We know one of the mainstays of TMS recovery is to return to physical activity as soon as possible. But did you know though the kind of exercise you do could greatly affect how fast you recover? I had always wondered why every time I tried returning to the gym to lift weights that I would do really good for the first several weeks and then fall right back into the pain cycle (muscle tension is a big issue for me). TMS affects the Autonomic Nervous System (ANS) by triggering the Sympathetic Nervous System (SNS) to go into overdrive. Read this article for a great breakdown about the ANS, SNS and PNS. This follow up article then elaborates on how high intensity workouts can stimulate the SNS (this is bad for TMS suffers). In fact, it can "decrease a person’s ability to reactivate the Parasympathetic (Nervous System) response and reestablish homeostasis". This was quite a revelation to me. I should be stimulating the PNS which relaxes the mind and body in order to bring balance back to an overactive SNS. This would include things like Aerobic exercise, mind-body centered exercises (such as yoga, tai chi and qi gong) and meditation. Also, this is a little off topic, but I think it's important to point out how stress is a major factor in TMS. I'm absolutely convinced that chronic stress from work is what triggered my initial symptoms. All the stress I was under at the time over-stimulated my SNS which in turn caused physical symptoms to manifest which in turn led to TMS (my mind forming conditioned responses to things that really had nothing to do with my symptoms). Anyway, this created quite the vicious cycle for me and by reading a lot of other stories on here it also sounds like stress is very big factor in all of this. Finally, I cannot understate the importance of breathing properly. Most TMS suffers have unconsciously developed breathing problems due to underlying anxiety and/or anger. I didn't even realize it for a long time, but I was definitely pausing and taking shallow breathes. Learning to breathe properly again has been one of the biggest factors in my recovery I believe because I'm getting oxygen back into those areas that have been cutoff due to TMS. I've recently bought The Relaxation and Stress Reduction Workbook and it's helped me further my breathing techniques. I'm sure there's a lot of other resources out there, probably even for free, but just wanted to share what I found helpful.