If you ask the doctor you are seeing he should tell you once the damage is done to your hand none of the thing you are trying will really help. They are just away to please you I did all of them even had shots of corizone in my waist. The needle they used was so long they wouldn't let me see it before they did it. Plus the surgery isn't bad they don't even make you stay in the hospital anymore like when I had it done years ago. You should really think about having it done.