i'm in so much pain. . . any suggestions?

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i have bursitis under my shoulder blade which is excruciatinly painful. i've tried every kind of therapy imaginable (physical therapy, acupuncture, chiropractor, etc). currently i'm taking 300 mg zytram once a day and 600 mg ibuprofen 3 times a day. my painkillers have quit helping me. does anyone have any suggestions on how to ease the pain (vitamins, diet, exercise, painkillers, etc)?