I really try not to take Tramadol because l can’t take it if l take Xanax, So if there is a day my back and hip pain are bad l have to leave off the Xanax and hope for the best. I can’t take NSAIDS because of my chronic kidney disease. I think if my rheumatologist would talk me about the pain instead of saying that she will treat the inflammation and the pain clinic can treat the pain. Maybe l just have too many things going on. If the pain gets too l intend to take the Tramadol and let the chips fall where they may.