Do you use tramadol for acute arthritis?

Tramadol is increasingly used for the treatment of osteoarthritis because, in contrast to nonsteroidal antiÔÇÉinflammatory drugs (NSAIDs), tramadol does not produce gastrointestinal bleeding or renal problems, and does not affect articular cartilage.

Tramadol or tramadol/paracetamol decreases pain intensity, produces symptom relief and improves function, but these benefits are small. Adverse events, although reversible and not life threatening, often cause participants to stop taking the medication and could limit tramadol or tramadol plus paracetamol usefulness.