i suffer from OA and Bursitis. the joints affected are neck and shoulders, lower spine & hips, knees and one ankle and hands. among my meds are Tramadol, Kapake and Amytrytaline. i have used versatis plasters and potions and creams and the only relief i have had which was wonderful was injections into my neck and shoulders under ultrasound which unfortunately isnt pernenant but was wonderful for the six months that it lasted. i am hoping to get them again soon. what i would like to know if someone could recommend a strong pain medication that would allow me to have some sort of normality rather than living with severe pain every day/.