I am noticing a pattern. I have noticed a pattern. The pain is the worst in the early morning hours and wakes me. Once I am up and getting the kids ready, it goes away. It comes back when I have down time or am doing some task I do not love. It goes when you are in "flow", when you are wrapped up in something so completely, you do not feel the pain. More evidence that this is TMS!!! Probably people who get TMS are so "other-focused" that they do not leave enough time for hobbies for themselves-I know I don't-it would probably help. I had a little bit of a set back in wondering if it is structural, but I am trying to work my way back to 100% TMS.