Time to get doing some kind of a fast.
And clean up the diet. It cant be good if your young and have arthritis.
Arthritis is usually the result of a lifetime of bad diet.
That's why you see and hear of old people dealing with it -- lifetime of bad diet.
If you fast, the body will get to work on it and start cleaning it up.
Otherwise keep doing what you have been doing and hope you can find a less than respectful surgeon who will be willing to do the deed.