This is the downside of TMS awareness: I had to do some heavy shoveling. Background: I have not shoveled snow in 4 years because my first physical therapist told me I could not do it ever. Last year we had blizzard after blizzard, and my husband had to do all the shoveling. Today, I was out there. Yeah, I didn't do a great job, and yeah, my trapezius muscle hurts but it always does at this time of day.