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It's better if you can treat the underlining cause...but as you well know, that is not found in MANY cases. Therefore, you must choose whether to treat or live with it. I understand not wanting to be on medications. I lived with the pain for years and it was difficult to start treating and even more difficult to end up on narcotics for it. But quality of life is the determining factor...and that is your choice alone. You are very new to this and it will take time to find the balance that is right for you.