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symptom imperative question

Discussion in 'Support Subforum' started by Cara, Jun 16, 2019.

  1. Cara

    Cara Peer Supporter

    Hi all,

    After healing from back pain (still feels like a miracle) and cautiously returning to running, I've had some tendonitis-like injuries: plantar fasciitis in the fall, and now posterior tibialis tendonitis--both diagnosed and treated by a really great sports chiropractor who really just wanted to get me back to healthy and not rope me into the repetitive visit thing. He encouraged me to do some gentle running as I was healing from this last round and assured me I wasn't doing any permanent damage (which the internet--I know I shouldn't have looked--told me I was.) Anyway, to cut to the heart of my question, on Friday he told me I was good to go. As far as he was concerned, I'm healed and doing the exercises he showed me is just good for staying in shape and being an athlete. On Friday, I ran only a teeny bit more than I had been running, and my OTHER ankle got the exact same symptoms my first ankle had just healed from. An overuse injury seems unlikely in this scenario, doesn't it? So I got suspicious. Symptom imperative? How on earth can one tell with something as nebulous as tendonitis? There aren't tests that are reasonable. There isn't any visible swelling. How can we tell a symptom imperative or TMS-caused injury from one that's real and should send us back to the doctor?

    This is legitimately confusing, isn't it?
    Last edited: Jun 16, 2019
    Helenlouise likes this.
  2. JanAtheCPA

    JanAtheCPA Beloved Grand Eagle

    Sounds like the symptom imperative to me, but I've been doing this a long time, and it doesn't take me long these days to get there.

    Do a keyword search (choosing the "our forum" results tab) to find Success Stories that talk about your particular concerns. That should convince you :D
    Helenlouise and birdsetfree like this.
  3. birdsetfree

    birdsetfree Well known member

    Pain that moves to the opposite side is a sign of TMS. There is no swelling, so no inflammation. This definitely sounds like a symptom imperative to me too.
  4. Cara

    Cara Peer Supporter

    Thanks, JanAtheCPA and birdsetfree! Your voices were a very helpful addition to Dr. Sarno. I went back to Healing Back Pain, and in chapter one he claims most tendon issues in the limbs, including the knees and ankles is probably TMS. Not to mention the fact that it switched sides! I felt confident enough to go out for a run and see what happened, and nothing happened except I got to spend some quality time outside. Back to journaling and reading Dr. Sarno for me! I am very grateful for this forum and the wise people on it who keep us steady!

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