I take tramadol. It is the only thing really helping to cut the pain in an appreciable way on a daily basis. Some days are better than others.

I have to get my kids up at 6, just after my wife leaves for work. In order to contend witg the not quite 4 year okd I have to be limber and as cogent as possible. So I get up early to make all that possible.

I could go without tramadol for a week to try out the SAMe I suppose. I don't take it the same time daily, though I usually am compelled to take it on a daily basis.

This is better than not sleeping, but fatigue is positively brutal. I took my daughter shopping today. We were out for a few hours, witg designs to drive elsewhere. Once I sat in the car I knew it was grocery store, then home. Muscle rebellion.