Why does it take different pain meds for different pain?i am a chronic pain suffer !?

Well, soma is a mussel relaxer, so that will relieve pain from tight mussels. Oxycodone and norco is good for muscular pain. Ultram is good for nerve pain, a type of pain that the rest don't really hit on. So... yah, different pain meds do affect different types of pain. The only thing that I would question is the Norco as it has tylenol in it. Even though it has the very minimum dosage of tylenol vs. the other hydrocodone type meds, it still isn't going to be good for your liver taken long term. I'd ask your doctor about this, and let him also know that your still in pain. There's many different types of pain meds, and often less is better. Even though each med for the most part does it's own thing, why both Norco and Oxycodone as it helps the same sort of pain, except that the Norco is shorter acting and less effective. The Ultram is another questionable drug to be on.

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Long term use of Ultram will lead to dependence, way worse than the pain it relieves, as it's considered to be roughly the same strength as is codeine (if that, I think that codeine works better personally). Ultram is an SNRI that hits on both the opioid sensors as well as the the regular seritonin and norepinephrine. When you stop that week drug, you withdraw from two drugs at once, and isn't a good thing. There are stronger narcotics out on the market that may be of some benefit to you, and if your doctor is unwilling to work with you on this, then it might not be a bad idea to get a second opinion, as second opinions in cases this severe would at least question or validate the other doctor.
Best of luck to you!
Jeff K