This is a follow up to a previous post, entitled "Anal Fissures, Pains in the A$$ and Encouragement Needed". I am reposting some of it, as it still applies... I have a lifelong history of TMS from infancy colic to childhood tummy aches, teenage chronic earaches and sore throats, to young adult issues spanning the gamut from allergies to back pain. As an adult in my 20's my TMS manifested as IBS, Pelvic Floor Dysfunction (diagnosed at the time as "non-specific prostatitis"), all kinds of weird pains, all showing no definitive medical diagnosis. "Anxiety" was ALWAYS the main diagnosis, lol. I have endured much, including the death of both parents, and may other terrible traumas, but I've managed to survive and grow into the 50 year old I am now. I feel blessed, despite it all. I skated through my 30's (relatively) pain free, but at age 42, in 2013, I had a nervous breakdown, resulting in severe Neck Pain, Back Pain, Shoulder Pain, TMJ pain, foot pain, panic attacks, crippling anxiety and depression, you name it. It took me years (and a lot of money and wasted time at chiropractors, PT's, neurologists and dentists, and well meaning but misguided healers of all kinds) before coming upon Dr. Sarno's work and it changed my life. I was able to heal 95% of my neck and shoulder pain, back pain, all of it...through serious introspection and self-discovery. I saw Dr. David Schecter, read all the TMS books I could find, became active on the forum, worked a bit with Nicole Sachs, and went full force with treating TMS. It took a lot of work, and I still get pain, but now I know what it is and can get out relatively fast. Dr. Schecter told me I have "TMS on steroids"...I fit the personality to a "T", pun intended. I am a perfectionistic, people pleasing, obsessive, repressed rage, catastrophic thinking, overthinking, 'gooodist' and I fit the perfect bill for TMS. I've had (and cured) pain from my toes to my teeth, my head to my stomach, my back to my hips, and beyond. I believe that almost all chronic pain is TMS, or has a HUGE TMS component. Including what I am suffering now, and suffering, I am. It's a medical condition, and it has (or had) a physical cause, but I think my TMS personality is protracting my pain. I need help. In late October of 2020, I developed an "anal fissure" which is basically a "cut in the butt". It started a few months after a serious throat infection earlier this year, requiring me to be on SUPER strong antibiotics for over a month, leading to constipation, which eventually, opened an anal fissure. At first I thought it was just a hemorrhoid, and I was treating it with all kinds of creams and crazy fiber supplements, ice, heat, etc. I was making it worse and worse. I didn't go to the doctor, until about 6 1/2 weeks later, after I began to bleed from the rectum and have serious pain, and I became quite alarmed. I went to see my GP, who is very good, and to my surprise, he could not find a hemorrhoid. Seeing the agony I was in, he immediately referred me to a Colorectal Surgeon/Proctologist. The Proctologist saw a fissure immediately, and told me they can take weeks to months to heal, but most (95%) do not require surgery. The good news is it isn't cancer. The bad news is it led me into the worst pain of my life, months and months of spasms of the rectum, specifically the muscles of the inner anal sphincter (autonomic nervous system/pelvic floor). HORRIFIC. I reached out to Nicole Sachs and to my amazement she has had both professional and personal experience with these issues, and said it is "Good Old TMS". And I should treat is as such. She was empathic but firmly warned me to treat it aggressively as TMS, and not fall into the trap of thinking medically. Unfortunately, because I have a medical student background, that has been damn near impossible. Here is where I am now... According to my last visit to my colorectal doc, the fissure is basically HEALED! He said it is so small as to be barely be visible. He also said my rectal sphincter is OUT of spasm and the pain I am currently experiencing (a horrible amount of pain which has now spread to my prostate, penis, lower back and sacrum, buttocks, tailbone, piriformis, IT bands, sciatic nerve and entire butt) is "PELVIC FLOOR DYSFUNCTION". Colorectal doc said there isn't much more he can do. He does not think the fissure is causing the pain anymore, as it's almost gone! Surgery isn't necessary as it's basically almost healed and "botox therapy" (the other treatment for fissures) won't help as the sphincter that was in spasm is no longer in spasm. It has "spread" to the muscles of the low back and pelvis. He sent me to a Physical Therapist, specifically a pelvic floor specialist. This is a repeat of what happened in my 20's! Only FAR more painful. So, to the Physical Therapist I went, last week. She confirmed pelvic floor dysfunction, but to my amazement, she said that pelvic floor dysfunction is from TENSION, specifically, severely tightened and spastic muscles, inside the entire base of the pelvis, that affect the entire reproductive and eliminative areas due to NERVOUS TENSION, ANXIETY and STRESS. It's "freeze" as in "Fight, Fight, Freeze". She suggested I read "A Headache In The Pelvis" and I did. It's a TMS book that doesn't know it's a TMS book. The entire thing is Sarno central, under a medicalized guise. She did some pelvic floor release through targeted massage and also did a rectal trigger point release, which was mildly painful but helped. She also gave me some homework of stretching and breathing, and recommended the curable app. Luckily, she's a fan of Dr. Sarno and knows about TMS. She thinks this is my brain on fire. She wants to see me 5 or six more times. She believes I will fully heal, if I do the work. Which is both mental (stress relief) and physical (massage, stretching, yoga, breathing). So, now what? She helped me, but if I keep seeing her, am I "medicalizing" this? Has anyone cured pelvic floor pain/rectal pain/bladder pain, etc using TMS methods? I know the answer is yes. PS- This year has been a "Steven Ozanich" year for me, in terms of catastrophic stress. I've been dealing with this while simultaneously caring for an ailing spouse, dealing with unemployment, a global pandemic, horrific anxiety attacks, agoraphobia, working from home, lack of physical activity, and a very severe fear of leaving my house. Also, a change of job, enrolling in online school, a caretaker relationship, barely making ends meet, argumentative family issues, the works. Most stressful year of my life, by FAR, and I have buried two parents and almost been homeless. This is far worse, and feels even more traumatizing than that did. I'm in hell. Ok, so....what are the chances this PAIN IN MY A$$ is 100% TMS and HOW do I relax, release, trust it's TMS and let it go? How? Any ideas? This is absolute misery. Help appreciated, truly. Thanks for reading my novel.