I'm also on the highest dose of lyrica and I still have bad days. When that happens I use my alternate therapies. Some are:
Guided meditation, heating pad, ice packs, slowly stretching, my tens unit, a hot bath or shower, go for a walk, deep breathing, reading 📖, researching things that peak my curiosity , journaling, coloring, playing games on my electronics, use this app, work on a project, play with my pets, clean the 🏡 house, redecorate using things I already have, shop, garden, talk to someone, drive somewhere new, take my over the counter drugs.
Keeping busy works the best when all other physical methods have failed.

Is the Lyrica working? It may be the Tramadol working it's a good pain medication non narcotic non addictive do you have depression and or anxiety

It is the Lyrica I gained 40 lbs within 2months and I am only 5 ft I recently lost 16 but taking this pill it is called Biox4 watch on utube presentation by Dr Lee I eat 3 small meals a day and take a capsule before each meal the pill consists of 4 different types of probiotics

Yes I have I'm not happy with my weight keep wanting to diet unsucessful though

Have you gained weight