I like to keep things simple. If it were me, forget the scores and just practice rolling a consistent shot/roll. Issues with any type of pain or discomfort should be addressed first. I would then work on bowling form and release. Spare shooting or certain spares might require a different release/angle, so you might want to focus a number of games on your strike shot and some games for different spare shots.
If it's a scuff, it's not a big deal. Don't forget to clean the ball regularly.
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