My pain meds don't help much but I can't get much relief so I use a tens unit heat paks and I move asuch as I am able my Dr just put me in aqua therepy

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I take tramadol and take PEA (palmitoylethanolamide) with it to reduce my tolerance- as in it allows tramadol to work more effectively at a smaller dose and has anti-inflammatory and analgesic effect. Might help you if you can’t get a med change or increase. If you decide to try it do research first since it also acts as a stimulant. The one I take is Comfort Max by Life Extension brand.