The problem you face is learning how to stay positive. It should start with your doctors. They should be careful to make the most reliable diagnosis of the cause of your pain. If it is an injury or damage caused by a disease, there may be well-established surgical procedures to repair the damage. Only if you know what is causing the pain can you find the most effective way of treating that cause and relieving the pain. Leaving it to guesswork or abandoning hope in favor of prescribing painkillers is lazy and unprofessional. Once the doctors have made their best efforts to cure the underlying cause, we can move on to the next step which is a mixture of physical and psychological therapy. There are a range of different treatments to improve movement in joints and rebuild muscle tone. Some rely on massage and manipulation, often involve exercise routines. Exercise in a swimming pool is favored where movement is to be encouraged without gravity weighing down the body. The best type of counseling is called Cognitive Behavioral Therapy. This teaches you how to redesign your lifestyle to regain lost mobility.
In this, there is a place for painkillers like tramadol. No-one expects you to be a hero with special abilities to ensure pain. During the initial stages of any pain management program, you will be prescribed some drugs. But the long term aim is to avoid you becoming dependent on those drugs. The ideal is for you to take control over your life and accept the limitations forced on you by the pain. For moderate to severe pain, tramadol will give you a breathing space, a time of calm during which you can learn how best to live your life. It's easy to take tablets. It's better to manage pain without them.
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