Hi Mrs. D. Thanks for the answers. I met with my neuro today and he said he thinks it is probably the Cymbalta that is causing my affect. He recommended going back to 90mgs. I told him I cut back on tramadol. He laughed and said he was not surprised. He knows I hate taking meds. I am still not certain if the pain I am experiencing is withdraw from lowering the dosage of tramadol or just that I need the dose I was on to alleviate the pain. I'm going to stay at the lower dose for a while and see if it stops. If not I suppose I will have to increase it again. I Hate Medications.
Since I lower the dose of tramadol and the twitching etc has returned also. I am thinking of beginning a Mg supplement. What do u think? When you apply the lotion to your inner arms and wrist is it systemic? Thanks again Hopeful!