Thanks for the recommendation Actually I live right in the middle between Cognetti and delaCure. I don’t mind doing both styloids at different times. I was leaning towards Cognetti since he seems to have much more experience with members from this group. Hard to tell. i’ve seen delCure in the past and had a good impression but I really would like to see what Cognetti thinks and what his approach would be. Tough choice I think my goal is to at minimum ensure I won’t get worse even knowing that there is a chance the surgery might not help.