depression
"After hurting my back, hips and developing sciatica from lifting people in hospitals/nursing homes/rehab/homecare, I was given Ultram for the excruciating pain.  It worked wonderfully without the dopiness associated with narcotics.  I had also suffered from depression since I was a child and had been through numerous meds that didn't work, or made my life even worse.  Tramadol is the only med that I have taken that has successfully treated both my chronic pain as well as my depression, allowing the sun to shine in my life."