I once went to a doctor who pressed on my cervical vertibrae and said that they are not the cause of my pain since if they were, I would be screaming in agony from his touch. He then decided that my problems are caused by my shoulder. He said this even with an x-ray in front of him that showed my scoliosis.
Needless to say I never went back to that quack. Since then, my vertebrae have become more tender, but still touching them isn't too painful. Six inches away, though, there is a burning spear jabbing into me right now.
When I get injections into my back, the doctor presses quite hard and I tell her when she's hit a trigger point. The injections are extremely painful, but just touching, even forceful, is trivial by comparison to the pain I'm in just from the routine of the day.
As for tramadol and other meds, the only major issue I am aware of is serotonin syndrome, which could occur if you're taking anti-depressants. For what its worth, I take Ultram ER 300mg and have no trouble with muscle relaxants or NSAIDS. I find that the Tramadol makes a difference with my hip pain and I can really feel the difference on the days where I forget to take it. But it isn't enough to keep my back pain under control.
C4-T4 Scoliosis (disk degeneration, stenosis, narrowed neuroforamen, bone spurs), RT hip and SI joint damage from car accident. Also, pectus excavatum, supraventricular tacycardia and mitral valve prolapse syndrome.
Current meds: Ultram ER 300mg & 2-3x 10mg Hydrocodone daily. Oxycodone 10mg for BT. .25-.5mg xanax as needed for sleep, Verapamil 240mg SR (for tachycardia). [/gray