I've been taking 30-40mg of Nortriptyline daily, and have been using a Capsaicin pepper cream behind my toes and on the balls of my feet. Both seem to have "crapped out" on relieving this type of pain, but do still work on the burning, pins and needles, etc. My Dr just prescribed me 50 mg of Tramadol 3x daily for the pain I described. I took one this AM & seems to deaden the "folded sock" pain. Is anyone taking Tramadol JUST for the burning, pins and needles etc, and not much else? If the Tramadol helps with the other types of pain, I'd like to do just one Med, if possible, but I know it's unlikely.