pain
"I've been on Tramadol for about 2 years after a car accident for severe upper back & neck muscle pain.   It has helped me for the burning pain, but not at all for sharp pains.   Overall I think it is more effective than the Oxycodone/APAP that I've taken.   I also take it without food and my stomach never hurt.  It works almost exactly an hour after taking, and for me it controls the burning pain for about 4-6 hours.  I take 100 mg. at a time - I've found that only taking 50 mg. at a time doesn't work."