if you really want to eliminate the pain have the surgery i have had both done and am very glad that i did i had it so bad i would get a stiff neck with each flair up the carpel nerve streches out like an old elastic that is located between the 2 median nerves not sorryi had it done 45 min procedure 2 to 3 week recoup if you do all that they tell you good luck by the way all that ibprophen is not good for you liver