The problem is it will not recover from the sting unless you leave it alone. You can't be moving it around and start dipping it in fresh water and expect it to heal right away. It doesn't heal magically within a few hrs or overnight from a full sting like it received, it can take over a week to heal properly. Clams don't like being moved and messed with so unless it gets worse leave it alone and give it time to heal. By jumping to conclusions that it is this or that will cause more issues on top of the sting. We already know the BTA attached to the clam so we know the cause...
If it was Pinched Mantle Disease it would have showed up before it got stung and not right after unless the sting caused PM from the damage, in my experienced after a sting it has not. Was it pinching before it got stung or just after? If it was PM the freshwater dip would have helped within a day or two so give it time to heal and see if it does recover.
At this point if you have done a 30 min freshwater dip and it has not recovered yet I would give it time. Dipping in fresh water is very stressful to clams and if it is to compromised it can kill it. Messing around will just weaken the clam more and can cause death very quickly. Give it a few more days and see what happens. Unless it gets worse at least you can see what your next step to do is. any time I have seen people mess around with clams unnecessarily the clams die. Just sain.