This question was submitted via our Ask a TMS Therapist program. To submit your question, click here. Question I am 99% sure that my back pain is TMS. Since reading the books on TMS a couple of years ago, I have had much better results than with anything tried by my PCP, chiropractor or back clinic w/ PT's. After my latest flare up, I contacted a listed TMS Physician, thinking his diagnosis would help eliminate any structural diagnosis uncertainty. They recommended that I first go see a PCP, get an X ray and/MRI and then follow their given protocol. If I was not helped by their protocol, they could then assume it is TMS, and I was then to call back and possibly schedule a TMS appt. They called this approach diagnosis by exclusion. This answer confused me and I am wondering if you had any thoughts/advice on this approach. I am currently doing the 30 day structured program since this happened. Things are improving!!