Might want to try what my husband gleaned from an online site: He applies Vicks on bottom of feet and toes, then puts on socks (to protect linen). First time he tried it, he announced the next morning that it had WORKED. My feet are non-stop neuro pain and I was miserable one particular evening, so hubby encouraged me to TRY it. I despise the smell of Vicks, but at his urging, I let him apply the ointment. I did also take about 650 mg aspirin (I can't take pain killers, etc., or other OTC items). Next morning, my pain was indeed immensely reduced, and hubby was happy that his Vicks had helped. But I have not used it again, I stick to my Blue Emu, aspirin (or Alleve), heating pad, very gentle self-massage. If ever the pain should become as it was that first time that I Vicks-ed my feet, I would consider it again. BUT I'll buy the Baby Vicks, which is way less stinky.
You might want to google Vicks and its various applications beyond rubbing on the chest for colds. Might just work for you. 😊

As I posted earlier, Tramadol caused hallucinations (frightening ones!) and seriously fractured nightmares. And the dose was way less than yours, thank goodness for that. I'm glad that it works for you, without the nasty side effects.👍🏼💤