I am in Rhode Island. It would be good to have updated MRIs of head, cervical spine and lumbar spine to see if there are any disc/vertebrae/pinched nerve issues that add to your pain. Arthritis is painful but when you add nerve pain on top of it, it is unbearable. I was on Cymbalta/Duloxetine for osteoarthritis and nerve pain and it helped. I also take over the counter alpha Lipoic acid and Acetyl l carnitine for nerve pain which helps. You may benefit from spinal injections, Salonpas lidocaine pain patches, capsaicin pain creams, and gentle stretching/strengthening exercises (like Miranda Esmonde White’s Classical Stretch/Essentrics). I have taken fish oil, glucosamine chondroitin and collagen supplements which have helped some, too. I wish you luck getting some answers!