I just ran across this YouTube video yesterday and couldn't help but speculate about the role of TMS in the onset of Beth Rodden's torn labrum and subsequent series of painful shoulder operations: You'll notice that Beth mentions about half-way through that she started getting injured at approximately the same time she went through a separation and divorce from her husband. Could it have been that the stress of the divorce caused her autonomic nervous system to reduce the oxygen flow to her extremities in a similar fashion to the freeze portion of the fight/flight/freeze mammalian response to imminent danger? Makes you wonder whether stress is a factor predisposing one to injury? You'll notice that Beth says that during her breakup she tried to push herself harder climbing as an escape from her personal problems. Self-imposed stress? You notice at the end of the video that Beth has returned to the pursuit of climbing as something affirmative and positive. Makes you wonder too whether that change in her mental attitude is part of what's contributing to her healing? I'd like to conclude from this that TMS is part of a larger process that is always operative in homo sapiens although it doesn't always result in chronic pain. But the oxygen debt that results from being too stressed out could be a factor that underlies lots of athletic injuries.