I understand how frustrating chronic pain can be, especially when previous treatments haven't worked. Because your pain has lasted for three years, it is crucial to identify the exact cause-such as Osteoarthritis, Rheumatoid Arthritis, or Gout-before taking new medications. I strongly advise against self-medicating. Please consult an orthopedic specialist or a rheumatologist. They will likely recommend X-rays and blood tests to pinpoint the issue. Depending on the diagnosis, they can prescribe effective, targeted treatments, which may include prescription-strength anti-inflammatories, disease-modifying drugs (DMARDs), or physical therapy. A proper medical evaluation is the safest way to find lasting relief.