Tramadol is not a strong pain reliever in my opinion. Plus it has many unwanted side effects for a lot of people, me included. I haven't been on Lyrica, but I've heard that helps a lot of people with nerve pain.
There are more medications that are much more effective in treating pain. You are in the UK, so I do not know the protocol with pain management with your doctors. My best advice to you is go to your doctor and let them know that your pain is not being managed well. Ask what your options are.
If your current doctor is not helping you, it's best to go and get a second or third opinion. Not all doctors treat pain fairly. I wish you the best of luck.
Welcome to the Pain Mangement Forum. I am glad that you found us and took the time to post. I am sorry to hear about your untreated pain.
I assume you mean Kienböck's Disease. A disease of the wrist which little is known. about causation. Which stage of the disease process are you currently in?
You stated you have had several surgical procedures. Has your wrist been fused? It is my understanding that there is no good treatment in some instances for this disease condition other than pain management.
RunningMom is correct. Tramadol is not a very potent pain medication. It does help some individuals but for others it is simply not effective. Lyrica (Pregabalin) is generally effective in treating nerve pain. I assume with the reduced blood supply to your wrist it is effecting all the tissues and bones including your nerves.
I also suggest that you see another orthopedic surgeon or specialist. If treatments is not providing you good pain relief than at the very least you deserve to be comfortable. There are more potent medications that can bring that comfort. I do not know the usual and customary practices in your country but if at all possible more potent pain relievers may bring you more comfort.
Best of luck to you. Please keep in touch and let us know how you are doing. We will look forward to your updates.