Tramadol
"After Meloxicam stopped being effective for my DDD back pain my doctor prescribed Tramadol.

I did feel a little nauseous after taking the first 50MG tablet, but the quick pain relief and reduction in muscle tension was dramatic. The next day I noticed my thoracic back was flexing as I bent over in the shower, the first time in years. It seems to have broken the vicious cycle of pain causing muscle tension and muscle tension causing pain.  My mental state has improved as well, due to being out of pain no doubt.

My sleep is much improved.

I have not experienced nausea taking Tramadol again.

I read here about dependence and withdrawal. so I will reduce my dosage to one 50mg tablet every other day and stop prior to being on it for a week"