Treatment is dependant of the stage you are. A stage 1 is usually treated by casting, splinting, or just a brace. Stage 2 might require surgery, usually a radial or ulna shortening but occasionally a partial row carpedectomy. Stage 3 is split intotwo with a 3a and 3b. The farther you progress, the more aggressive the treatment usually. By this point, most opt for a full or partial fusion, a prc,wrist replacement, or elect for multiple surgeries. Ro be honest, the best treatment is whatevr the individual deems best and wht they want to accomplish.