What is the best next step up from tramadol for post polio pain? my legs are sticks but still give me agony such that i cant walk without pain relief. have taken tramadol for 10 years, its not working anymore at 400mg a day mixed with propyphenazone?

See a pain specialist and this can be taken care of. Good Luck

Chronic use of analgesics commonly results in tolerance, and more potent opioids will likewise do the same over time. One possible issue might involve "Post-polio Syndrome". See a neurologist who possesses experience with polio patients, and discuss appropriate medications. Physical therapy and custom bracing or leg supports might help.