I have noticed recently that my pain is quite intense and troublesome upon waking...this seems to be a new development. My pain never causes me to have trouble going to sleep and it has never actually woken me from sleep its just as soon as I literally open my eyes in the morning the pain is blatting away in my lower back, hip and leg. This development has confused me a bit as because I was given the structural diagnosis of SI joint dysfunction, twisted pelvis etc I would have imagined that this area would actually be more stable whilst I slept and that the pain would actually be worse when the area is under movement stress. Thinking on this point further it does actually appear that my pain does actually dull down or recede to a point if I run exercise...it can be sore afterwards though. I'm just wondering (read overanalysing/intellectualising) this really. I don't know how this fits with a TMS explanation really as on one level I thought that the mind would be relaxed and rested whilst sleeping and therefore the symptoms would be less in the morning BUT then again I suppose that we dream whilst we sleep and this dreaming process is very much an unconcious process, much the same as TMS lol. So, anybody else have this pain upon waking issue and anybody able to offer some insight as to how it may make me more able to accept my pain and symptoms (lower back, hip and leg pain) as TMS rather than structural as this is my major stumbling block at the moment. Oh yes, just to tack something on here. Since my pain started as a niggly lower back pain about 3 years back I've always had a sensation when coughing in my lower back...not really a pain but a brief sensation of pressure etc. I've always struggled with this as I've always equated this as an indication of a structural thing but my TMS therapist just thinks its a muscle thing...it just doesn't feel like that. Anybody else have this sensation/pressure feeling when coughing? Like is say its hard to explain the feeling it's just like a brief spasm/mild pressure thing not very painful but it always brings my mind back to my back.