Is it common for ibuprofen to not really help? With physical pain it does nothing for me. It kind of helps with head aches sometimes. I use it maybe a couple times a year, so it's not tolerance.
Ibuprofen is a non-steroidal anti-inflammatory (NSAID). It will reduce inflammation and the associated pain. If your pain is not caused by inflammation then you should talk to a pharmacist about what the best analgesic is for you.
Try taking it with a dose of acetaminophen. Those two have a synergistic effect that is better than either alone and is often used post surgery for that reason.