I avoided the surgery simply because I hate to be cut. Instead, I started seeing a chiropractor and he and his partner really turned things around for me. They gave me some exercises to do at home and recommended vit B as well. I also went for a massage every couple of weeks and had them focus on my wrist. It took about four months to really turn things around but turn around for the better they did. I have not had any problems since I went this route.