Wow! You said, "But according to them no further action is needed unless I want opioids." Many of the people on the Chronic Pain group would be beating your door down to get the name of that doctor. You, however, want a solution, not to mask it.
I have been there, with spinal arthritis and stenosis, as well as arthritis just about everywhere, a lung disease, and a heightened inflammatory response to...everything. I was referred to a Pain Management Program (outpatient, run by my clinical system.) There, I was thoroughly evaluated, given just enough non-opioid medication to take the edge off the pain, and referred for serious PT by a "wizard" who can read my body and help deal with what is going on. In addition, I was taught how to use meditation, guided imagery and other techniques to work through the pain, got some help with sleep issues, a little counseling, and basically got my life back.
Is there anything like that available to you? If not, Mayo offers in-patient programs.