"tramadol (ultram) is just fine with me.  i&#039;ve been on it (various doses) for six years now.  it is the only pain medicine that has worked consistently without negative side effects. i take it for chronic nerve and myofasical pain caused (in part) by degenerative cervical discs. i have tried several drugs without positive results. ultram has been the only reliable constant source of relief.  note:  for those that are experiencing sleep interruptions, take your dose an hour or two earlier. "