Long story there which I won't go into and it's complicated. I can't take any NSAIDs due to GI distress for one thing so that's a complicating factor. Pain meds help some but they wear off after about 4 hours so what I see when I look at my flow rate is usually a decent sleep quality for 3 or 4 hours and then things go to hell. I have a good friend who tells me that I need to have a pill by my bedside and when I first wake up I need to take it. Unfortunately I am the worst patient in the world (that happens when people work in the medical field) and I can't seem to get to that point. I actually take 2 different pain meds because the one I take during the day causes insomnia. There's that baggage thing again. Plus I have more going on than just plain old osteoarthritis...there's scoliosis as well as some non union fractures and we are now going through the process of ruling out systemic inflammatory factors. I need to stay off my back when I sleep but that's sometimes easier said than done because now my shoulders are complaining about my being on them all the time.

Damned if you do and damned if you don't.
Brief trial with CBD oil but I suspect that I didn't take a high enough dose but what I did take didn't help at all and it seemed to cause fast pulse rate which was annoying and messed with sleep.
I even tried some marijuana when I was visiting my daughter in Vegas where it is legal but the lowest dose possible caused again the pulse rate issues plus I didn't like the way it made me feel.
So I am still working on things but as you know it's a slow process but I haven't given up.
A surgery that would likely help some of my issues is considered experimental and not covered by insurance and I simply don't have the money to pay for it out of pocket.