"i was prescribed tramadol for a torn rotator cuff and bursal tear in my right shoulder and another tear in my left. i can say it helps a little with nerve pain and it did help my mood if i was doing absolutely nothing at all.  in short this medication was not worth the trip to the doctor for my circumstance. happy that it does work for many people. i was also given ultram extended release at another time which made me sick and gave me insomnia. i was crying in pain at the doctor&#039;s office door before they opened with no sleep and ready to puke. this was my worst experience with any medication in my life."