Yes, see a pain specialist.
My new one was the first to physically examine me and instead of the usual arthritis diagnosis, which I'd been getting for years, he said my severe headaches were caused by very tight neck and back muscles.
Anyway, remedial massage confirmed that diagnosis, and I am now free of this problem by taking magnesium oil daily.
I was on Tramadol too and while my dosage was much reduced because of the effects of the Mg oil, I was still taking 2 or 3 a day, and sometimes a slow release one at night.
I read an article on headaches and medication, saying that the meds may be worse than the headache.
I stopped the Tramadol and since then haven't needed it on a daily basis, just one 50g about 3 times a week.
So it seems that the Tramadol was actually causing my weird head pains.
I had been warned about this by my wife, but reasoned that the small dosage wouldn't have had that effect. WRONG!
Taking more just didn't help either.
So...get a new examination, treat your muscles and soft tissues with drug free options, and consider the implications of ever increasing drugs.
Pain control is a multi-level activity, and must include life style, diet, fitness, attitude and of course physical injuries.
Opinions will vary too so it may take quite a bit of perseverance to sort it out, if that can be done.
Take ownership in the treatments and question everything.