"i have chronic and often acute oteoarthritis in my back and especially in my neck. the latter being caused by most likely some &quot;whip-lashes&quot; but also from playing the violin since 1972. i have always been active and while i have a masters in education, i have worked most trade positions as well to finance my education. many if these involved very heavy lifting (i.e. delivered and carried furniture) and on-your-knees work (laying carpet and tile) professional house painter. i hurt and still run, but i have been given opiates from some time. yes, i have grown dependent, although it has been worse. will power has been just enough, but tramadol is a great substitute, initially and then used less and less until another sprain. "