Hi, Sorry to hear about your misery. I take 100 mg of Ultram 2 times a day for a degenerative left hip. The docotrs like it because it is not habit forming. I have Addisons Disease and have to take Prednisone, which makes me suspetible to idiopathic fractures. When I have severe pain that is a 10 usually in my ribs, my doctor gave me a morphine patch. It worked great. I was able to then go down to Tylenol 3 then back to just the Ultram. I am a physical therapist and at my last job, the physicharist (doctor of physical medicine) was getting biotox injections for spascity. It seemed to help the person he was giving it to. You have probably seen it on TV for cosmetic plastic surgery, which I think is a waste, but it can be very beneficial for specific medical problems. Why don't you ask your doctor about it. If it works, I think the results last around 3 months, then you can do it again. Good luck.