I also use a Tamron 90mm and like Eeyore i have a Teleconverter first on the body (1.4) then normally either one or 2 tubes (either 36mm or 56mm total).
I'm really enjoying using them (I have a Nikon D50 and Kenko Pro DG tubes) and mainly use manual focus but these did retain Auto also. The main issue is that you need a dedicated flash unit often because the lens is so close to the subject that the built in flash often cant hit it. Also bear in mind that the weight starts to add up, not really an issue for me but for some it may be.
Also - using tubes means you lose the ability to focus on infinity. Not that great an issue but it severely reduces your working distances. That said It's not really been a big issue for me, just something to think about. Just means whipping your ext tube off if something bigger comes your way.
I ended up getting a ring flash to combat those lighting issues. Not necessary if you have an off camera flash that you can pop on a bracket.
In short - I like mine, very happy I bought them as they add more options to my pictures. For the price I think they are well worth it.