I am in a bit of a conundrum. Back in February I found this forum while suffering from months of chronic pain in my hands that was started by overuse (lots of computer work and videogaming) and eventually morphed into TMS. Three weeks of study and I was 100% pain-free and happy to have my life back. But that only lasted about a month before I experienced a relapse. The pain returned to my hands, but presenting differently than the first time. Of course I look a few weeks of resting my hands first to make sure I hadn't overused again. But when the pain began shifting position I was pretty much convinced I was back to dealing with TMS again. It's been about three months now since this latest flare-up started. This time around, I've had to carefully examine an aspect that directly relates to how much I use my hands on a daily basis. For a long time I used gaming to deal with anxiety. Starting back in 2015 I was going through so much external personal and work-related stress (it lasted nearly a year) that coming home and gaming allowed me to zone out and forget about my problems. This filled up a lot of my leisure time. But by 2017 I was seeing someone, and gaming had become more habitual than fun. It was during this time that my hand pain first started. So after my recovery and then relapse in March/April, I did a lot of work confronting my feelings about gaming. My conclusion was that while some games gave me a lot of enjoyment, there was absolutely no reason for me to play games that leave me feeling upset about how I was using my leisure time. So I resolved to limit myself only play games I had a serious interest in and do it on a more casual basis. Plus it's summer and I really want to be finding other activities to get out of the apartment. But habits can be hard to break, so I've struggled with this a bit. Gaming becomes something that is easy to do if I don't have anything else immediately interesting to grab my attention. Perhaps this is part of why my TMS is being very "manipulative", for lack of a better word. When I find myself gaming (basically telling the pain to f-- off), the pain subsides quite a bit on a day-to-day basis, sometimes even completely for hours at a time. But in it's place (usually starting the next morning) I get long-lasting sensations in my hands where they were in contact with the controller or mouse. This phantom sensation of still being in contact with the device is almost as annoying as the pain. I also deal with the frustration of thinking I'm wasting a lot of valuable time if my gaming sessions aren't going well. On the flip side of that, when I take days off from doing anything with my computer, the phantom sensations subside but the pain starts creeping back, getting worse day-by-day to the point of my hands experiencing low-level aching most of the time and will get sharp pains when I do something a little more strenuous like pick up and move a bag of laundry. Of course it's occurred to me that the pain during inactivity might be a type of extinction burst? If anyone has any advice, I could sure use a pointer.