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 When TMS comes after a real injury
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PianoGuy

USA
9 Posts

Posted - 07/03/2012 :  07:56:56  Show Profile  Reply with Quote
I have had several manifestations of TMS over the years. Healing Back Pain has helped me understand and get through them. Now a new occurrence of TMS has brought me here for advice.

Eighteen months ago I fell on ice in the street and broke my femur at the knee. After surgery and a year of physical therapy, I had lingering pain and weakness in the knee. A physiatrist diagnosed quad tendon enthesopathy (an injury where the tendon attaches to the patella) based on an ultrasound and manual examination. Presumably the tendon was injured when I fell. The physiatrist ordered more PT, which helped for a few weeks before the severe pain returned.

Over the last week I have realized that at least some of the knee pain is coming from TMS. I re-read Sarno, saw that he identified knee pain as a frequent manifestation of TMS, and was able to reduce the pain by applying Sarno's methods. I also remembered that I had TMS knee pain once a long time ago, before I knew anything about TMS.

However, I don't know whether the pain and weakness in the knee is a combination of TMS and the original injury, or all TMS. I had a real injury to the knee, and a specific diagnosis of enthesopathy.

How do I sort this out? Do I continue the physical therapy and the various pain meds? Neither the physiatrist nor the physical therapist has any TMS experience.

SteveO

USA
272 Posts

Posted - 07/03/2012 :  10:07:10  Show Profile  Reply with Quote

That is what I labeled as Phase 3 TMS where it appears to an old injury site. It can be quite nefarious.

The old knee injury healed long long ago. But the brain never forgets the injury and will use that old injury as a safe haven to return to when it needs a new distraction. This is very common The Phase 4 is the most common.

Know that the old injury healed completely. But that the brain feels there should be ongoing problems there based on the improper diagnoses like chronic tendon enthesopathy, etc. I've witnessed quite a few Phase 3. I also spoke at length with Dr. Sopher who also confirmed that the old injury healed a long time ago but the brain never forgets that injury.

TMS loves to sneak in and add "onto" a real injury. It's part of the psychological overlay.

If you continue physical therapy you will slow your healing time-frame by adding doubt. The meds should be used as needed but you also need to try to get off them when you can they can add an association trigger.

Steve
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PianoGuy

USA
9 Posts

Posted - 07/03/2012 :  19:42:10  Show Profile  Reply with Quote
Thank you SteveO. That makes a lot of sense. TMS sure is sneaky.

What is the title of your book that people keep mentioning here?
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SteveO

USA
272 Posts

Posted - 07/04/2012 :  12:48:07  Show Profile  Reply with Quote

I released a TMS book 6 months ago called The Great Pain Deception. I should probably use my whole name here so that people can find it but I like coming here when I have tine to help people looking for answers.

Your femur break had to have been out of this world painful. I had an attack of TMS at the top of my knee where the tendon meets the patella, it was the most painful bout of TMS I had ever experienced.

In my experience TMS always sneaks in after a read injury. The anxious brain sees opportunity in taking advantage of the injury as a safe haven to hide within. I worked with people who had injured their knees in skiing accidents 10 and 20 years ago who felt the injury had never healed. But that injury healed decades ago, the TMS lingered however. I taught them about TMS and they all healed once they accepted the premise.

Are you a piano player or mover or builder?

Keep integrating the concept until your brain gives up its strategy,

Steve
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