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I am on tramadol, been experiencing sharp pain and pulsating feeling in my head

I'm on tramadol for back issues, I take it every day to once every 2 days, on the off days I often recieve sharp head pain and a pulsating feeling in the right side, I am also a worrier so that doesn't help. I asked the pharmacist and they said yes you will have a headache but nothing about sharp pain? Is that a form or headache? Thanks
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