I take 4 Tramadol tablets a day for my arthritis pain. I want to know if another medication would be more effective and less harmful to the liver and stomach. I also take Celebrex 1 per day during severe flare-ups, so occasionally.

It would be beneficial for the user to explore alternative treatments for their arthritis pain, as relying solely on Tramadol may not be the most effective long-term solution. It is recommended to consider physiotherapy as a potential option, as regular exercise has been found to be more effective in managing arthritis pain than medication. Consulting with a healthcare professional to find a physiotherapist who can help determine an exercise plan to reduce pain may be a good step forward.