Interstitial tear of rotator cuff tendon

Patient : I'm a 24 years old female,i've had severe left shoulder pain and since august i can't raise my arm or do any up head activities such as brushing my hair, it especially hurts at night, i've had and x-ray and MRI taken and have took celebrex and lioresal for 3 months and the pain increases, went for another doctor's opinion and he said i should under go surgery for the repair of the tendon and for increasing the space in impingment syndrome, is surgery neccessary?
Symptoms:  Pain, weakness of the arm, limitation of motion
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