Hi, it sounds like you had an accident, or something that really pulled on the shoulder. Have you been told that you need surgery to repair the supraspinatus tendon?
You can see a graphic of the supraspinatus muscle here: https://www.physio-pedia.com/Supraspinatus
"supraspinatus" means being above the horizontal 'spine' or ridge on the shoulder blade.
You definitely need to see a orthopedic surgeon who specializes in shoulders. Make sure your bring your CD with your images to the appointment. You can request this from the facility where you had your MRI, and it only takes them a few minutes to burn that for you. I am not sure why there would be a delay in getting your referral. Is the problem with your doctor not providing the referral, or your insurance company?
"Do you think the system causing me a less likely ability to recover due to delay?"
That sure seems like a valid suspicion, but let's look at what evidence there is.
Here is the 'guideline' published by American Academy of Orthopaedic Surgeons. That seems to be their top group.
"Early surgical repair after acute injury is an option for patients with a rotator cuff tear."
Note right away that there was "LIMITED EVIDENCE" at the time the guideline was created, so we can't take it too seriously. Only 2 out of 4 stars. The most recent cite is only from 2008. It also points out the bad significance of fatty infiltration - which apparently you don't have..
The conclusion seems to be "It is thought that early repair of acute rotator cuff tears might mitigate the development of chronic tendon and muscle pathology and improve functional outcomes". But don't forget, that's weak: 2 out of 4 stars.
So let's look at this somewhat more recent: study:
"The influence of age, delay of repair, and tendon involvement in acute rotator cuff tears
Structural and clinical outcomes after repair of 42 shoulders"
...and let's for now just scroll way down to the Discussion: "In conclusion, acute traumatic tears of the rotator cuff in previously healthy shoulders can be repaired with an open technique, at least up to **3** months after the injury."
Otherwise, in older people with pre-existing degenerating tendons, the outcome seems somewhat worse.
That's a quick look by me, you should verify. Also, you might get a lot more from plunging into some long reading. Fortunately, the Full Text of that study is free.
I would guess that the muscle retracted very quickly. I recall a video of a bicep tear, you could see it move right up. The worry, if any, is degeneration. The 3 month figure given in that study should make you feel a little better, though.
Desimoto, you can also think seriously about undertaking various anti-inflammatory measures to try and prevent tissue degeneration as much as possible.
NSAIDs are a start, but there is more. Your MRI taken soon after the injury didn't show fatty deposition back then, but we don't know what's going on in there now.
That's great news, Desimoto. I hope you'll keep me updated on what happens next. I'm rooting for you, you've been through a lot of frustration and worse.
Are the pills you've been given prednisone or dexamethisone? What mg dosage? There are ways to lessen the side effects. That'd be especially meaningful if you are prone to high blood sugar.