Does you PM doc know that you stopped the Tramadol?
I use tramadol (instant release)for break through pain;specifically, x2 50 mg. tablets every 6 hrs. It does help me. You have to give it time to get into your system and you can't wait for the pain to increase to take the medication. Meaning, take it as prescribed.
I have a PM doc and I signed a contract with him concerning medications. PM doc's generally do not like their patients to get medications from other doctors..so be careful that you don't break the contract that you signed..if you signed one. Also, I will see my PM doc 7/7/09, and I have my questions written down as this doc is a very busy man..and it is rush/rush each visit.
I do understand your frustration with WC as my RSD/CRPS I is from 2 WC right knee injuries/surgeries. WC is brutal and causes immense stress. I have an atty. to take that stress off of me.
I am here for you.