Hello, welcome to Justanswer, I will try to assist you with your medical question, and any medical information you seek
have you tried physical therapy yet?
What have you tried so far?
the shoulder is painful to move and wakes me frequently at night Irecently got a GP ref to see an ortho for advice who then sent me for an Mri will have follow up appt nxt week.
Honestly, if the tear occurred 4 years ago then it is unlikely to heal anymore than it has, but physical therapy may help strengthen the muscle and in doing so help relieve your pain
Are you there?