The Tramadol has no effect . Pain is getting worse , but I can still tell hot from cold , though I do n't do so good at the vibration tests . I use a lot of post - it notes and such to help me remember things and my wife helps as well . I have slowed my work load down some and this helps with the dystonia .

Question: What may happen if the Tramadol has no effect ?
Answer: I may have to make my new medicine from scratch .None of the above choices .I may have to go to the doctor and ask for more .I may have to go to the hospital and get new medicine .