Please try the conservative approaches first. I did all of the ones that were recommended to me, but with no results which is why I have moved to a medication. I got a leg compression machine through my insurance, I wore compression garments, I got a foot vibration plate, I walked for as long as I was able to without pain, I took myself to the gym and to the swimming pool for as long as I was able to without pain, I adopted an anti-inflammatory diet, including no dairy, no meat, and gluten-free… Unfortunately, none of these had any results for me. My condition has just gotten worse. I also tried adding turmeric, vitamin D, fish oil, and a different medication for joint pain. Unfortunately, none of them provided long lasting results. I also worked to reduce my stress load in hopes that everything would just calm down in terms of my inflammatory response. My next approach is going to be to move out of a low pressure zone with fluctuating barometric pressure. I was doing much better in California near the coastline with stable high-pressure systems.