Hi captain127

4 months is a long time and I gather it is causing you significant pain and restriction in what you can do. It doesn't sound to me like it is healing up so it is time to really have it checked out. So what i am suggesting is not seek more treatment till you know what is going on. I would get it reviewed by an orthopaefic surgeon.

I take it you had a plain xray last time? Do you know which bone showed a crack? Plain xrays often fail to pick up scaphoid fractures. You often need to have a special image: Wikipedia reference-linkMRI, scintograph or ultrasound. I don't think another physical examination is going to shed light on what is going on

Ifbyou really have had it checked out and no bone probs found then obviously you can choose the treatment of your choice. But neglecting a potential problem and really letting it get chronic is a bad idea.