I find it interesting that high doses of ibuprofen with low dose tramadol work the best for me. My liver and kidney function are very good. I take medicine to protect my stomach. The pain is worse than labor so the side effects are better than the pain. I love gardening and being outside working in the dirt is very therapeutic even if it increases the pain. I can’t walk very far or the next day I’m in agony. I used to run competively and backpack with my family and now I stay home from family trips or anything athletic and I have a very athletic family. That makes me very sad but I try to stay positive. My husband and I used to walk together and I would walk with friends. This was my alternative to back packing and running. Not being able to walk now is very hard.