The way I approach my feet and their flares is to do what I can first, before
considering other options.

I use Salonpas (OTC) and Lidoderm (RX) when I get lots of pain (which is not often but it does occur). Last night I had to use two Salonpas on my right foot.

When I walk on the rocks during vacation I can have problems too.

Getting started on opiates, typically does not have a return. Once on them,
people tend to stay on them. Your high dose of Tramadol would have to be
tapered carefully, during the beginning, and that might be tough on you.

I would suggest a couple of days of NSAID to see if this is arthritic pain you
are having. The ball of the foot is suggestive of that to me.

Have you tried soaking in epsom salts? The pain the calf, and cramping suggests you might find the magnesium helpful.

In other words, don't assume this is just more PN...it might be arthritis, or tendonitis and may respond to NSAIDs for a short time. I use Aleve liquigels, which I have found to be very fast acting and stronger than the traditional tablets. I used two this week in fact (storm systems tend to bother me).