I feel the same. After dealing with it for 5 years, and trying every noninvasive method known to science while I continued to suffer and be impaired, I decided to have surgery. The results were amazing and immediate. I had the first complete night's sleep in all those years, with none of the "bugs crawling inside my arm" sensations. One of my best decisions. If you choose this route, make sure you get a hand surgeon, not just a regular or plastic surgeon. I also opted to have him open up the wrist, not do it laparoscopically (sp?). He said he did not endorse doing it through a teeny hole. He wanted to "see what he was doing". Don't wait for permanent nerve damage.