Yesterday was my first day without an opioid and I had the worst night sleep! I am now taking 2 ES Tylenol 3 x day. Slept in the recliner and tossed and turned....my knee is very sore this morning but I have not had my Tylenol yet. Really contorted the knee trying to get comfortable. I just really feel the need to get off the tramadol (was only taking 25 mg twice a day) but enough is enough.