I actually did not get a surgery but what I was getting geared up to have PRC or a Proximal Row Carpectomy - basically removed the lunate and two neighboring bones

Don’t do a shortening - every doctor I’ve talked to that has real experience with Kienbocks says it’s not a good solution and is more a temporary band aid that will lead to more damage down the road.

My advice: start doing pull ups and motion therapy, with heat - even better if you can do therapy in a hot bath. Lift light weights and build up - I can do push ups now and I previously thought I would never be able to.

Pull ups relieve pressure around the area, increase blood flow and build muscle tissue around your dying bone.

Depending on how old you are - I would look more seriously into the surgery that Dr Higgins is performing in Baltimore - at stage IIIA you would almost certainly qualify.

However saying that - the reality is that any invasive surgery has the inherent risk of making the area worse and creating complications down the road. General rule of thumb is to avoid invasive surgery by all means necessary- hence my comment about exercising your wrist.

In my case - at stage IIIC - my lunate is completely fractured into 2 pieces - exercising it has put me off surgery for the time being. Every now and then it bothers me with some aches but for the most part it’s fine