Hello there! I found some information about TMS accidentally (was just searching for some articles about the impact of emotions/psychical state/attitude on sciatica, due to someone's suggestion). I think that I might be suffering from TMS, but to be honest it seems too illogical to me (and I am a very logical person with analytical mind). I've already read Healing Back Pain, but I think that my pain is too intense to be caused by emotional factors. My story in short: 2010: I was carrying some heavy stuff. Next day I started feeling "strange" and some back pain appeared, after few weeks leg pain appeared. CT/MRI showed very small central protrusions of L4/L5 and L5/S1. Physical therapy didn't give any result. Actually, I only felt slightly better after muscle relaxants. 2011: I persuaded neurosurgeon to perform PLDD (Percutaneous Laser Disc Decompression). More invasive surgery was not an option, because the changes were too small. He also didn't do L4/L5 because he said something like "both protrusions are very small and the L4/L5 is even smaller..."). 2012: EMG shows no abnormalities. MRI shows no recurrent herniation - all levels OK. I still feel the same. You can imagine that those abnormalities in discs were really small, as the person decribing the MRI didn't notice the L4/L5 protrustion, which was spotted one year earlier (and not operated). 2013: One of physicians suggests to do MRI in the evening (my pain gets much worse throughout the day) and asks me to provoke as much pain as I can (not hard...), suspecting spinal stenosis. I do all the stuff that causes pain and can hardly stay in one place during MRI (due to pain), no spinal stenosis found and again: L4/L5 - "features of a minor damage of the annulus fibrosus, minimal pressure on the dural sac; no pressure on nerve roots" L5/S1 - "minimal, central protrusion reaching the dural sac; no pressure on S1 nerve roots" No changes on other levels, all discs properly hydrated (including L4/L5 and L5/S1). Now: Over last 4 years I have visited many well-rated physiotherapists, few neurologists, orthopedists, neurosurgeons. Had surgery. Heard "it cannot be the spine", "it must be the spine" dozen times. Still no relief. My back pain (lumbar area) was fluctuating (bearable at some times), but sciatica (pain down to the small finger of the leg) is present all the time. I have a very fulfiling and prestigous job, I excel at it, but I am currently considering quitting it - it's a nightmare because sitting makes it much worse. So pretty much due to one stupid furniture lifting, I've ruined my whole life. I cannot go to the cinema, I cannot sit in a park and read a book. Train is a nightmare, plane is a nightmare. TMS concept is very appealing. In the past I was suffering from cluster headaches (diagnosed by qualified neurologists) - c.a. 2 years, but at least they were not present all the time. Had also some problems with allergy affecting my eyes (also about 2 years) and earlier bronchial asthma. None of those come close to the sciatica. I am definitely a perfectionist, high-achiving and very successful person in academic/career field. I just cannot see any reason of the mind acting against me. Repressed emotions? I feel anger and rage everyday, due to my spine, and I am well aware of them. I suspect that my sciatica may be caused by one of those: - L4/L5 protrusion, which was not operated; - nerve damage, which could have been done during the surgery; - you lay down during a MRI; I feel not bad when I am laying down and horrible when I sit - potentially my protrusion gets much bigger when I sit; - last but not least - psychosomatic disease (least likely). Unfortunately, basically nobody heard about TMS in my country so there is hardly any way to determine whether I am suffering from it or not. However, I've been going through psychotherapy aimed at some other areas - I got communication problems and show almost no emotions to other people (mild Asperger's features). I am thinking about telling my psychotherapist more about my sciatica (I only said once about "some back pain", not mentioning how much it affects my life) and change the main focus of the therapy to sciatica. To sum up - I would like to ask you what should we (my psychotherapist and me) potentially look for. I.e. what information should I convey to facilitate the theraphy. Thanks for any tips and sorry for the length of the post and poor English.