Hey Betsy, I also can't take Tramadol at night, it contains Seratonin which is why it keeps some people up, I take IBU and sometimes Oxycodone at night. I can't take Vic. or steroids cause I'm Bi-Polar too, but if your pain is caused by a spinal misalignment what you need is a Chiropractor as there is NO med in the world that is going to push your spine straight again, I guess straight-ish is more accurate since its supposed to be curved a little
Anyway, this is just my 2 cents, I swear by my chiro( I have mild scoliosis, spinal stenosis and a loose hip flexor)He alsways makes me feel better and he Never gives me drugs! I hope you get some sleep anyway, I know from experience how lack of sleep can make the pain worse. Keep In Touch.