Here is my take. You don't have any medical diagnosis. Get that first. PT is usually the first option, surgery second.
But there is another possible diagnosis: arthritis/old age. If so you could consider oral or topical OTC/scripted NSAIDS or possibly a drug that changes how you perceive pain. These manipulate serotonin and/or norepinephrine something along the lines of tramadol or cymbalta
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