Look around. Despite what hunters and fishermen might tell you so you feel better about eating what they catch, every bird, animal and fish reacts to injury in a way suggesting they feel pain. You can see them flinch when wounded. It's that same unpleasant sensation we get when the skin is cut, bones are broken or we catch an infection. We grab hold of the damaged bit of our body and "know" we have to do something about it. So pain is a message. The nerves in the affected part of the body react to the injury and send an electrical/chemical warning up to the brain. This is effectively an instantaneous process, alerting the conscious mind. For humans, we take this as a warning to get treatment. There's just one problem. Even when we have reported to the nearest emergency room and paid for a doctor to treat us, the pain continues. This is inconvenient. There should be a switch to turn it off. But the pain can persist for weeks, months or, even, years depending on the nature of the injury we pick up. This is leading modern doctors to see pain as being a separate condition worth treating in its own right. In the better hospitals, you will now see pain clinics or departments specializing in pain management. Once you have received the best possible treatment for the underlying cause of the pain, you then see a specialist to get the maximum relief from the pain.
So, to help you understand the best way to treat pain, we start with a few definitions. If the injury, disease or disorder is only going to affect you for a short time, the pain is called acute. As you respond to the treatment for the underlying physical cause, the pain will slowly fade. This is very important psychologically. Once you have confirmation the injury will heal and you will make a complete recovery, you remain optimistic and positive. If a doctor tells you physical therapy will speed up rehabilitation, you will work through the pain to get the results. This is not the case when the pain is chronic. "Chronus" is the Greek word for time. It is not a reference to the severity of the pain, but to the fact you will feel it for months or years. This is demoralizing. Many people are tempted to give up when they recognize there's not going to be a quick "cure". So a major part of the treatment for chronic pain is counseling and support to encourage people to stay more positive and work toward getting the best possible quality of life.
Tramadol is often given in high dosages for a few days to relieve more severe acute pain. This gives the maximum relief and sets you on the road to recovery. But if the pain is chronic, current best practice is not to rely on painkillers unless necessary. Becoming dependent on painkillers is a high price to pay. Cognitive behavioral therapy is better at teaching people how to cope with pain and find a good life within the new physical limitations. Tramadol may still be given if pain flares, but no painkiller should be used on a routine basis.