Tramadol may help with pain but it is also a pain to get off of if you take it for a week or two, as I did after the first knee replacement. Here I was thinking that getting off of the Oxycodone onto something "less" was a good step but I had to taper off of the Tramadol over a couple of days. After the second knee replacement last year I took the Oxy for a little longer then stepped down to an Rx-strength Tylenol. (I think the other medications I was on put Motrin out of reach until they were finished.)