Short history: About 20 years ago I suffered from back spasms for a few years and then met a friend who had gone to Dr. Sarno. All he had to do was explain the idea to me and it clicked. No real spasms since then and when they happen, I go to the gym and work it off. I've even taught the approach to friends successfully. About a month ago I was experiencing tightness in the back of my right leg. Tried stretching it out but it wasn't loosening up. I was in the gym lifting weights in a shoulder workout when the pain really got debilitating and then the back of my leg from mid-buttock to heel got numb. Doctor next day told me I have a slipped disk and sent me for PT. After a few weeks the PT wanted me to see an Orthopedist who told me I have drop foot and should have had emergency surgery as soon as it happened. Still wants me to get an MRI and see a spine specialist etc. I want to take the Dr. Sarno approach and have already gone back to the gym. I'm open to any feedback, but my question is - everyone says to get checked out by a doctor to rule out non-TMS causes and make sure there's nothing really structurally wrong. But any non-TMS doctor will tell me there is something structurally wrong - the herniated disk, which is what my doctor and orthopedist said, but without a CT or MRI, just based on symptoms. So when we say to get it checked out does that mean there's nothing except the herniated disk and if that's all they have to say I can ignore it? I find this problem more challenging because unlike the back spasms, the doctor/ortho can point to something real they claim is the cause. I've since read up more and know the statistics, but still... I want to ignore my doctors and go the Dr. Sarno route, but I need to get rid of that nagging doubt, which I never had when I first learned his approach. I guess with general back spasms/pain no one is telling you that you're going to cause real damage if you ignore it (other than your own brain) but in this case they are, and I want to ignore them. So - when do I know I can ignore the doctors? I should add that I live overseas and unfortunately don't have access to a TMS practitioner so I really appreciate any help. I also posted in the Ask a Therapist Forum.