"i am 60 with degenerative joint disease, scoliosis, stenosis of the spine. my l joints have had countless injections and 3 rounds of rf ablation.  my s-i joints are constantly in pain but the l-joints get some relief from the rf ablation. i currently take a combination of gabapentin and tramadol-acetominophen. i have tried many other drugs. this combination is the most effective with the least side effects. the pain is lessened by up to 50%. i do get a positive well being feeling. (other drugs left me with a negative, not-wellbeing feeling.) on occasion i have experienced increased libido. i only take when the pain gets really bad."