Tramadol, Tramadol, Tramadol......take 1 Gabapentin(2 last dose before bed), 2 tramadol, and 2 tylenol 4 times a day...only thing that keeps me going. Have osteoarthritis, cervical spondylosis, back injury from falling down stairs, fibromyalgia. Rheumatologist prescribed more than ten years ago and have not had to increase the dosage...it doesn't always keep everything at bay but goes a long way. Waiting now for steroid/lidocaine injection in shoulder that will last for 2-4 years. Hope you will try it and it works for you....It's hard to have a life at all when you have to spend all your time making it from minute to minute to survive the pain. Best to you....