She has spinal degeneration and sciatica for which Tylenol 3 times a day doesn't provide enough relief. Her doctor had her go for PT, but she won't bother to do the daily exercises on her own. The doctor wants to do a trial of Tramadol, half a dose at bedtime. My sister (67) was prescribed Tramadol recently and had a very severe reaction with vomiting, diarrhea and incapacitation for 12 hours--she's reluctant for Mom to try this med, as her kidney function is not great, she's incontinent and uses a walker. The other option is acupuncture, massage and other alternative treatments.