I have bad problems with my neck and back. The main thing I do is alot of stretching excercising for both my neck and back. I found that advil works most of the time if it is in the muscle but when my back is in the skeletol part then I take Mobic and it works. Be careful w/Tramadol; it can cause siezures; trust me I know because it put me in the hospital for a week. The stretching is always the first thing I do; even here at work I'll stand up and start stretching all of the areas needed.