I am experiencing acute chronic upper back pain in muscles from spine and around the ribs to under my arm. i have some arthritis in the area but normal everyday activity can trigger off pain . I have pain medication from doctor tramadol but it takes 4 hours to work. I may be pain free for ten minutes or hours or for days. the last 5 days seem be needing Medication every 4 hours but its not giving much relief. I don t know how much more of this pain my body can take. please advise on some stronger long term relief. R osalind
Hi, Tramadol is an opioid analgesic used to treat pain in rheumatoid arthritis. It can be used for long term, but there are higher chances of its physical dependence. In acute cases for immediate relief you can take NSAIDs. But for the long term relief other measures should be taken too like