For pain management I take Tylenol - but as a senior I am limited to 3,000 mg per day. I will take tramadol as needed in small doses, but it does have some side effects that I don't like but I can tolerate it. I will also go off both and take a steroid dose pack from time to time. I get steroid hip injects for the hip, thigh and knee pain. Not an easy road by any means and iffy from day to day but I have managed to cobble together a pain management plan for myself that is adequate, definitively not optimal. I have also received lymphatic massages and physical therapy, doing yoga and Qigong (predates Tai Chi) and practice meditation. Most days I can manage the activities of daily living on good days I can do more, on bad days not so much.