Dear Mrs. D,

Greetings!

It has been awhile since I was on the boards, but have been going through a recent flair of my Lyme SFN pain and had a question.

What are your thoughts regarding the use of Tramadol (Ultram ER) for my small fiber neuropathic pain, rather than my traditional fall-backs of Lyrica or Cymbalta?

Many thanks!

David