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You do not have to have surgery at any time for any thing. You can change how you use your hands which will allow your wrists to heal and sometimes, the symptoms go away. Wearing a brace also helps the healing process as does ibuprofen on a regular basis. Tendonitis often is just pain, carpal tunnel sometimes is accompanied by swelling in the wrist and hand but without a doctor looking and feeling the tendons, it would be very difficult to differentiate. Carpal tunnel surgery is only a small incision but unless you stop the repetitive movement that caused the problem in the first place, it can come right back.