I am currently seeing a pain management doctor. I was referred to him by my family doctor because of the high dose of Tramadol I need in order to find relief. (I take 2 50 mg tablets 3 to 4 times daily). He is great about prescribing it to me and listens to me about what my symptoms are but then he asks about my back (My job requires me to lift very heavy items for most of my 8-12 hour workdays and I have some lower back issues). But my back isn't why I see him. I see him because of the severe, 24/7, full body RLS. I would like to feel as if he is a concerned about the RLS as his is about my back. I know why I have back pain. I don't know why I have RLS and why it's progressively is getting worse and I don't know what I'm going to do when the Tramadol stops working. I am getting less and less relief from it and it really scares me. Sorry about the rant and if you made it this far, thanks I'm just very nervous about what I'm supposed to do and I need advise on what to say to get him to understand that. And changing doctors isn't an option at this point. Plus, I really do like him. Just not his lack of communication with me about this.