Hello everyone I really want help with this

[Adam hard]

Hey everyone,


I’m a 32-year-old guy. About three years ago, while traveling, I got a really painful anal fissure. Since then, I’ve been dealing with severe anal and perineal pain. It lasted for about four months, went away for a bit, then came back in the winter of 2023 even worse.


Doctors told me the fissure had healed, and tests for STDs were all negative. Eventually, one doctor said it’s chronic prostatitis — even though I don’t have any urinary issues. That really scared me. I tried ultrasound therapy and took antibiotics for 90 days, but it didn’t help.


Strangely, by summer 2023, I felt totally fine again. But every winter, or even when the air pressure changes, the pain returns. Now I’m living in Germany, and with the harsh winters here, I’m honestly worried it’ll flare up again.


Has anyone experienced something similar? Could this possibly be managed with TMS strategies?

 

[JanAtheCPA]

Could this possibly be managed with TMS strategies?

All chronic conditions, due to the vicious cycle of fear-symptoms-anxiety-more symptoms-pressure-more symptoms- etc... can be managed with TMS strategies. This is a condition known to be made worse with self-induced stress.

Let us know if you need guidance about where to start (start with where your knowledge level is).

 

[Adam hard]

Let us know if you need guidance about where to start (start with where your knowledge level is).

Thank you so much for your reply.

I’m new here and honestly don’t really know where to start. Do you think the cold weather could actually make the condition worse because of TMS, or is it just my mind and emotions making it feel that way?

 

[mrefreddyg]

Weather has been shown to have no effect on chronic issues so you will be fine with the cold weather -> it is your mind and emotions that create fear and expectation that cold weather can increase symptoms. With the TMS approach you can learn that no matter the weather you are healthy and strong. However, this is a strong cultural myth so it might take some disentangling.

If this helps, I look for an increase/decrease of symptoms with weather changes to confirm with clients that their pain is TMS/brain-induced as there is no physical explanation for pain increasing with weather shifts.

As you are new to this a good place to start is the SEP - a great free resource that will take you step-by-step through the TMS method.

 

[Adam hard]

As you are new to this a good place to start is the SEP - a great free resource that will take you step-by-step through the TMS method.

Thank you so much for the helpful information.

Your reply really gives me hope. I’ll definitely try to apply it. By the way, are there any success stories of people who had the same symptoms in cold weather and managed to recover through TMS strategies?

 

[mrefreddyg]

I've done a wee search. Ellen in this thread said it perfectly and recovered from migraines (this is to do with barometric pressure but same idea applies) - https://www.tmswiki.org/forum/threads/weathers-affecting-my-symptoms.5901/

It is about conditioning. There will have been times with worse pain with cold weather and your brain has made an association. Now the association is cold weather=pain. But if you can keep telling yourself and know that it makes no sense that cold weather causes pain the association will be broken. And the fun part is you get to make a new association like cold weather = safe and pain-free.

 

[Mike46]

If it helps, I’ve dealt with the same kind of pelvic floor pain, along with many other symptoms that flared up depending on the situation. Like others have said, our hypervigilant brains make subconscious connections—deciding certain things cause symptoms—and then brining those symptoms to fruition.

What helped me (and I know it’s easier said than done) was looking for the inconsistencies in my symptoms. Spotting those patterns helped convince me that the symptoms were purely psychosomatic, not signs of something physically wrong. For example, with my pelvic floor pain, I noticed it wasn’t there if I woke up in the middle of the night or first thing in the morning. I also had extreme urgency to pee, which was unbearable at first, but then it eased up—and I realized it mostly happened on workdays, not on my days off. Seeing those inconsistencies gave me space to calm down and trust that stress was driving the symptoms, not damage in my body.

And also notice—sometimes when you feel more hopeful, the symptoms themselves can start to ease up. For me, things really shifted after reading Healing Back Pain—just finally understanding what was happening made the symptoms subside.

Hopefully that gives you a little hope. Hang in there, man. The fact that you’re paying attention and trying to figure this out already puts you way ahead in the healing process. Also, feel free to look back at my posts from 2019 when I was in your shoes. You’re on the right track, and things will get better.

 

[BloodMoon]

Like others have said, our hypervigilant brains make subconscious connections—deciding certain things cause symptoms—and then brining those symptoms to fruition.

Yep, this is it 'in a nutshell'. (And some of the connections it makes are ridiculous.)

 

[rainyday412]

Hey everyone,


I’m a 32-year-old guy. About three years ago, while traveling, I got a really painful anal fissure. Since then, I’ve been dealing with severe anal and perineal pain. It lasted for about four months, went away for a bit, then came back in the winter of 2023 even worse.


Doctors told me the fissure had healed, and tests for STDs were all negative. Eventually, one doctor said it’s chronic prostatitis — even though I don’t have any urinary issues. That really scared me. I tried ultrasound therapy and took antibiotics for 90 days, but it didn’t help.


Strangely, by summer 2023, I felt totally fine again. But every winter, or even when the air pressure changes, the pain returns. Now I’m living in Germany, and with the harsh winters here, I’m honestly worried it’ll flare up again.


Has anyone experienced something similar? Could this possibly be managed with TMS strategies?

This really sounds like TMS. I was in remission but something really stressful happened in my life and the pain struck again. You need to break the cycle. I had symptoms like yours in my initial flare 15 years ago. My symptoms changed now, but is all in my head…as in the signals my brain sends. Dan Buglio is great. I am listening to him again.

 

[rainyday412]

I've done a wee search. Ellen in this thread said it perfectly and recovered from migraines (this is to do with barometric pressure but same idea applies) - https://www.tmswiki.org/forum/threads/weathers-affecting-my-symptoms.5901/

It is about conditioning. There will have been times with worse pain with cold weather and your brain has made an association. Now the association is cold weather=pain. But if you can keep telling yourself and know that it makes no sense that cold weather causes pain the association will be broken. And the fun part is you get to make a new association like cold weather = safe and pain-free.

Yes!! Conditioning for sure. If I stand to bake cookies I worry about sciatica. And damn, I end up getting sciatica.