pain
"I'm a 64 year old male with degenerative disc disease of the cervical spine. I was prescribed 4x50mg tramadol daily as needed for one month followed by one daily as needed long term.  I never needed more than a couple and now usually take none. I also have gout, now completely pain free due to allopurinol. I'd compare my neck pain as a 5 or 6 compared to my gout pain when it was untreated as 10. 
When I do have a 6/10 level pain tramadol takes it down to a 1 or even 0 with no side effects for me at all.
When my pain is 2 or 3 I never take medicines because I don't want to get habituated.
For my less than severe pain tramadol seems perfect."