Justin,
I find it interesting that while most of us welcomed ADR surgery as the relief we long sought, even knowing in advance that a long recovery lay ahead with no guarantees, we are reluctant to jump that fence a second time.
I understand your hesitancy as well as the difficulty of your current pain situation. Your decision is not easy or definitive and you're living in never-never land with no easy way out. I so feel for you. I've no words of advise as I don't know what I would do.
Did you know that if he human race dies out, the next species projected to be dominant is the spider, an invertebrate!
I hate spiders, no I mean I really hate spiders, but maybe I'm just envious
I hope you find the solution you're looking for. It's bad enough to face these problems as you age but you're not even close yet. You are in my thoughts and I wish you well.
Dale