What Causes Persistent Spinal Stenosis While On Tramadol?

I have spinal stenos on going for 8 long years. I have been put through the ringer so to speak with all the docters ideas, directions and most of all my own biggest hurdle, the patience i had to dig deep to find to deal with this sever roblem. my qestion is i just lost my pain dr. because i had to wait a week withpout my tramadol. Why I do not know, wasent due to staff i knpw this much and the i was requested to come in and drug screen. No problem, as iv taken over 30 or more and never thought twice. proble is no more inmy sytem. dr calls says so and wants me to take another on a saterday. Well as youual know they are not cheep and I knew the end result. sure enough by by Michael. I went from oxycotten to tramadole by my own wishes. im going to loose more brain cells dealing with this blaten disreard then any medication. help