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If the usual nsaid's do not work,and they are only useful for mild pain,not moderate or severe, then  you will have to accept the fact that only an opiate will work. I have chronic shoulder pain, since I was a child. I have had every type of x-ray and one operation. The Dr's know there is a problen but can not get to the bottom of it. I have used every nsaid. Alone they do not work. I now use methadone. Supplementing with an nsaid, the pain is under control. On a scale of one to ten my usual days were seven. Now they are three , ocasionally two. I call a ten as being burnt over half your body. I used to lose good jobs because I could not keep up a consistently good level of performance. This no longer happens and I can smile and enjoy my wife and kids. Ignorant people who have never had pain that does not stop will assume you are just a junkie. I have gotten out of the habit of trying to discuss the subject with most people. Any "high" feeling you may get goes away in a few days. Now i just feel normal. No one has ever said "you look high". I use one 10 mg every 8 hours. Many people only need one every 12 hrs. I am not pain free but I can live with whats left. That's what matters. If you start you cannot stop abrubtly. You will have to reduce down over 6 to 9 months. That is the down side. In many cases you have to see a Dr each month or every 2 or 3 months. It is not a "call in" perscription. It must be written each month. Good Luck , let me know you are doing.