You can take a painkiller before a class, but it's not a long-term solution. Have you ever tried physiotherapy or acupuncture? These therapies can reduce your pain and your need for daily pain killers.

Trying generic pain creams like volterin or some menthol ones really help. Just put them on and let them dry before class. That’s what I live by. Physical therapy or aquatic therapy really helped me too. Hope you get better.