There are alot of different options out there and you may find that once you are off of everything your pain may not be as bad as you think.I would suggest get the surgury soon so that the pain of the tear doesnt keep you from getting off the narcotics and after start detoxing off of the narcotics and start trying your hand at otcs.With the RA do they have you on anti inflammatories? I would definately try aleve for that. Best wishes and good luck
If you managed to get OFF opiates, you ABSOLUTELY don't want to go the FENTANLY route or you will be going down a road of little return! If you don't have a Pain Management MD, get one...BEFORE your surgery. That is their area of expertise and there are other drugs to get you through a surgery without becoming addidcted again.