"i started taking tramadol 3 months ago and it works great. i&#039;ve had lower back pain for years and heel pain mixed pretty bad pinched nerve that over the counter pain relief medicine didn&#039;t work. but since i started taking it my quality of life has improved so much i really didn&#039;t realize the pain i was in until the tramadol took it away. i have to admit that it does affect my mental state of mind and makes me feel more positive. i feel the positives out weight the negatives.  great medicine."