Thanks for the response. I agree with you - we are generally against resorting to surgery, BUT... he had the surgery done three weeks ago today.
I'm very happy to report that there's already been improvement. The doc removed what he referred to as a HUGE ganglion in his wrist that had been pressing hard on the nerve for a couple of years, hence the lost mobility and muscle mass.
The splint is off and now that we can see it, the 5" scar from the center of his palm up his wrist is really ugly. But he can already feel more in his fingers and move them in ways he couldn't before. He had lost a lot of use of his hand (fine motor skills).
With a couple of months of PT and building back lost muscle, I think this is going to be a 100% success. Whew!!
Now a firm believer in neck braces! Don't look at the ruts; don't look at the ruts; don't look at the ruts...