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which is the alternative treatment for degenerative joint disease when non steroidal anti inflammatory drugs(NSAIDs) fail to effectively control pain?…

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which is the alternative treatment for degenerative joint disease when non steroidal anti inflammatory drugs(NSAIDs) fail to effectively control pain?

1) injecting the affected joint with a steroid preparation

2) A narcotic patch that slowly releases pain medication

3) instillation of a narcotics analgesics into the affected joint

4) alternating NASIDs with oral codeine

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