I have been taking tramadol since 2003. i usually take anywhere from 3-5 tablets a day as i suffer pain in my neck and upper back caused from a broken C-3, and dislocated C-4 and C-5. i now have an H-Plate in my neck and therefore suffer from pain on a daily basis. i am 22 years old and am just a little concerned about the long term effects that the tramadol may have on my long term health? i am slowly getting use to the fact that ill be taking tramadol for the res tof my life, so i am trying to find out as much about tramadol as possible. if anyone can answer and inform me about long term effects of tramadol, i would greatly appreciate it.