r/doctorsarno

Is a physical therapist sufficient to rule out structural issues

I’ve had orthopedists examine my knee and lower back, ruling out structural issues. My TMS issues in those two areas have abated. I recently began experiencing upper back pain near the shoulder. It s moved from left to right now back to left.

My physical therapist who has a PhD says she sees nothing structural and believes it’s TMS. Question - is her diagnosis sufficient or should I get an orthopedic surgeon to examine me?

I welcome any thoughts.

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u/Apprehensive-Unit841 — 7 days ago

How did you KNOW you had tms and not a structural issue

Ive had chronic back pain and sciatica for 14 years. Started as disc bulge....progressed to herniated with annular tear and degenerative disc disease and chronic discogenic back pain.

I've tried everything. Except surgery. I'm considering an artificial disc replacement surgery, but it's very risky and a huge decision.

How did you know you had TMS? I've had anxiety, panic, depression, etc. along the way as well. I've had so many physical injuries from sports. I've had my share of trauma and PTSD.

How do I know that I have tms and not a physical structural issue in my spine? So many people have hip, knee, shoulder, joint replacements as they get older and cartilage, etc. wears out. How is the disc not a similar process?

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u/Upbeat-Fig1071 — 9 days ago

Help me

Hi, I’m 24 years old. I’ve been dealing with depression for about 6 or 7 years, and for the past 4 years I’ve also had chronic symptoms such as headaches, neck pain, and frequent urination. It can be so intense that sometimes I have to go every 10 minutes. How am I supposed to live a normal life with this? It feels impossible. Even going out into town is a challenge because I need to know that there will be toilets everywhere, otherwise I get anxious.
I started doing TRE (Tension & Trauma Releasing Exercises), for those who are familiar with it. Yesterday, after one of my sessions, it seems like some of my past traumas and negative thoughts were brought back to the surface. Eckhart Tolle wrote something along the lines of: “If you are unable to feel your emotions, they will eventually manifest on the physical level as chronic pain.” I’m now feeling my anxiety again, whereas before I was completely disconnected from my emotions. However, my symptoms are still there, and they’re actually a little stronger than before.
I’ve heard about journaling as a method. Could someone explain to me how I’m supposed to do it? Am I simply supposed to write down everything that comes into my mind in a notebook, or is there a specific method I should follow?
I really need some help and guidance. I understand the concept behind Sarno’s work, and I’ve read excerpts from his book, although I haven’t read the entire book yet.
Thank you for your help ❤️

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u/RomainWatchEnjoyer — 10 days ago