Hi everyone, just thought I would sound off for what ever it is worth on my experience with Tramadol. Back in Dec of 2011 I had an ankle injury damaging cartilidge between my leg and ankle bones. It took almost a year to get a surgery approved through Workman's Comp. The entire time I was taking Tramadol, 2 - 50 mg tabs every 4 hours as needed. Some days I would only take 1-2 tabs, some days I would take up to 8. Before going any further, I think these pills did an excellent job of helping me cope with the pain, (also took meloxicam daily) there were a few occassions where I ran out of my scripts or thought maybe I could get by with out, then I would move wrong and the pain would flare up. It would hurt badly enough I could barely walk. Many nights of elevation and routine icing of the foot and ankle. The Tramadol always helped manage the pain back to an acceptable level. After surgery, they prescribed some other pills, little stronger I think for a 6 week recovery period and then the doctor wanted me to switch back to Tramadol. I have continued taking tramadol ever since (currently April 2013). I definitely went through a period where I felt the want or desire to have more tramadol, call it an addiction or what ever you want, but I knew that is what I wanted and I was trying to cut back or get away from it all together. My wife definitely believed it made me cranky, I was sleeping much less then normal, maybe 5-6 hrs per night. I found myself taking it to get me going in the morning or give me a lift mid day for a family event or something similiar. The problem I found was that after taking it and then stopping, I would become dreadfully tired. The tramadol would make me sleepy or tired, I associated it with coming down from it. I continue to take it as needed for pain but the crash seems to be getting harder and harder to handle, I sit at my desk on occassion almost nodding off and just feel completely wooped! But the alternative, limping around and being in pain effects one mentally as well. At this time I still choose to take tramadol for flare ups but I don't want to be addicted to it. I smoked cigs from age 13 to 35, had a heart attack, finally quit. Quiting smoking was one of the hardest challenges I have faced, it has been 3 years and I still get crazy cravings sometimes. I don't want to ever rely on something that hurts me again. I also suffered from the hard to finish problem with my spouse, at first I thought it was fun or exciting, sometime it would take a few hours, but it can definitely interfere with a healthy sex life if you let it. My question is this I guess, obviously I have concerns about being addicted to tramadol. How dangerous is it, could it be worse to take it intermittently as I currently am for pain suffering these terrible crashes that seem to last 2-3 days or would it be healthier to take daily? The pain in my ankle still can be very painful if I am active or make a incorrect step, I am somewhat afraid of another surgery, the surgeon told me the next step would probably be fusing my ankle together which scares the crap out of me, I am just not ready to submit to that fate without a fight. Thanks in advance for any good advice, I don't know that if this will help to answere anyone elses questions but it is out there none the less. And if anyone is wondering, I do believe that tramadol is helping me live a closer to normal life and I would recommend it to help manage pain.