Perhaps you were so unlucky to get in some car accident or some other unhappy occurense. Human nature is very predictable. People who are injured or have a condition like arthritis grow afraid to move. They are afraid that any movement will cause them pain. Well, if pain is a warning signal, you’d better heed the warning and stop moving. In fact, if you never moved at all you could probably do without the Ultram altogether. As it is, taking the painkiller is a good preventative measure.
Well, this is the way to end up an invalid. You need a combination of psychological and physical therapy to unlearn the fear response. Life must go on. Maybe there are new limits requiring adjustments. But you cannot give in to this fear. It is still possible to move. You just need someone to show you how to move with less pain. Yes, Ultram is useful to maintain your availability to continue your treatment. But as your confidence reasserts itself, you should slowly use the painkiller less. They prefer to avoid the pain so become increasingly static. You will not make any kind of recovery if you become dependent on strong painkillers. Now that really is something worth fearing!