Hi...I'm James. I had a low back injury several years ago, and was given a Toradol (ketorolac) injection to help. I was prescribed Ultram (tramadol) orally to help with the pain. I took the prescribed dosage and developed pseudoparkinsonian symptoms. I shook like a crack addict on a bad day. After the Toradol wore off, the symptoms subsided. I spoke to the doc about it and the consensus was I couldn't have both, but either one by itself was okay. I've taken tramadol successfully for back pain several times since then uneventfully. I'm scheduled for a visit with a neurosurgeon vith view to low back surgery aince nothing else helped long term, and an MRI showed several blown discs in my lumbar spine. Keep your fingers crossed for me.