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The analgesic effect of tramadol appears after 20 minutes of taking it. I was 18 when I first rode a bicycle. I enjoyed the light exercise, but one day I had a bad fall and sprained my leg. The injury didn't seem serious to me, so I didn't want to go to the hospital. I take Tramadol during flare-up periods, and it helps me manage the pain. Don't delay seeing a doctor.

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