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I had rotator cuff surgery several years ago, I'm just a bit younger than you. If the tendon/s are torn/detached, you will need surgery, nothing else will fix it. Depending the severity, you could just live with, but like you, I woke up at nights with arm pain. An MRI will verify the damage.

The surgery is uncomplicated day surgery, in and out. I went to a sports medicine type. The worst part is the six weeks or so of full unmovable sling while healing, then the pain of the physical rehab. However, I now have full range of motion without pain, and I am lifting weights as part of my exercise.

I wish you well.