Cynthia,
I've read over your post and responses and can relate to your hesitation about getting surgery. I can also relate to your pain symptoms. I had intense elbow stabbing and burning, aching pinkies. I had no clawing or irreversible damage.
Coming to the decision to have surgery was very scary for me. I'd lay awake wondering if there was anything else I could do. But I look back now and realize it was the right decision for me. By the time I had surgery, my pain had lessened from an 8 to a 4. I had good days with no pain, and bad days with a ton. So while I wasn't always in intense pain, I was also not living my normal life. I couldn't exercise, I couldn't work as my computer/call center job caused the initial damage, I couldn't go bowling with my nieces, I couldn't get comfortable in bed and I couldn't play sports with my friends. If I did any of these things I would feel "zings" down both of my arms and feared permanently damaging my nerve. I found myself living on the sidelines to protect my nerves.
Looking back I have no regrets about electing surgery. I have to admit I have a great medical support system which helped me research my decision. A lot of my good friends are MD's and one is a PT, so I picked all their brains and they agreed surgery was a good idea. I also really love and trust my hand surgeon and my PA, so I had no reservations about them.
Soooo, after blabbing about myself forever

, I'm hoping maybe it can help you decide if you feel the surgery would improve your life. My PA said you kind of get to a point where the pain may not be that intense, but you just can't stand it anymore. Do you think you're there?
Jill