and it's mild to moderate and nerve related I've found that Tramadol really mutes nerve type pain. I take it for peripheral neuropathy. Neurontin made me suicidal among other negative sides. My pain increased (may have been due to the Neurontin wiping out Vit B-12, etc) so my dose of Neurontin had to be increased. The second increase to 300 mgs, I think it was, was what made me suicidal. It was horrible. But anyway, when I first began the Neurontin the results were almost immediate for me. So I don't know if this means it's not going to work for you and you a need a different drug or what. I *do* hope you find relief. Chronic pain sucks.