pain
"I am a Helicopter pilot for the US Army and I have Chronic upper back pain.  I am on the 200mg Ultram and it is a life savor.  It still allows me to fly and controls the pain.  My only issues with this drug is it tends to make me itch and I can't take it before bed or i will be awake all night.  I have been taking it as needed for the past 6 months."