pain
"I have rheumatoid arthritis, recently diagnosed after 4 yrs of foot and shoulder pain. I was prescribed Tramadol and think it is pretty good. It does lessen the pain (not completely in my case) and does not appear to have any adverse effects. I think a lot of what makes the difference for the various afflictions is a proper dosage for the type of pain. 

Unlike the harder narcotics, I can definitely work/walk/etc. and be alert while taking Tramadol. 

So far so good. "