[Read what you have tried so far. A friend I have up North takes tramadol. After awhile it didn't make her sleepy. I believe it is alot less addictive than some of the others that pain specialists try. Please do watch out for your stomach and heartburn with medications. It led me to a whole mess of ailments with my stomach and throat. I hope there is a doctor who can get you some help while you are working. It is hard to cope with pain in a work environment. Some of the heat, cold packs can be worn under clothing and not noticeable at work. I used the heat on my cervial spine with patches. Some work 8 hours and provided some relief. ginnie