I am sorry I don't know--is it possible these would help:

stretching exercises
ice packs
heating pad
warm showers
manage stress
no smoking
an anti-inflammatory diet

Hope you get some relief Carl.

plant-based diet is a diet consisting mostly or entirely of plant-based foods. Plant-based diets encompass a wide range of dietary patterns that contain low amounts of animal products and high amounts of plant products such as vegetables, fruits, whole grains, legumes, nuts and seeds. Wikipedia, haven't tried a plenty of either or plant based diet or meal prep diet but I hope to try meal prep diet soon when I'm able two

Arthritis tylenol with voltaren are working for me.

Voltaren is the best over the counter I've used.