Greetings. I've never been an active person, and my TMS symptoms do not involve back pain. However, they have in the past. In fact, I've had spinal surgery, and plenty of PT, pain medications, and muscle relaxers. I've had tennis elbow, TMJ, IBS, laryngitis, and so forth. I'm convinced of the truth behind Dr Sarno's theory. Now, as soon as I have any physical ailment whatsoever, I wonder if it's on Dr. Sarno's list. I'm also convinced of his theory of the "symptom imperative." So, my problem is not so much as being convinced, as getting around to the work of identifying what's going on inside me which insists on triggering, hiding behind, physical symptoms. I also believe that depression is a piece of my puzzle at this time, perhaps a result or, better, a companion, of current stresses. As I'm rereading the above, I'm chewing on my cuticles, and wondering what I'm about to stir up.