ifitsnotanarse did you have the same Rhuemtoligist as me! Told me to go away and educate myself about it!
I have had it for years and after a lot of change of meds (cant take amitriptyline) I now take
Etodolac 600mg once a day
Lansoprazole 15mg once a day (stops me being sick from the above)
Hydroxchloroquine Sulphate 200mg (this is for Lupus)
Codeine Phospate 30mg up to 8 a day (very rarely need that many unless in the middle of a flare.
It is manageable, although when it is bad, it can be very bad, and I suffer from insomnia with it, only get about 6 hours sleep a night, but after 4 years of it, I dont think I would sleep anymore now if I could, my body clock is tuned to that much sleep.