Incarcerated Hernia treatment?

I am 35 years of age and a hernia patient for 2 long years now.This hernia problem has troubled me for so long ,only I know how much pain I have suffered owing to this.As if this was not enough.When I had known to manage my disease it got aggravated.My ultrasound images show a case of incarcerated hernia now which is causing a painful,swollen,tender bulge under my skin.Is surgery the only way out for me?Whats incarcerated hernia treatment like?