I've been making steady progress with physical therapy but steady also means slow. The shoulder has done better than the elbow for the most part probably because there wasn't as much damage except lack of use.
I'm still stretching out scar tissue in the elbow. The fact that it's getting gradually better leads me to believe I can recover without surgery. The hardest part is that stretching one way makes it harder to go to the other so I spend a great deal of my time stretching it back and forth to keep it loose. There are some days when I can't do this but oddly enough I have an easier time after taking a day off. There may be something to that. Muscle pain is not like it was thanks to the beef I've been putting on by picking up my heavy son. My muscles aren't quite there yet so any real stretching is done with the other arm since I'm not quite strong enough to pull things all the way towards me.
I can manage with what I've got currently and may just do another month of physical therapy before continuing on my own. My goal is to still be able to tie a bow tie by the end of the year. I think I can do it.