ibromyalgia
"I have been using Ultram (tramadol) for over 8 years for my fibromyalgia pain.  I started on it for a shoulder and neck injury, and it worked so great, I have been able to stay on it. In those 8 years I have actually lowered my dose by less than half, and get through a day on 75 mg.  It keeps me working.  I can not take it late in the day or it keeps me from sleeping well.  If you are in pain, moderate to BAD days, I suggest you try it in moderate levels.  It will not help for headaches for me.  Stopping to take it will produce withdrawal symptoms after a time. Be prepared to go through a miserable, cranky day.  Good luck, and feel well."