Hello Chrissy, Thank you for your post. You are having what is medically known as peripheral polyneuropathy (nerves damage) which is usually as a result of an underlying diseases condition such as: - diabetes mellitus/impaired glucose intolerence - autoimmune disorders - viral infections - liver diseases - vitamin B12 deficiency - poor blood flow to the legs (peripheral hypoperfusion) - hypertension - under-active thyroid gland - drugs used for treating infections and toxins - idiopathic or genetic ( running in family) So, I will appreciate if you could provide the reason for taking tramadol 50? Normally it is an analgesic and it is not known to cause neuropathy. It could be hapatotoxic ( damages liver) but usually long term use or high doses. So to accuse it to be the cause of your problem is limited. Your problem needs to be investigated further and most of the diseases mentioned above needs to looked into according to your age and medical history. As for treatment options, whether cause is identified or not, the treatment mostly is usually symptomatic and expectant management ( i.e we manage the symptoms + cause and hope that the nerve damage is corrected). Surgery is last alternative ( neurosurgeon consultation is necessary in that case). For the medical treatment medications such as carbamazepine, valproate, nucleo cmp forte, analgesics could be used to relief the symptoms. Vitamin B complex supplement could be added to your treatment in case of vitamin b deficiency. You will need to see your doctor for examination and laboratory analysis of your blood and urine. Hope this helps