[RWebb]

I'd first ask if there is any reason (aging, add'l damage over time, etc.) that you can't wait and do the surgery in a several years.

Then I'd take yoga or tai chi for a few years and see how much bettewr things get. Don't take the Celebrex woman waving her hands kind of class, take the it hurts for days after each session kind of class. I have seen some unusual things happen...

Good luck!