What helps with pain? Need your help.

ok, I've had ra for a year, and have been able to manage with out any pain meds other than NSAIDs. I use ice packs a lot on my hands. Several times a day. I'm the guy who posted "embril fail". Two weeks to new biologic.  Now taking a break from any NSAIDs And the pain toward the end of the afternoon is remarkable, I can not type which my job requires. Ice gets me through the work day, but first time I've considered any pain med so I get some kind of relief till I get back on NSAIDs.  It feels like going down the rabbit hole, but I need something to take the edge off. Tylenol does nothing.  Dr recommended tramidol, which I'm starting a trial.  I stopped drinking any alcohol, which did help some.  (And yes I know all about not drinking while on some meds.  I get it, that's why I stopped). I would say I have a higher pain tolerance, I float at a 4-5 most of the time and that is workable until the early pm when it's a 7ish and ice only does so much. 

Rather than had trying to figure out what my deal is, I'm asking if people will share how you manage your pain when it's more than what you can tolerate or function.  What works?

thanks in advance. 

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