the nerve , muscle spasms' unable to sleep pain and
Try antidepressants such amitryptiline.
Hello dear, welcome to Ask a doctor service.
I read your query and here is my advice.
Osteoarthritis of the spine that you may be suffering from may cause pinched spinal nerves leading to spasms and pain.
Current medications you are taking are very good for the condition neurontin, advil and Tramadol.
The only thing you can try are tricyclic antidepressants such amitryptiline.
Hope I have answered the question.
Let me know if I can assist you further.