Tramadol - does it work quickly?

I have had Severe Spinal Stenosis for over 40 years and I have been prescribed Tramadol for the pain by several different doctors over the years but up to 50MG tablets and they never effected the pain at all for my pain, you need to have something stronger that is what it took for my pain and the older I get the stronger it has to be.

For me, like the other answers, it didn't work one iota. I think it's more of a placebo.

Tramadol is highly over rated as a pain reliever based on my experience. It is strangely not prescribed for what its good at, as a fast acting anti depressant. Traditional anti depressants seem to focus on seratonin balance, which seems to take a long time to manifest, weeks, or months.
Tram appears to improve Dopamine levels, and works as soon as it reaches a blood level, in an hour or less. I suffered 2 broken ribs, & 150mg had no impact at all on the pain. The previous answer I feel is correct; get something better for your pain.

The effect of tramadol begins 1 hour after ingestion and lasts for 6 to 8 hours. I think you should contact your doctor to prescribe a stronger pain reliever