I am 58 yr old female. I’ve had constipation (off and on) with pain medication, Tramadol, after a recent diagnosis of osteoarthritis plus degenerative joint disease. I became aware of the condition after I assisted my daughter in her six month recovery from major surgery to cut cancer from her. (The only way to get rid of the type of cancer she had, no chemo either.) So after such concentrated effort and anxiety on me and my families part, the release was complete to the point that a week after this relaxation, came this total overwhelming pain! Everywhere, but more so in my neck, back and lower back. Though I also experienced large joint pain too. When I went and talked with my doctor. She prescribed Tramadol, then also got me in to see a Neurologist. He did appropriate testing, and sent me to a surgeon. That doctor wanted to do surgery. I declined, I have grown up with an Uncle who has suffered with unrelieved back pain through multiple back surgeries! Needless to say, this was not a good example, physicians are always “practicing”(?) Yes?