This question was submitted via our Ask a TMS Therapist program. To submit your question, click here. Question Hello, My name is Felipe Aranha, i'm a 31 years old guitarist from Brazil. I've been suffering (supposedly) from "Tennis Elbow" for 3 years and it's driving me insane because it interferes directly with my professional activity (playing guitar). I've made a lot of exams and scans that show that my my elbow tendons are a bit sore, but "nothing serious". I've tried A LOT of treatments too and nothing seems to help much. After reading Dr.Sarno's books i've experienced a SIGNIFICANT relief. Something like 90/95% less pain. But now, some 2 months later, i'm beginning to experience a little bit of increasing pain when practically ONLY when i start to practice my instrument. My question is: TENDONITIS (which "Tennis Elbow" seems to be) is ALWAYS a case of TMS? I mean, i'm relatively young and healthy and i'm not doing something abusive with my body for all i know (although i confess i practice A LOT) why this condition lingers on and so intermittently? I have to admit that i have all the traces of personality that Dr.Sarno describes as prone to have TMS (perfectionist, goodist...) How can i know i am not physically hurting myself more and more when start practice/play? How can i be sure that i only have TMS and have to focus only in my subconscious rage? Thanks a lot!