I saw my rheumy today. We are still struggling with a diagnosis in addition to rheumatoid arthritis, which is fully being controlled with meds. Well, at least it has been, but now I have to go off all immunosuppressants a week before and after next week's surgery. Anyway, my BP was really high and it came out that not only am I anxious about surgery, but I was also in a lot of pain. He asked if it was pain all over, to which I said yes. Then he asked specifically about feet pain and walking? Well, I can walk, but it hurts. The weird thing is, when I have told him in the past when my feet hurt, he hasn't seemed to be concerned about that, but this time he asked about them! I was told by someone else that feet pain seem to be an indicator of FMS (as opposed to RA). Do many of you have feet pain, pain with walking? The second question is about ultracet/ultram/tramadol. Because my BP was so high, he told me to take two, 3 times a day. The normal prescription is twice a day, but I was told by someone else that ultracet is often used for FMS. Well, it is used for a lot of pain conditions, but usually the twice a day. Do you know about an increased dose of ultracet for FMS pain? It could be that he wants to get quick relief of pain to see if it brings down my blood pressure, but I'm wondering if he might also use the higher dose as a normal part of FMS pain. His main interest is FMS, but I don't know what his standard protocols are for treatment. Thanks for your input.