Originally Posted by Susanne C.

May I ask how old you are? If pain meds help, and tramadol is near the bottom of the pyramid as far as heavy pain meds go, I think they have fewer side effects than antidepressants. Many people ignore the fact that lots of drugs have dependency issues, not just opiates. If you have started the Cymbalta it is probably worth sticking it out for a while and doing your research to see if it helps. If it doesn't I would stick with the tramadol. If you are very young or very old there could be reasons to avoid some pain meds which is why I impertinently asked about your age.