I'm prescribed oxycodone after a year of hydrocodone. Tramadol did nothing. Hydrocodone Is generally a staple in pain management before you go to anything stronger. I use opiates as a last resort. I get my pain management through my primary doctor. He doesn't mind THC ,,which allows me to use CBD and THC as i please. I get great relief from cbd. Cbd also helps with sleep pattern. I get great relief from celebrex, But my gut just can't take it systematically. I always have prednisone in the the drawer. I use liposable supplements from manna.com. I also use keto profen topical in 20 percent. Both highly effective. I hope this helps you out.