I take 300 Mg of Tramadol once a day and it does help with alot with my hip, leg, knee, heel wrist, arm and elbow pain. It does nothing for my back, shoulder, neck, head and ribcage pain. I use it in combination with Darvocet and Cymbalta. I also try to limit stress completely. It is my biggest enemy. If I'm under a great deal of stress nothing works for my pain.
It's like you have to go through trial and error before you find what works best for you. I'm pretty content with this combination. Of course this combination will lose it's effect after awhile and I'll have to try somehting new. It's the nature of this BEAST called Fibromyalgia