Read the Substack of Howard Luks, he's an orthopedic surgeon who has a lot of experience.
At the least I would heavily consider exhausting conservative treatment first. All but the worst tears can heal on their own, it just takes time and steady effort.
No matter what you choose to do, the adherence to rehab will determine your ultimate outcome.
What? No, tears do not 'heal on their own', that's completely wrong. Famously, labral tears of the shoulder and hip do not heal in the slightest without external surgery- even tiny ones.
That doesn't mean that surgery is always the appropriate treatment (I'm living with a shoulder labral tear that's untreated). But it is not even remotely true that tears heal on their own. Example, I just had an MRI on my tear, and the ortho said it looked exactly the same as the last MRI I had 8 years ago- no better, no worse
Sorry to hear about your issue, that must be really aggravating.
Labral tears look bad, yes, I'm talking more about tendon partial tearing here, which I think is more common than labral tearing (though I think, like the meniscus in the knee, after a certain age we probably all have tears in these tissues that are asymptomatic, so it's really a matter of degree).
For a long time it seemed to be accepted wisdom that even a partial tendon tear required surgery, but there's a lot of newer evidence that the body can recover from these with the right rehab protocols and time.
At the least I would heavily consider exhausting conservative treatment first. All but the worst tears can heal on their own, it just takes time and steady effort.
No matter what you choose to do, the adherence to rehab will determine your ultimate outcome.