Chronic pain is no laughing matter. Whether it’s arthritis or a back injury or poor circulation or some other disease or condition that causes it, chronic pain can cause the sufferer to feel emotional pain along with their physical pain. It can make on feel depressed and isolated and very lonely. But for some, there is hope in the form of Tramadol, a treatment option for chronic and constant pain. What is this medication and how does it work?

Tramadol is not a medicine that will correct whatever condition you have that is causing you pain. In other words, it will not fix your arthritis but simply numb your body’s response to it. Tramadol shuts off the pain receptors in the nerve endings of the affected area so that the pain is technically still there, you just don’t feel it. It’s kind of like numbing a sore with ice – you just can’t feel the pain any more.

There are some side effects with Tramadol including headaches, dizziness, sleepiness, difficulty staying asleep, and a few others, but these are usually very moderate. Very few people who experience side effects with Tramadol report that they want to stop taking the medication because of it.

Some people are of course hesitant to take any type of pain medication, fearing that they will become dependent upon it. This is always a concern, however, it may be worth the risk if it means being able to live your life without chronic pain. Using Tramadol to treat your pain may make it possible for you to return to many of your normal activities and to live your life, if not pain free, then with much less discomfort than before.

For more information from Bill Johnson about Tramadol and back pain please check http://www.tramadolhome.com/lowbackpain.htm



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You have heard that chest pain can be serious. It can signal a heart attack. It might be a rare, life-threatening problem. But it could be quite the opposite. It could be not at all serious.



When is chest pain not serious?



It is wise to learn when chest pain is not serious. You will want to check your symptoms with a licensed professional, but here are 7 examples of chest pain that is probably not immediately serious.

1. Acid reflux or heartburn: Chest pain can seem to be heart pain when it is related to the digestive tract. When acid refluxes (flows back) into the esophagus, it can cause a burning sensation in the chest. This chest pain can be mistaken for heart pain – the reason it was named as it was, even though it has nothing to do with the heart. This chest pain is not serious if it is occasional. If it happens frequently, you may be developing GERD, a more serious condition. To determine if this chest pain is serious, consider whether it came soon after eating. Try using an antacid. If the discomfort is relieved, it is probably heartburn.

2. Bruising: Chest pain can occur due to bruising of the outer chest. Perhaps you were moving furniture or other large objects. At the time, you didn’t realize you had hurt yourself. Later, you experience chest pain, but it is not serious.



3. Nerves: When is chest pain not serious? The roots of every nerve in the body are in the spinal cord. Smaller nerves branch from them along the neck and upper back. Chest pain can occur if one of these nerves is pinched where it leaves the spine. Chest pains caused by pinched nerves are sharp “shooting” pains. They may be triggered by moving your neck or arms in certain ways. They may be felt in the left or right part of the chest. These are not immediately serious chest pains.

4. Rib Injury: Chest pain can be caused by a bruised or fractured rib. This chest pain will be localized, right or left side, near a rib. It will be a sharp pain, and may increase when the rib area is touched. This chest pain is likely to increase when coughing.



5. Strains/sprains: When it is a result of a strain or sprain to one of the many muscles, bones, tendons, and cartilages in the chest, chest pain is probably not serious. These chest pains last for only a few seconds. They may return frequently over a period of days, and may be brought on, or relieved, by moving into certain positions. They are non-cardiac symptoms.

6. Stress: When is chest pain not serious? When it is caused by stress, your chest pain is not serious. As you respond to unusual demands on your body, emotions, or mind, you may tighten the muscles of the chest. This causes chest pain. With the pain, you may experience intense fear. Your heartbeat may increase, your breathing become rapid. You may perspire profusely and feel shortness of breath. This could be an anxiety or panic attack.

7. Ulcers: Another form of chest pain that is triggered by a digestive tract problem is the pain of an ulcer in the stomach or duodenum. This chest pain, like the pain of acid reflux or heartburn, is often felt in the upper abdomen or lower chest. As above, ask whether it was triggered by eating. Try getting relief with antacids. Although ulcer chest pains are not immediately serious, you should seek medical advice.

The Other Side of the Coin

Asking, when is chest pain not serious, should be followed by asking the opposite question: when is chest pain serious?

Chest pain can be caused by heart attack, probably the most life-threatening condition. Other heart conditions can also cause chest pain, and should receive medical attention.

Pleurisy, with its sharp, localized chest pain, is made worse when you cough or breathe in. Pleurisy is caused by inflammation of the membrane lining the chest cavity and covering the lungs. A blood clot can lodge in a lung artery, blocking blood flow to the tissue of the lungs. This condition, a pulmonary embolism, is similar to pleurisy in that the localized chest pain is made worse by a cough or deep breath. Other lung conditions can also cause chest pain.



Shingles, a nerve infection caused by the same virus that causes chickenpox, often causes chest pain. This is a sharp, burning pain. It may begin a few hours or a day before a band of blisters appears on your back and chest.

Err on the Side of Caution

If you cannot find an explanation for your chest pain, and it persists, take an aspirin and seek emergency medical care. If your pains feel like pressure or tightness in your chest, do you have these other symptoms?

1. shortness of breath

2. sweating

3. nausea

4. dizziness

5. pain radiating to one or both arms or neck

If your chest pain includes any of those symptoms, seek emergency medical care immediately.

Do not worry about what people will think if your chest pain is not serious. Chest pain is one of the most frequent reasons people call for emergency medical help. Often that chest pain is not related to a heart problem. You may be embarrassed if that happens to you. Don’t be. Even if your chest pain is not serious, it is better to go to the emergency room for evaluation.

CAUTION: The author is not a medical professional, and offers the information in this article for educational purposes only. Please discuss it with your health care provider before relying on it in any way.



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In almost all cases, back pain is nothing to worry about. It often comes because we sit or turn awkwardly, or lift something a little too heavy for us. Over a week or so, it then slowly goes away. If you go back twenty years, the standard recommendation was that you rest. This is now accepted as wrong. In fact, you need to maintain as normal a lifestyle as possible, staying active and working through the pain. If that pain becomes more than a background distraction, the drug of choice is ultram to relieve the discomfort and allow you to continue moving around. Only if the pain persists or grows more acute should you worry and see your local healthcare provider. To help you understand this advice, the spine is made up of multiple parts called vertebrae which are held together by muscles and ligaments. To prevent the bones from rubbing together, there are soft discs between each pair of vertebrae which allow flexible movement. Inside the spinal cord are the nerves which carry messages from one part of the body to another. In the most common type of back pain, there is no real underlying disease or disorder. It’s usually a muscular or ligament sprain, or a minor problem with a disc. There are no medical tests to identify where these problems are coming from. A physician cannot “see” which muscles have been stretched a little too far. All that can be said is that something has gone wrong and you now have to adapt the way in which you move to compensate for the difficulty. At such times, ultram is useful to keep you moving. If you rest, the muscles are likely to stiffen and further restrict your movement. In about 5% of cases, there is a problem with one of the nerves that is pinched or trapped between vertebrae. You know about this almost immediately because the pain is not localized in the back but travels down one leg, giving a sensation of “pins and needles” called sciatica. A part of the cause of the pain may be an inflammation or movement in one of the discs. In either case, a painkiller such as ultram is all that is required as treatment, sometimes combined with a non-steroidal anti-inflammatory drug (NSAID) or a corticosteroid. The combination with NSAIDs is more often required in the less common cases where the cause of pain is arthritis, i.e. an inflammation of the joints. In less than 1% of cases, there may be problems with the bone itself, an infection or a tumor. These require more than mere painkillers.



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