I have problems off and on also. For me it must be from using the computer, playing the guitar and keyboard.
From my reading there are natural things to take for it.
So do some research before you think of surgery.
Large doses of B6 is good, but take other Bs also for balance. Use natural sorces if you can. This is helping for me. Make sure you have calcuim and magnesium.
Research and see.
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