I have found that Tramadol (Ultram) has helped me a great deal, it is not addictive and it does not make me sleepy, if you are in a lot of pain and your doctor does not seem to want to help, you should find a doctor who is more sympathetic to your situation. No one should ever suffer, and to hold back medication from someone who is truly in pain is a crime in itself. Take care, hope things get better for you.