Hello again, I was SO bad with pain in my elbows and arms as I have posted before it prompted me to see the doctor and he gave me tramal which I think helped me the following day. Its the slow release one and its been a week and my pain has been less severe. I have also increased my lyrica. I was on one 150 mg a day and now I am taking 2, one in a.m. and one in p.m. I don't know which one is more beneficial or is it the combination of both that it is better? I sadly had to give in my resignation as I cannot work at all at the moment so its been quite depressing but I had no choice. Its a child care centre and the work is too taxing on my body. I truly want to work again in a different field after I try and manage my pain symptoms a bit better. (PLEEZE) I await your replies, Thanks, Sue.