#1 Diet
To reduce joint inflammation safely and long term avoid products with added sugar, avoid all grains and cut out milk products for six weeks.
#2 Regen Med
Try PRP (platelet rich plasma) or Stem Cell therapies. These therapies are considered very safe options and highly effective for improving joint pain and function.
#3 Surgery
Now this option may require drugs and intensive rehab but if successful can lead to no longer needing pain medications.