Does Elavil help with your PN pain?. Its old school med but it seems to help many for pain. My sister took it for many years for migrains. My neuro basicly told me he was done with me, there was nothing more he could do in finding a cause. Told me to to go to columbian/ Weil (sp) Hospital Ctr In NYC!! All dx tests and bldwrk were normal except skin biopsy showed sfn. What kind of doc\ specialist is your Doc sending you to? Cymbalta and Nuerotin didnt help and now Im getting off the lyrica. I will be with no meds and that scares me, I feel vulunerable to severe pain that sticks its ugly head out at any given moment! Doc ordered ultram (tramadol) but im afraid to take it cause of bad stories reported on here ..Did you try Ultram??