Years ago I used the TMS principles to get rid of back pain entirely bar a very occasional sudden bout that I can kill within a day by acknowledging what it is. I have a lot of physical damage in my lower extremities due to bad surgeries so not all the pain in my life is solvable and I had and have continued to have great life difficulties due to disability and losing my security, savings, relationships etc, but I was able to decently differentiate which was TMS and which not and at least not have that added to the brew of crap. I recently injured my knees. I waited hoping it was just a minor thing. The pain didn't go away for months so I went to the doctor and an MRI showed a "probable small meniscal tear". The doctor to his credit said "I don't know if I could help...it's 50/50 with results like this if a scope and any work would help." Studies also show scopes for meniscus tears that aren't huge and mechanically locking results in little net gain and people a year out who opted to do PT instead are just as well off. But it's been 8 months and I am still not any better and PT didnt help. I reread two of Sarno's books again and the pain decreased significantly...it was REALLY bad. But it won't go away and is still a big problem. Sometimes I can talk flares in that area down when it gets bad again and the whole knee area hurts...but I still have other pain in the joint with certain movements that makes me highly suspicious. I just can't figure out if it's 100% TMS or if the physical damage is causing some of it and I can't convince my conscious mind, let alone subconscious, that it's all TMS if I honestly don't know...so I feel trapped. I don't want to have surgery...surgery has almost always made me worse. I also know lots of people have meniscus tears as a part of aging and they don't cause pain. At the same time some people have tears that DO cause pain. It's not black and white in this type of injury. I wish I never had the MRI as that would make differentiating easier. If I didn't know there was a tear and I got better applying principles....TMS. If I didn't..scope needed. But since it's ambiguous and I can't be sure it's causing me to feel trapped. As all reasonable people familiar with TMS know...not EVERYTHING is TMS. If this was my fist rodeo I would have had the surgery already. But I am afraid now. Edit: Ironically after writing this I stood up and my lower back seized up. I immediately knew it was TMS. Has happened at most once a year or so in the last years and I know it's TMS. It will take a day or so to go away from past experience so that's more annoying crap even though I know it's not really injured. I hate this stupid "disease". It's so powerful and my life is so full of problems that keep piling on that I don't see how I can ever get ahead of it. Things were bad enough...the knees have been a real problem this last year...and now my back hurts so today is more frustrating. I can't keep managing more and more.