I face a similar decision most days. I can either spend most of the day in bed, or spend it writing. Although I now work from a recliner and have my monitors, keyboard, etc. all set up very ergonomically, the pain often requires that I take a BT med.
I could return to bed but then I wouldn't get work done. Likewise, if I want to be active after dinner, such as when we have guests over, I would typically need to take a BT med. If there is an important part of life that you would be missing without the meds, then you have a good reason for taking them. Of course, that has to be balanced against issues of tolerance so some compromise must be struck between your wanting to get what you can out of life now vs. making sure the drugs are still effective for the sake of your future life.
Also, maybe you can find some exercise that doesn't exacerbate your pain? I, for instance, use a recumbent bike. I wouldn't be able to ride a regular bike due to hip damage, and walking, stairs, etc., also get to my hip. But I'm fine with the recumbent bike. I'll either watch TV or read on the bike and generally just peddle away at the lowest resistance for the sake of cardio.
C4-T4 Scoliosis (disk degeneration, stenosis, narrowed neuroforamen, bone spurs), RT hip and SI joint damage from car accident. Also, pectus excavatum, supraventricular tacycardia and mitral valve prolapse syndrome.
Current meds: Ultram ER 300mg daily, breakthrough - hydrocodone 10-15mg, or oxycodone 5-7.5mg. .25-.5mg ativan as needed for sleep, Verapamil 240mg SR (for tachycardia). [/gray