Nortriptyline
"I've had a lot of pains over the past few years due to computer-centric lifestyle. My rear shoulder/shoulder blade pain started to become unmanageable with my Lyrica+Tramadol. Most of my pains are a nervy/burning. I decided to try Nortriptyline. Started with 10mg and worked up to 100mg after months (started working at 25mg).  Saved my life at that time when I was miserable.  It wasn't 100%, and had a bunch of mild side effects, but made things manageable. Side effects: weight gain (huge appetite), urinary retention, dry nose/mouth, some drowsiness (bad at first, but got better), reduced motor control (jerks), orthostatic hypotension. Trying to stop to see if pain comes back, and so far so good (side effects have reduced -- esp. appetite)."