Hello, Thanks for your query. Tramadol might help for pain control in severe cervical spondolytis.Temporarily, please follow the below mentioned measures to get some symptomatic relief - - avoid any movements that produces pain - do not use bulky pillow underneath your head while sleeping as this position will produce more compression of the nerves - Use a Soft collar which allow the muscles of the neck to rest and limit neck motion. This can help decrease pinching of nerve roots with movement. Soft collars should only be worn for short periods of time, because long-term wear can decrease the strength of neck muscles. Cervical isometric exercises are beneficial to maintain the strength of the neck muscles. Neck and upper back stretching exercises, as well as light aerobic activities, also are recommended under the guidance of a physical therapist. I do hope that you have found something helpful and I will be glad to answer any further query. Take care