I have had some release from the TMS over the last couple of months, which has been good. It can be difficult to not feel apprehension about reoccurrence, this may be a key factor in it continuing in my life. I have followed the advice given here to, largely, good effect. But then when things get bad and the pain takes hold, it becomes difficult to convince myself it is not a genuine injury of some kind. I got to the stage were I was playing an hour a day on my guitar, but sometimes when I succumb I only need play for 5 minutes and it becomes very painful. Lost faith in GP doesn't seem to have a clue. All I do know is that this is depressing me very badly. I know if I continue with my activities, the pain becomes paralysis, which again suggests there is something serious underlying this problem. How can one rule out a underlying physical cause ? TMS, seems to be a difficult diagnosis to make. I have always played my guitar for hours per day and it is my living, if I can't do it, I would rather not be here. I know that's strong, but that is how much it means to me, it is my only way to lose myself and give me a break from the stresses of life. I feel I have explored all the avenues and feel very despondent, which isn't really a big part of my nature. Don't really know where to go from here now ?