Tramadol works great for my chronic pain.
Lurk any chronic pain support group and you will find hundreds of people terrified of going back to the dark ages before opioids. Over-enforcement of the epidemic is real and doing damage to already damaged people.
Managing pain with opioids is not much different than managing diabetes with insulin. I realize the media mania and moral panic doesn't convey that because it doesn't fit the hype narrative, but there is a huge difference between medical patients and drug abusers.