This is going to sound like blasphamy, but I really dont understand the many people who say "you can't do PT while doing TMS work or you confuse the brain." I'm sorry, the otherwise super smart brain that's producing all this pain in the first place? I believe all of the pain is produced by my anxiety, fear, tight emotions, irrational thoughts, etc ... But I believe my mind is using painful muscles as it's means. So I have no idea why one would not work on BOTH (even if TMS is the more important as it's the source, applies to other areas of the body, and one cannot heal without addressing it). However, if in pain, why not treat the symptoms as well? The analogy is like that if water running out of the facet and leaking into the floor. You obviously have to turn it off or you'll never clean the mess up (doing TMS work)...but you still don't want the water on the floor. Once the facet is turned off the water will eventually evaporate (not doing PT or anything physical) but it could be taken care of a lot faster with some paper towels!! I have started going to pt after six months of intermittent tms success. I described my symptoms and she knew exactly which muscles would hurt. And they did...so I can't believe this obvious truth is completely irrelevant and my body is making pain some other way even thought the area is painful to the touch. She even said "I can help the muscles bit you'll have to find a way to deal with the mind" So the PT is clearly cool with something like tms, I don't understand why it isn't reciprocated in the other direction. Is there not a body in "mind body"? She has deactivated some of the trigger points (they don't hurt when pressed anymore) and the symptoms in those areas are gone. I still have bad symptoms in areas that still hurt. Am I to conclude that my genius mind is just moving the pain to areas that I believe could still hurt (the same mind that gets sooooo confused when you do anything physical!!) Or that deactivating the muscles is speeding up my recovery and the mental approach is what will (hopefully) keep it that way?? I guess I'll find out soon enough. In a few sessions she has gotten a out half the muscles to stop hurting, so I'd that track record continues I will have no more muscle pain spots soon. That will be the ultimate test. If I still have my symptoms then I know I'm wrong, will eat crow, and have one less distraction in my mind... So either way I say it's a good thing for me Also, as it relates to pelvic pain... I've seen success stories of people purely using tms and those doing trigger point therapy (and not having a clue about tms) and both seem to work ... And take roughly the same amount of time for people... If a PT discounts the role that the mind or stress plays in the condition and only is concerned about the muscles or some "structural defect" then I agree it would be unhelpful! Disagree?