Recommendations – Rotator Cuff

As it states, I am possibly having rotator cuff disorder/tear issues. I need to find a new ortho or sports medicine doc who can diagnosed old school, no imaging. I say this because apparently the assholes at my insurance won't approve an MRI despite a documented history and other avenues of trying to deal with the issue. So anyone with a methodology that doesn't include MRI's would be GREAT, even if I have to go out of pocket on this.