My P.t. has been necessary. It doesn't take long. However, I am in more pain today then I have been since the injections. I called the nurse who does all triage and she said it could be the injection wearing off and that I had to keep going with agressive P.T. and that they would do their best to do pain management but that P.T. was really the only course. The P.t. tells me not to do anything that crosses the line from uncomfortable to pain. I can only have injections three times a year. Surgery is an option. However, it is part of a whole condition and I am really working on P.T. and healthy living.