I have experienced buttock pain for over 4 years. The pain has changed location and intensity over the years but one thing is consistent - I am still unable to sit for a long period. When it flares I feel it all the time, when things calm down I only notice it when sitting. Have a nice big stack of MRI's and the familiar story of running doctor to doctor, cortisone injections, PRP injections, spinal epidural. All of those only made the pain worse. I experience wrist/hand pain occasionally and other pain intermittently. I saw Dr. Schlecter when it all started and have worked with a few pain doctors. Currently working with a TMS therapist and she is someone who experienced TMS herself which helps. I am working on cleaning out those emotional closets - mine are pretty full. I am 56 and a mom to 2 teenage boys. Here is my problem that I could really use some input from those of you experiencing progress... I am 90% there that my pain are due to TMS but as we know, I have to be 100%. Recently I have been working intently on focusing on TMS, the reading, sessions with my therapist, stopping the chiro/PT visits. I was feeling better...pain still there but only when sitting for a long time and I would tell myself - it is emotional, not physical and the pain would somewhat subside. So after a few weeks of not being active - I was working on a big project and had not had time for my regular workouts - I went back to the gym. After one rather wimpy 30 minute ride on the bike I found myself in pain again. I was not feeling anything particular stressful at the gym - actually looking forward to it. Not anticipating pain from it at all. And yet clearly as soon as I was done with the exercise my buttock pain resumed big time. One day later is very flared up. Horrible. Drove for 30 minutes and couldn't stand it. This just throws me totally off the TMS mind work - because clearly the pain is in part physical - structural - because it flares up after physical activity. So I am having a very hard time going back to my TMS thought process because of this experience. My question is ... could the TMS be creating a condition in my body that is in turn being agitated by certain activity? I want to find a way to connect this experience of cause and effect with the TMS but it doesn't make sense to me. I have an evidence list for TMS but I also have this clear evidence that physical activity is increasing the pain. I would really appreciate advice if you have been through this or have insight/advice. Thank you so very much.