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: Why may the Tramadol not be working on the narrator ?
Answer: The medicine may be correct for the disease .The narrator may be experiencing a serious issue .None of the above choices .The dosage may be too high .