With all you have been through,I suspect a drop in weight is in order.No shame in dropping poundage,hell my son got his first bowkill last season with a 40# bow at 23" draw.Shot through the deer and stuck the arrow in a tree. (
http://huntingnet.com/forum/bowhunti...-part-2-a.html ) I hunted 2 seasons ago at 53# due to shoulder issues,that had actually gotten better when the season arrived but I liked the setup as is so I changed nothing.Killed my best buck that season.I am only at 59# now.
Never shoot a lower spine for speed purposes,only shoot a lower spine for accuracy and tuning purposes.The accuracy will not improve with the lighter spine,it could get worse.
I would say your shot execution as well as hold is suffering.
What is the pin doing at 40 yards? Is it floating on the spot or weaving across it? If it is floating on the spot,you are punching the shot off and not squeezing it off.I prefer back tension but hunting sometimes requires a little more command but it MUST be a squeeze.
OH,and lowering poundage or increasing point weight are 2 OPPOSITE reactions.
Lowering draw weight will STIFFEN dynamic spine and increasing point weight will WEAKEN dynamic spine.I have personally never seen a situation where changing point weight within normal parameters made a difference with broadheads.