My mistake was that I tried to withdraw from opiates far too quickly due to their unpleasant side effects, and I paid dearly with nasty withdrawal symptoms for about a week. How I wish I hadn't been so impatient, and had sought some direction from my physician about how to do it more safely and comfortably. I cannot take Tramadol because it is contraindicated with another med. (SSRI) I have been taking. Has the potential for causing serious problems. My insurance will not pay for topical pain relief patches, so I ice, elevate, keep moving, take my Tylenol, and pray for the pain to subside. This surgery, while a medical miracle, is not for the faint of heart.