My impingement caused a torn labrum and that was fixed as part of my surgery. If there is a tear, I think it's probably very important to find out why - is there a mechanical defect that would re-injure the labrum even if you were able to fix it through PT, or is it something that occurred because of trauma or some other thing? I have 2 other friends (both exactly my age) who had the same issues as I did (but without the large bone cyst) and they were both repaired arthroscopically and they're doing great.

As several have mentioned (including me, I think, and if I didn't I will say it now) - surgery is a last resort for sure. But if there is something in there that you cannot fix with PT I cannot recommend enough getting it fixed. I also highly recommend getting a second opinion. My original orthopedic surgeon who diagnosed my problem seemed hesitant about operating. I know this is a relatively new procedure to fix these things arthroscopically and so he and I had a really good grown up conversation where he admitted he thought I would be a great surgical candidate but that he wasn't the guy for the job and he recommended the guy who did the surgery. It will drag the process out to talk to more than one doctor, but it's better than rushing into something.

I'm less than 2 months post surgery and am up to 60 miles on the bike and 10 miles hiking. Mine was so painful that I was literally unable to cycle for the 2 - 3 months before surgery. So you need to evaluate where you are on the pain scale, obviously.