Pain treatment involves a combination of medications and alternative therapies. If you rely only on medications, then after some time narcotics will be the only choice left. To assess what pain medication and treatment will help you best, you will need a current evaluation by a neurologist or a pain management specialist. Depending on this evaluation, the neurologist may prescribe oral pain killers (which are of several types including opioids, non steroidal anti-inflammatory pain killers—like the ones you have been taking, COX-2 inhibitors etc.) or round the clock use of patches with drugs for pain relief etc.
There are many alternative or non-pharmacological pain management therapies which can be tried. These are: ice packs, heat pads, massage therapy, physiotherapy, yoga, meditation, hydrotherapy, transcutaneous electrical nerve stimulation (TENS), spinal cord stimulation, radiofrequency ablation, other types of neurolytic blocks, aromatherapy, Reiki, acupressure and acupuncture, guided imagery and biofeedback. Usually a combined approach of a pain killer and a non-medication therapy helps give best pain relief. Please consult your doctor regarding this. Take care!
The medical advice given should not be considered a substitute for medical care provided by a doctor who can examine you. The advice may not be completely correct for you as the doctor cannot examine you and does not know your complete medical history. Hence this reply to your post should only be considered as a guiding line and you must consult your doctor at the earliest for your medical problem.
Arthrotec works well but is useless as most nsaids are during a R.A flare. If you are only having mild RA pain and just need something to keep it under control I highly reccomend trying Arthrotec. I am not a physician so of course speak to your RA Dr before using arthrotec dont want any issues with contradicting other meds you may be taking. Of course only you know what your pain level is and on major flare days only strong narcotics will help sometimes. Please check wirh your Dr before changing your medication or addind new meds. I hope this helps you Good luck & God Bless