Apologies for posting again but wanted some input on an issue I've been thinking on but which doesn't seem to have really been addressed much in the TMS literature. Anyone who has read my recent posts will be aware I'm struggling with looking past a structural diagnosis and accepting a TMS/psychological causality for my pain. One of my stumbling blocks is that I always feel that my level of pain and it's intensity never seems to fit in with the TMS theory. I read threads from people who are in terrible pain and even bed bound etc and who struggle with mobility and range of motion etc but I have never been in this situation. Much of the time on a day to day basis I would probably say my pain is more of a discomfort and nagging tightness etc...it does flare up and it's becomes far more painful across my lower back and into my left leg but once these flare ups die down I seem to be back to the back burner nagging discomfort. I suppose this concerns me on a couple of levels. Firstly, the osteopath I saw a few years back outlined how my condition would start as discomfort and how my flare ups would become more often and more painful and of course I am fearing that this is now wants happening, it's like a pattern of inflammation that is happening over and over gain. I know that this nocebo could have become like a self fulfilling prophecy. Secondly, if the purpose of the pain is to be a distraction why isn't the level of pain more intense, why doesn't it effect my movement and mobility? This doesn't really make much sense to me as surely it would want to be doing the best job it can to grab tour attention and a high pain level would surely be the best way to do this. I often hope in a way that my pain level would 'overplay' it's hand but it's never really done that...I find this aspect confusing and it does lead to much doubt in the TMS diagnosis for me. Thanks for reading and really appreciate the feedback and comments guys.