If there was a PhD in being a TMS patient, I would have that PhD. I have a very long history with TMS, but because of my knowledge and thanks to the TMS community, I've been able to keep pain free for many years. I went through the whole nightmare rollercoaster of severely abusive childhood, total physical debilitation to the point of being unable to work (in my 20's), to a full recovery after therapy and applying Sarno's books. I had a few bumps over the years with shoulder pain and other TMS pains, all of which thankfully fully resolved: https://www.tmswiki.org/forum/threads/worried-about-shoulder-pain-and-my-tms-history.4501/#post-30134 (worried about shoulder pain and my TMS history) About a month ago I hit a new bump, and I'm not sure how much of it is a real injury, and how much of it is TMS. I'm very heavily into weightlifting and I love it, and have made great physical progress. Then I accidentally dropped a barbell weighing 100 lbs while re-racking it. My wrist got awkwardly bent back and I felt a major strain. But I kept working out that day because it didn't hurt terribly. The next day, it definitely felt like I had sprained my wrist though. Even slight twists of the wrist were excruciatingly painful. I went in to get an X-ray, which showed everything being normal. They called it a wrist sprain and said it would take 2-10 weeks to heal. One month later, I'm still struggling with this pain. I did notice that whenever I went into the doctor to talk about the injury or to schedule follow-up appointments, I felt much better, because I felt like I was doing something about the injury. I noticed how much my attitude affected the pain. Twisting my wrist a certain way still brings on the pain though. Pushing things up (with my palm facing up) makes my forearm feel extremely sore and very weak (best way I can describe it). Unless I make those specific movements, though, there is almost no pain. Still, the issue has completely prevented me from lifting weights, which has made me depressed and furious and angry at myself, because lifting weights was my #1 fun activity. I've been so frustrated that I go to the gym anyway and try to work through the pain, only to end up with more pain and frustration the subsequent day (but no more pain on the day of exercise). I've realized that the wrist injury has become the main thing I worry and obsess about in my life currently. It is totally distracting me from everything else. Today I saw a physical therapist for the first time. She seemed very competent and did some physical tests on my arm. She said that it was not a sprain (which would involve the ligaments that connect the bones) but actually inflammation of the tendon (which connects bones with muscles) and therefore tendonitis . She said that this tendonitis can take 6-9 months to heal. When she said tendonitis my TMS alarm bells went off. Sarno does talk about (direct quote below): "any sprain or strain involved should heal in a few weeks at the most. Symptoms persist because the brain has taken the opportunity of the minor accident to initiate TMS." I know that a broken leg (femur snapped in half) takes only 6-8 weeks to heal completely. Even though my history has made me a TMS expert (who successfully recovered from complete debilitation and indescribable pain and depression in the past), this new injury is making me unsure. How can I know how much is TMS and how much is a real tendon inflammation?