The pain is difficult to manage at times. I do have Ultram (tramadol) if it gets too bad, but really try not to take it.
I find that a bath or shower (as warm as possible), 800 mg of ibuprophen and a heating pad are as good as it gets without turning to Ultram. During the day I try to stay occupied to keep my mind off the pain. Nights are the most difficult for me. Sometimes, I have to get up and move around or the pain is just unbearable.
Hope someone can offer us more ideas.