Aside from an anti-inflammatory diet (well described by reputable sources like Mayo Clinic), I have found that the judicious use of NSAIDs, especially ibuprofen, to be fairly effective, taking one 200mg tablet with the last meal of the day. It offers better sleep with overnight improvements and beyond. If you are sensitive to NSAIDs, skip a day or two and then repeat if necessary. It is a way to dial down the pains from near intolerable to more manageable.