How can pain be managed in leg, neck, etc.?
Patient: I have been taking tramadol 50mg once a day as and when my back and neck pain due to bulging disc became unbearable . Now the muscles in both upper forearms and muscles in both front thighs are going into spasms is this due to pressure on nerves from bulging discs 1 in c6-7 vertebrae and also LS 1 &osteo in 456 or due to side effect of tramadol which is increashed to 2 mornings as pain is worse. I am awaiting electric impulse tests soon as no reflexes found in upper arms also have severe pain in both legs and feet and amround both ankles . Thank you Doctor: Hi,  Well, tramadol is a 3 times a day drug. spasm and other nerve signs are treated better with nerve medicines like lidocaine, anti-epileptics, even cold packs and electric impulse generators (TENS).  Take care. Hope I have answered your question. Let me know if I can assist you further.  Regards, Dr. Matt Wachsman, Addiction Medicine Specialist