"i have a herniated disc in my lower back. the pain was intense. i had a series of injections that really helped, but some of the pain gradually returned but not as intense as the orginal pain was. i usually take one 50mg tablet of tramadol and a tablet of diclofenac every morning and it gets me through the day. the only side effects i seem to experience are slight constipation and a loss of appetite. those minor things are well worth the relief i get."