my brother fell and jammed his hand on my steps. he immediately developed pain (he had none before this event). when he saw a hand specialist doctor - he told him the x-ray showed arthritis. he gave him a cortisone shot which did nothing for my brother. now he is suggesting surgery which he described as removing several bones from his hand/wrist area (base of thumb). I can t find this type of information on webmd. should my brother get a second opinion from a different hand specialist?