain in right shoulder blade that will, at times, travel straight down to my lower back and/or pain around spine that causes me to feel neausiated. I've had 2 MRI's, 2nd one was done with arthogram and came back with better results than first one. I've done PT but pain went away. I had an EMG and results came back zero muscle or nerve damage. I received 2 cortisone shots within 20minutes of each other without success, actually pain got worse. I also was given a lidocan injection and again unsuccessful and even more pain. This pain comes and goes as it pleases. They want to do surgery to look at what xray and mri can not pick up. Is there other things that can be done or should be looked at before going under?
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