The other thing to consider is our system. Surgeons won't manage you - they will decide if they are going to perform surgery or not. Maybe our resident CP surgeon can comment more, but from what I know they weigh outcomes. If there's a chance you will be a little bit better from a surgery (ie young, fit, healthy), they will probably do it. That doesn't mean it will be better than conservative care. Surgeons do surgery.
There are also options in conjunction with conservative care. You take the least invasive and slowly introduce more if things are plateauing. Intra-articular injections, certain medications, etc.
So I think the next stage for you is to figure out if the conservative care you've had is adequate (gauging you as a patient as well as the treatment you've received).
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ech·o cham·ber
/ˈekō ˌCHāmbər/
noun
An environment in which a person encounters only beliefs or opinions that coincide with their own, so that their existing views are reinforced and alternative ideas are not considered.
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