which is the alternative treatment for degenerative joint disease when non steroidal anti inflammatory drugs(NSAIDs) fail to effectively control pain?...

which is the alternative treatment for degenerative joint disease when non steroidal anti inflammatory drugs(NSAIDs) fail to effectively control pain?

1) injecting the affected joint with a steroid preparation

2) A narcotic patch that slowly releases pain medication

3) instillation of a narcotics analgesics into the affected joint

4) alternating NASIDs with oral codeine