My main symptom of TMS is IBS. Although there are times I avoid exercise because I feel uncomfortable or am too depressed because of it,I don't associate the pain itself with movement (as one with back pain might). With IBS, doctor's generally prescribe one to move, not to be sedentary as they believe it will help ease symptoms. (But I've always been an active person and have always had IBS and eaten well, so that's where TMS comes in). Though, one thing I'd like to share that does associate with IBS and exercise has to do with one of my hobbies: belly dancing. It can be a very rigorous form of dance that needs other exercise to help gain strength in certain muscles. I have felt great shame when attending dance class when my IBS is in full swing and my stomach is distended and bloated (to the point where I appear pregnant). Although I could not control my symptoms, I felt I must have done something wrong, there could have been something I could have prevented, in order to not appear "unhealthy" in public. I can't imagine if I performed with my bare stomach looking like that...I would be mortified! So, although I don't avoid exercising and dancing (it is a main staple in my life for health and because I LOVE it), I have experienced huge amounts of shame about it. That I must have done something wrong to deserve this. That it could be prevented. I move through the discomfort, but there have been times where I've cried myself to sleep after class. I could imagine this shame and guilt could transfer to any kind of exercise in public, especially for women. I know many women hold fear about going to gyms. Many refuse to go to gyms until they look healthy and fit, will prepare themselves and exercise at home before doing it at the gym out of that body image shame.