Pain
"I take Ultram for degenerative changes in the lower lumbar spine,(spinal stenosis, dry disc) and for neck pain from auto accidents and sterno and acromioclavicular joint pain from open heart surgery.

It is the only thing I have used that works and gives me 8 hours of sleep. I only take it when the pain gets intolerable and renders sleep impossible. Have no withdrawal and the only side effect is constipation.

I highly recommend Tramadol. It helped me more than anything else."