I was born with a bone disease (I have no idea what it is) and am in a lot of pain too. I've had over 2 dozen surgeries to help correct some of the problems.
I complained to my acting primary, who was also my pulmonary specialist, and he didn't feel comfortable giving me anything over Darvocet with strict instructions to take no more than 1 a day (um...
) Luckily his nurse recommended a PM doctor and I made an appointment.
My first visit was pretty simple. I filled out the usual forms and paperwork, then spent the next hour talking to her about what was wrong and what my pain was like. Thankfully she was very sympathetic and sent me home with a script for Percocet to try out. I also signed a contract stating how and what I will do to continue using any prescribed narcotics (agreeing to pill counts, urinary analysis and anything she deems necessary). At the next appointment I was switched to long acting Morphine and have been on it for the past 4.5 years.
The PM doctor may agree with your other doctor, or they might want to try out their own plan.
Switching to another opiate from Ultram shouldn't cause withdrawls. You could always taper down the dose if you do. Most doctors wouldn't want you to suffer (but of course there are some that don't seem to care
). I used Ultram as a breakthrough med for a while, but didn't like how sick it made me feel.