I take Tramadol 50mg morning and night, although my Doctor has permitted me to take up to 8 a day if necessary, I've managed to keep to these 2 tablets for quite a while now.

I take Tramadol for the burning, stinging sensations, and it does a great job. Overall, I'd say it controls the pain quite well, not 100%, but good enough to let me get on with things.

I also take Lyrica, primarily for the electric shock pain. I don't know if Lyrica contributes to the stinging, pins & needles also. Thinking to go off it soon and investigate whether Tramadol alone could keep my pain in check.

Tramadol does not seem to effect other pain. For example, I can still suffer a headeache, or stomach cramps.

Hope that's of some help toward your question.