Day 1 Unsure This will probably be a bit of an unstructured rant, but I don't want to waste the time I do manage to be at the keyboard perfecting the flow of the story so I will just type as thoughts enter my mind. Almost 5 months of RSI like symptoms now. I stopped my work as a programmer, because I just can't type for long without the pain increasing. So far I've only tried physical therapy. They gave me massages and dry needling to release trigger points in my back, but so far it doesn't seem to help much as these painful spots return within a day. The dry needling even made it much worse. After going on a vacation 2 months ago the symptoms reduced a bit and I could even do some work, but now they're back and worse than ever. The doctor believes it's caused by posture. I have excessive curvature in my spine (http://en.wikipedia.org/wiki/Scheuermann's_disease), and it does seem plausible that this would cause problems in my upper back muscles. Before I had these symptoms I was suffering from lower back pain for about 7 years. Though the back pain would vary in intensity, I was locked in my home for 2 years because I believed it to be impossible to work a job with it. Nothing significant showed on the CT scan though. Still, I believed this to be a physical problem, probably coming from my hyperkyphosis giving my lower back muscles too much work. Then financial circumstances forced me to make money somehow so I decided to try to work as a freelance programmer from home. This went better than I expected. After a while I managed to find a steady gig at a former employer, and I could even work two 8 hour days a week at their office again. This was a huge victory for me, finally being able to make money again doing the thing I love. Then after 3 months my anxiety issues kicked in again, almost ruining everything. I controlled it using meds, and could continue the job. But now this RSI thing arrived, making work again impossible. Even though it really feels like these things are happening to me, sometimes I wonder if I'm doing these things to myself to prevent me from being happy, or succesful or whatever. But why would anyone do that to themselves? I've been struggling with weird symptoms all my life, and these always seem to stop everything in my life. I feel like I cannot go on until working, studying, having fun, etc. until these symptoms are resolved. Sometimes they are physical, sometimes they are psychological, and sometimes it is a combination of both. Could TMS be involved? Some of the issues I've encountered were definitely caused by my mind. I've had terrible non-stop bladder pains and frequent urination for months, accompanied with an intense irrational fear of bladder or prostate cancer, until I finally dared to visit the doctor who told me it was probably just an hyperactive bladder. Enormous mental relief followed, and within 30 minutes my symptoms completely disappeared. Utter madness. Still, even though I've witnessed the power of the mind on the body many times, I'm not convinced my arm, neck, shoulder and upper back pains are caused by my mind instead of my posture. Maybe I don't want to accept this because the task of resolving my psychological issues seems insurmountable. I've been in and out of therapy for most of my adult life, and not once did I feel it was going anywhere or helping in any way. Anxiety seems to be a core element of my personality, and after so many failed therapies I just gave up on the idea of ever feeling like a normal person. I've gotten used to being in fight-or-flight mode most of the time throughout the day. Nevertheless, I will follow this structured education program and see where it leads. The pain now prevents my from typing more (I'm surprised I could manage to type this amount of text), but that's okay since this rant has become wayyy too lengthy already anyway. Sorry about that!