Sarno’s books talk about how he realized that it was oxygen deprivation that caused muscle pain because massage and heat packs tend to reduce the pain. I have pain that moves around and varies in intensity in my shoulders, arms, and hands that don’t really respond to either of those things. It's not a prerequisite that one must respond to massage and heat packs in order to be sure one has TMS is it? I’m convinced that I have TMS since I’ve seen a few doctors, massage therapists, physical therapists, altered my diet and my pain hasn’t completely gone away and I still fear excessive computer use. I still see a trigger point therapist because I think, “I may not see any immediate relief now but maybe she’s keeping it from getting worse” Has everyone else had this experience of not responding to heat packs and massage and still got better? Also I like getting massages (not the trigger point one) because they feel good. Can I still get them if I don’t tell the massage therapist to concentrate in a certain area? Or would my believe of tight muscles causing pain interfere with progress? I’m so confused!