Ok, I have been on ultram and it has always helped my overall body pain aches, legs especially. Now I have a new pain in top part of right thigh, and it does not help. Going back to old rheumy, after bad experience with new one, in couple weeks. I don't even know why I left. He was the one who originally dx the fibro and has always been good with meds for sleep and pain. Well, I never asked for anything stronger, cause I didn't need it. Can Rheumatologists prescribe stronger than ultram? I have seen other peoples' posts that say they get stronger stuff. Do you have to go to a pain clinic?