Hi! I am a newbie (8 wks) and have severe pain of the lower spine and pelvis (ankylosing spondylitis) . I have taken tramadol 200mg for about 5 years and am still taking it as life as I know it ceases when I stop taking it, even though I am pregnant. I have done a lot of research on it and although it is a cat C drug (not recommended in pregnancy/BFing) I have no other real option. In animal studies, the doses they have given them exceeds the normal marternal dose by a mile, so the studies aren't really helpful. I really feel for you as severe pain will stop your life. I have only been recommended panadol/panadeine which is a joke considering the severe bone pain I have. Basically there is nothing else that is safe, but it is a matter of weighing up the potential benefits with the potential risks, which only you can decide. I really feel for you and hope you can find a solution.