Thank you. I heard that about cymbalta and tramadol but my doc put me on both. My symptoms with other then the severe leg/foot pain come and go so were nt sure if its side effects from all the meds. I do want to get off all the vicadin so am tryying not to use it as much. I'm going to go to a pain clinic at cleveland if they feel they can help me which I'm praying and they said it sounds like I fit. So I'm hoping for some alternatives and other treatments as I'm so not functioning. Thank you