This question was submitted via our Ask a TMS Therapist program. To submit your question, click here. Question 1. Is Dr. Ramirez the key Boston specialist in TMS? 2. Is it important to have a formal diagnosis, or is my sense in the rightness of TMS enough? 3. Structurally, my scoliosis leans toward the left, and is mild. For three years, my pain has taken turns occupying my right lower lumbar, my right toe, mid back, my right trapezius area, sciatica on the right side, neck pain on the right, right thumb joint. Any significance to right side manifestation of pain? 4. Isn't lowering anxiety the critical task? 5. What do you think about the multi-generational transmission of TMS? is it like multi-generational transmission of trauma? I believe can trace TMS back for 3 known familial generations. The pain travels- packs up from one area, pitches its tent in the next.