Hi All, I need some advice - I will try to be brief, but my history is long. Age 6 – diagnosed with Crohn's Disease, yrs of meds & procedures follow - happy childhood in spite of it Age 14 – 1st onset of persistent back pain, beginning with injury to lower back after falling on a driveway Age 23 – endured 2yrs of terrible back pain as I was finishing college. Eventually connected the dots and realized the pain showed up immediately following my recovery from panic disorder with the help of Dr. Sarno himself. Banished the pain completely in 2-3 weeks after reading books and attending lectures. Changed my life. Mid-30s – a few more bouts of back/neck pain, following injuries of various types, car accident, softball, etc...all sorts of diagnoses ranging from arthritis to degenerative disc disease. Drs frequently blame Crohn's and proclaim I will have low back pain forever. Suffered from terrible TMJ; still break my teeth from the grinding. Last 2 Years – suffering mightily with chronic lower back pain. Limiting every part of life. Replaced workstation and mattress – no more sitting for hours. Multiple facet-joint steroidal injections (2 out of 10 provided relief), chiro, accupuncture, physical therapy, name it – I've tried it. Present Day –peripheral neuropathy; feet get numb and 'fall asleep' and are difficult to 'wake up'. Numbing occurring in left hand as well. Trying Cymbalta. Here's the thing...I KNOW TMS is responsible for the lion's share of my pain. I can't convince myself that it is the sole cause, which, as you know, perpetuates the disease. I had an epidural on Friday and my pain is 75% better. I firmly believe it is not a placebo effect. Yet the cycle of flare-ups I have been experiencing seem to have no psychological cause/effect pattern. On pain meds most of the time now. I do hate my job with a passion, but it allows me to work from home, which is absolutely mandatory at this point. So on to my question – now that I've had some clear evidence of nerve involvement...how do I figure out how much of this is due to TMS and my perception of pain? My TMJ started when I was a toddler – how much repressed stress could I have had when I was 4? I have been through extensive psychotherapy and have a solid understanding of my subconscious – but I am at the end of my rope here. I just cannot 'turn off' the pain the way that I did when I was 23. That is also what is leading me to believe there is an underlying caused based on trauma. Any advice would be VERY MUCH appreciated.