Hi, following a kitesurfing accident, I have 5 prolapsed discs, 3 thoracic and 2 lumbar. The lumbar discs are slightly impacting on my nerves. I am currently being prescribed Co-codamol 30/500 by my GP. I have been on these for over 12 months. I have had osteopathic treatment and acupuncture. However, the pain is consistent and the Co-codamol seem to be becoming less effective (or perhaps the pain is increasing). Should I approach my GP for more effective opioid treatment such as Tramadol or would another pain treatment be better suited. I do suffer from constipation with the Co-codamol. Many thanks, Ian