Being an amputee there are a lot of different types of pain that one has to contend with. The phantom pains can be the worst to try to deal with because you have the sensation that your limb is still there without having any way to actually treat the pain that you are experiencing. I was given Ultram (also called Tramadol) while in the hospital for my stump pain as well as the muscle aches that came with the phantom pains. It started to work in about ten to fifteen minutes on an empty stomach but not everyone is going to be able to take this without food. It is something that is considered mildly addictive and it is a prescription medication; my scheduled dose is one pill every twelve hours for pain but I have only needed to take it a few times since I have been out of the hospital. It lasts about five to six hours depending on when I take it; if I am taking this before I go to sleep I don't have any restless leg syndrome to deal with but it doesn't leave me feeling tired or sluggish when I wake up. In the past I have tried other prescription medications for phantom pains as well as back pain and they all had side effects that I didn't want to deal with. I have no ringing in my ears with Ultram nor do I have any feelings of depression or listlessness. I will keep using this when I need it but won't follow a regular dosage schedule because that is going to make it less effective when I actually need pain relief.