I have been through physical therapy and steroid joints and the anti inflammatory meds. My insurance would only let me get three physical therapy visits tho so I have no way of knowing if that would have ever worked. All I know is that its not an option now and steroid shots became the next option which I got one last week in the right side. My doctor keeps saying there are no other options but that. He says there's no surgical options but I read on the internet all the time about fusing the joints. Why wouldn't my doctor want to give me that option? So far these shots are not doing me any good. I'm still in pain. I don't know what to do.