Yes, the Tramadol is for pain. The instructions don't mention having to take it at the same time as the Pregabalin but I do take them at the same time, simply because it is easier. I have had good results with pain management doing this.
The PT does help with balance but not long-term. I think there is a certain amount of lightheadedness that Pregabalin causes in me so I am often not sure if I am off-balance because of the PN in my feet or the lightheadedness. Also, I don't think I mentioned that I get a chiropractic adjustment every month. Have been doing that for many years, way before any of this other came about. All my docs (pain, ortho, PC, podiatrist) are on board with good chiropractic care.