I just came back from the orthopod - MRI shows partially torn subscapularis. It's unlikely to heal by itself. The question is whether to live with it or get more surgery - open this time.
I was wondering why I felt better after stopping PT. I live on tramadol and Celebrex and occasional amitriptyline (for pain) - fibro, spine issues, slipping ribs, post-op knee hurting again. The meds make the shoulder bearable as long as I don't use it for anything.
The problem is I need to be able to push the lever on the tractor that raises and lowers the plows and mower on behind (three-point hitch) - about like putting on a seat belt but farther back, lots stiffer and needing to be pushed, pulled many times. I don't want to tear the subscapularis worse or totally, which doc says could happen. I have strength, range of motion, am allowed to lift, just avoid that backwards movement.
Hiring someone to do the work for me is not feasable. I did that the last 2 years and ended up with needing thousands of dollars of repair on my equipment (blown head gasget, broken spindels).
I don't have to decide right now. I am planning to try to live with the tear for a few months and see how it goes. There's no guarantee a repair will work. It involves taking bits from other parts, tendons and such. I don't have a clue what the recovery would be like. The original recovery from acromioplasty, bursectomy, debridement has been horrible, and pain and muscle spasms have not gone away.