I took a tramadol in the evening yesterday, the second dose of the day. It was around 00:30 when I went to sleep and was amazed to find it was 06:50 when I woke up. That’s the first 6+ hours solid sleep I’ve had for weeks. The other positive is that my back is not feeling too bad at all. The other change I made last night was to put a foam wedge under the head end of my mattress. Being propped up a bit I think has helped with my sinuses as I’m not as blocked around my nose and eyes.
The GP did suggest seeing if swapping the morning tramadol to the evening if I think I can manage without it during the day. Given that I have been settled on the gabapentin dose for a while now, I’ll try that at the weekend. However, as we are in the middle of various bits of DIY at the moment, I’ve taken a dose this morning. I’m certainly not intending to overdo it today, but will inevitably doing a fair bit of bending and stretching.