I may get some flack for this because I know the md vs. chiropractor argument is alive and well, but my cousin had some major problems with his hand/wrist (he's a drummer) and went to an ART certified chiropractor. POOF, wrist/hand problems subsided during/after the therapy. It might be worth checking into. If something wasn't obviously torn, I would consider a non-invasive solution first before resigning to surgery. If it works, hurrah! And no surgery.