I have also had rotator cuff surgery maybe 4 yrs ago. I fell and tore mine, pluse bones spurs which is wear & tear of work. The Dr's don't care if you get it fixed, it's up to you. If you can live with the pain and not being able to lift your arm forever..no surgery needed. It was painful and the PT was hard and long, but worth it. Maybe you have Bursitis...very painful in the shoulder.