I did everything that everyone else did, including the surgery, but I did one more thing and that is acupuncture. A lot of people do not think to do something like acupuncture because it is just not that well known here in the US to do like it is in other countries. But as my Grandpa said, "I may not agree with that countries politic's and religion but that does not mean they are stupid and would do something for centuries if there was not something to it." So I've researched and added to my therapy pure, pure essential oils, really good supplements in my diet, and acupuncture. Make sure you get a top of the line hand specialists too. I'm glad I have one because after the carpal tunnel surgery I had set in RSD. The pain before the carpal tunnel surgery was a piece of cake for me, when the RSD set in, I wanted to die. The acupuncture and ViSalus and K-48 has helped cut that pain down a lot. Good Luck in whatever you decide.