@plum I think this is important for us to realize. When I take pain killers, rest, use an ice pack and have a drink, my anxiety goes down a lot! When anxiety goes down, the pain follows. I think sometimes we push ourselves through pain and act like everything is fine, going about our days but it is the very pressure to act like we are ok that creates tension and pain. Despite knowing you have TMS, you need to retreat and take care of yourself instead of pushing through the pain.