Last nite i had to call an ambulance since the pain was out of this world. Then to make matters worse i fell out of bed due to the pain. Dr at the ER thought i was just looking for drugs and gave me Tramadol. I've have had it before and it doesn't even touch the pain. I am a server and in good shape and as long as i keep moving i'm ok i just can't bend or when i sit i have a hard time getting up. I have no insurance so i can't afford pain mgmt. I'm having a hard time sleeping so my question is should i take the tramadol? Some say it's not a narcotic it's just like extra strength tylenol. I've never had trouble with my back before and now i'm miserable. Any information would be great. Thx