@julieschiwal1972, Just a thought but have you made any lifestyle changes like eating foods that help fight inflammation? Here's a recent article that may be helpful if you are not already doing it.

Foods that fight inflammation - Doctors are learning that one of the best ways to reduce inflammation lies not in the medicine cabinet, but in the refrigerator. By following an anti-inflammatory diet you can fight off inflammation for good.
-- https://www.health.harvard.edu/staying-healthy/foods-that-fight-inflammation