Hi Daniel,
welcome to the pain boards. I have taken tramadol for over a decade, I take it in conjunction with hydrocodone and baclofen. It works great for me, when I get a bad flair, my old doctor used to replace the hydro with percocet. Not sure what the new guy will do, it hasnt come up yet.
Like you, the tramadol worked great for me for awhile, but then I realized I needed something else. the combo has been great for me for many years.
Good luck, Fabby
PS~Eek! I just noticed, this is my 666th post. scary.