I have had chronic tendonitis in my shoulders since I was 15 (I m 26 now). I am used to taking anti-inflammatory medication (ibuprofen) o-t-c for the pain that I am in all the time. In the last few days, the pain in my right shoulder has gotten unbearable. Ibuprofen hasn t worked, heat rubs haven t worked, sleeping upright/flat on back/properly on side hasn t helped. Resting it or moving my arm--everything hurts. I went and got X-Rays at the ER because the pain was severe. I overhead the x-ray techs talking about calcium, but the doctor told me my x-rays were normal. She then ended up prescribing Tramadol 50mg to me despite the fact I take Adderall XR 25mg. It s a good thing I asked the pharmacist about potential drug interactions, but shouldn t the doctor have had the sense not to prescribe a pain medication that could interact with my Adderall and cause seizures? I ve had to have steroid shots in my shoulders before for acute tendonitis pain like this. Even the pain medication and anti-inflammatory (Ketorolac 10mg) are barely dulling the pain. Instead of the 8-9 I was sitting at before the visit/medication, I am fluctuating between 5 and 7. Is there anything I can do at home to help relieve the pain I m feeling that I m not already doing? I ve been alternatively resting/gently stretching my arms and alternating hot/cold on the shoulder + using the medications prescribed. Also, is it possible that I have developed calcific tendonitis and the doctor I saw in the ER was incompetent? The fact that she prescribed interacting medications w/o a second thought makes me think that she really didn t try to help me at all. The pain was too severe to wait to schedule a normal doctor visit or I would have done that. Should I have insisted on a corticosteriod shot to reduce the inflammation? Even now, with both medications (the anti-inflammatory and pain reliever), my tendons feel like they are on fire.