Hello. I have the same difficulty. Joint pain from my neck to my toes. I’ve been taking 15 mg of Meloxicam daily for at least 30 years. After trying every NSAID, OTC and Rx it was the only one that gave me relief. Curiously, I’ve stopped taking it thinking it wasn’t doing much to help and within a day or two I feel a lot more pain, especially in my hips and shoulders.
I’ve been on HU for about 4 years since being diagnosed with PV (and gout). My hematologist and pharmacist both know Im taking the meloxicam and neither has cautioned me about taking them both. And, like you, I need that Meloxicam! I also take a low dose aspirin daily.
The PV and gout were discovered after I complained of more severe pain (than usual) in my knee and before that my toes had been painful. Allopurinol takes care of that.
The chronic joint pain is not significantly worse since dx of PV. What is worse is neuropathy in feet and up to mid calf and pain in calves. Ultrasound was OK. I also have real trouble straightening up and walking and I somehow think it’s the PV (someone else posted about the bent over problem).
I had been taking a Tramadol every now and then for pain but stretching exercises help a lot and I haven’t had an tramadol for months.
I think if you trust your doctor/s and they are aware of what you’re taking, supplements also, you're OK.