Sarno never said to buck up and just go exercise – he said to wait until you were pain free or almost so then start being active.
That's absolutely true, Rik. I tried and tried for a long time to just go out and bike and hike and the pain never went away in relation to how much I pushed myself. But my TMS pain has been slowly and steadily receding now for 3 years, and it was not in response to some hard man exercise program. It just seems to go down on its own schedule irrespective of how much I work out. However, since I joined this group last March and did the SEP followed by Schubiner's
Unlearn Your Pain workbook, I have noticed that my TMS pain has been going down more quickly. IOWs: TMS seems to operate on its own internal schedule quite apart from any external stress you put on your body with exercises. Six months ago if I went for a 3 mile hike, I'd hurt the whole time, was very inflexible, and continued to hurt on into the next day. Three months ago if I went on a 3 mile hike, it hurt, but my leg was more flexible, and afterwards I would hurt for an hour. Now if I go on a 3 mile hike, I'm way more flexible, hurt a whole lot less, move much more rapidly, and although I hurt a bit on the way back to the car, recover rapidly so that I don't feel any pain that evening. For me at least, it's been that dang slow. But now, instead of banging away, trying to ride the bike 10 miles followed by a hike and weights at the gym, I have just slowed up a whole lot. For example, two days ago I didn't do anything all day but chill out and mess around painting models in the garage. I also am beginning to feel much more relaxed. I don't seem to be forcing myself to do this, do that, do this, do that, run here, run there, get this done, blah blah blah. Whatever route to recovery you follow, that seems to be the common denominator: chilling out inside your brain. If ISTDP allows you to do that, great. If existential psychotherapy works for you, do that. If Monte's methods feel right, by all mean do that. Whatever way you accomplish it, your mind just needs to stop perpetuating and reenacting those emotionally repressive psychological behavior patterns that you've adopted for whatever reasons in your childhood or even later on. 3 years ago I remember asking a very smart endurance athlete doctor, how soon it would be until my pain went away? He sort of was evasive and told me he didn't know at what rate I would heal at my current age. But he also added: "Just chill out!" I must admit I really didn't understand what he meant until now that I'm actually calming down, letting things happen, and not trying to force the issue.
I should probably add that I really started getting better right from the time I first read Dr Sarno 3 or 4 years ago. But it was dang slow and almost unnoticeable to me at first. I guess some people get it right away (book cures), and some people like me need to do more fundamental brain work by whatever method seems best for us. All I can add, based on my own experience of course, is that my TMS pain started to recede when I started to really calm down inside. You'll notice it for sure when it starts "happening". Oh, yes, one more thing I'm doing now that I never did before: doing guided meditations each and every day. Seems to really help disengaging from my obsessive, repressive mental habits. I would recommend doing the meditation exercises included with Dr Shubiner's book as you work your way through the written exercises. Then, after your done with the book, going through the sequence of meditations on a regular basis. Seems to reinforce what you've learned at the same time they keep you relaxed. But I do a bunch of other meditations too. Whatever helps you, "Hang Loose", as the title of that new Alabama Shakes' single emphasizes.