"i&#039;ve been suffering from joint pain so severe that some days i can&#039;t walk.  i suffer from poly arthritis.  i&#039;ve tried many medications that treat arthritis pain and none have worked except for tramadol.  i highly recommend this for chronic pain management.  the side effects are few and mild.  i also agree with the statements that it effects your mood, making you feel more calm and happy.  this drug has been a lifesaver, allowing me to continue to function at a much higher level than without it."