I have chronic lower back back pain stemming from a severe fall with multiple disc herniations. I have nerve ablations all the time and they do nothing. They do not recommend surgery, only pain management but they refuse to Rx me anything that works without horrendous side effects. Tramadol ER is a nightmare for me primarily due to the effect of the SNRI in it, that makes me edgy and overstimulated and it is weak pain control at best to boot! I feel like my head is going to explode! They have tried some of the costly newer meds like Xtampza, but it keeps me in a constant nausea state with ongoing migraine and has minimal pain reducing effects. Belbucca was worthless! WTF can't they just give me a regular extended release med? They are so afraid to Rx this shit anymore. I am suffering endlessly and don't know where to go or what to do. I cannot take the tramadol and NSAIDS are off limits due to stage 3 kidney disease. These doctors are cruel as hell! Maybe I can sue their incompassionate asses! I am fed up and spend my days in bed just shaking in pain. This is real and not exaggerated. Doctors think everyone is a junkie today and its a god damn sin. People are suffering needlessly! Something has got to change!