So, I went to my doctor to rule out any "structural issues". He drew blood and took some x-rays of my back. My primary symptoms are: sciatica and muscle tightness (mostly hips and back...also occasional muscle spasms). The x-ray results came back and showed mild spondylosis (facet arthritis) in my low back. At 59 years old, I'm guessing this may not be unusual but I'm not quite sure yet. Bloodwork was ok, except for cholesterol. My cholesterol was high at 249. The doctor recommended starting medication. Muscle enzymes were normal. I may try to bring down the cholesterol with diet and exercise instead of medication but we'll see. I don't think anything in these labs explains tight hips, muscle spasms, tightness in left elbow, or tingling sensations. Maybe the spondylosis causes the sciatica...but I'm not sure about that. Any thoughts on any of this? My basic conclusion so far (I haven't talked to the doctor about any of this yet) is that TMS is likely behind many of my symptoms.