there are other c lasses of medication that could be of help, but being on these drugs require appropriate monitoring. Options like chloride salts, gold salts, corticosteroids
, anti inflammatory drugs and narcotics are still options. But selection, prescription and monitoring of treatment shall be ideal when done by a rhumatologist.
I suggest you meet the rhumatologist for expert counseling and management.
I wish you the best of health and best regards,