I did 3 epidurals on my neck but no real help. 800 mgs of ibuprofen takes the edge barely off but not much
. Teamed the Ultram up with Tylenol and I didn't notice a huge difference either.
I have tried Celebrex (nothing), Flexeril (knocks me out), Soma (works ok, but off and on), Zanaflex (horrible reaction, seeing black, similar to low blood pressure). Methocarbamol (sp?) worked out, not so much help with the muscle, but did help a little with sleep.
My Ultram ranges from 2 to 6 tabs a day.