I think fear of not being good enough plays a huge role in triggering my symptoms. Not being a good enough friend, guitar player, brother, son, not being good enough at recovering from TMS so and so forth (and the list goes on). The most notable amount of pain occurs when I practice guitar. Its not there all the time and to be honest I'm not exactly sure how often it is there. Sometime pain will occur when I am trying to rush something or when I am not fully involved in what I am doing. Like this morning I was reading my book and it was a boring part. I didn't know whether it was me or this part of the book was a bit boring and my arms started hurt. To be completely honest I am still working out what my triggers are. All I know is when it happens I am not relaxed at mentally as well as physically. Last night I had a mean jam on my guitar though. Was trying to nut something out and I thought about a recent gig I had played and how the vocalist from another band totally rocked the stage. He wasn't the best singer but it looked like he enjoyed every moment regardless of any mistakes or shortcoming. It was as if he was thinking this is awesome I am awesome I rock! So I took those ideas to my guitar last night and had a real mean blap.