I'll be brief with my background. I first was examined by Dr. Sarno back in the late 70's for serious back pain. I was in my early 20's at the time and was told I would need surgery to repair a degenerated disc (sounds funny now as to how someone in their 20's could have that bad of a case of degeneration). In any event, the pain eventually disappeared and I have been an advocate/disciple ever since. With that said, I have had a long and storied history with TMS equivalents; IBS, restless leg, various skin issues, prostatitis, allergies, bilateral knee pain, insomnia etc. I have unfortunately dealt with anxiety, panic and would consider myself mildly depressive. I have been in therapy and deal with childhood trauma, anger and esteem issues. Currently I am struggling with left knee pain and swelling. I had the knee scoped years ago for meniscus damage and it hasn't been the same since. Until recently though it was not a physical hinderance as I am very athletic. This past year it has become a problem as the stiffness, swelling and pain are preventing me from doing the things I enjoy. It was diagnosed as mild degenerative athritis. I am well along the way to treating this as another TMS equivalent. I have read a lot of research which implicates muscle issues as the real cause of pain in arthritis. And obviously from there one moves away from structural issues to muscular involvemnt and subsequently TMS. Sarno has said that in many cases the diagnosis of arthitis is incorrect and that it is really TMS at work. The one problem I have with this is, if arthritis pain/swelling can be addressed as TMS, then why do dogs get arthritis? Are they suppressing rage like us humans? Are they being misdiagnosed? Is it really arthritis they have when they get older and limp around? How do you make the distinction between pain from muscle involvement and pain the result of a true structural issue? Can anyone shed some light on this?