Hello everybody, I am new here and this is my first time posting. I am still trying to figure out if my pain is caused by TMS, because my pain was the direct result of a surgery. Seven years ago I had a cosmetic procedure called a sliding genioplasty where they move your chin forward (I had a slightly recessed chin). Ever since then I’ve had pain in the exact area that the incision was made in the crease of my chin. The pain feels like a tightness and is pretty much always present, although the intensity changes. My thoughts are as follows... Reasons it Might Not be TMS: 1. The pain is very consistent with muscle pain: it feels like a tightness that gets worse as the day goes on. My pain is much better in the morning, which is consistent with muscle pain/spasms because muscles are paralyzed during REM sleep. Also, if I don’t take my daily muscle relaxers, the pain gets much worse. 2. Like I mentioned, it began after surgery. Many folks with TMS seem to have developed it without a clear physical cause, so I feel like I’m in a minority with having pain that started with a tissue injury. Reasons it Might be TMS: 1. Botox injections didn’t help (although it’s possible it was injected into the wrong muscle). 2. I have a profound trauma history and that seems to be true for many folks with TMS. 3. The pain is better on some days, although it’s always present. I have not noticed any correlations between my pain level and emotional state or anything else. Is there anyone else who had TMS following a surgery or injury? Any help or insights would be greatly appreciated. Thanks!