5 weeks post injury - surgery or not?

Have a 12mmx13mm (half inch by half inch) full thickness supraspinatus tear. Frustrating long wait for ortho consultation.

It’s been 5 weeks and still can only raise arm to side to only 90 degrees. Pain and function ok during the day (older but active and had to stop sports) but getting enough sleep is brutal, even with meds. So nothing changed despite physio and rehab.

Appreciate any opinions on whether this likely requires surgery or is further still a possible result in equal outcome with return to recreational sports?

Thanks