Although the first thought when the pain starts is to take Ultram, an equally urgent problem is the need to get a good night’s sleep. When you have a fairly constant level of pain, sleep is the first thing to suffer. Sleep does not come until you are too exhausted to care any more. Get proper medical advice. Some drugs interact when you mix them. Ultram is no exception to this rule. So ask your doctor before adding a sleeping aid. There will be a short-term role for sleeping pills to restore your strength of purpose. Now, with Ultram to help you through the first steps, it’s back to the drawing board to relearn how to move around with the least pain. Then, when it seems as though only an hour or so has passed, you’re awake again. Sleep is essential in this. If you’re walking around feeling like one of the living dead, you’ll feel less positive. That means taking drugs on top of the painkillers to help you sleep properly. Effective pain management is really the management of your feelings about the pain. To make the best recovery, you have to remain as positive as possible no matter what the world throws at you.