There is a condition known as Tension Myositis Syndrome (TMS), coined and fully researched by an Orthopedic Doctor named John Sarno. In a nutshell it explains and cures chronic back pain by understanding that, while the pain indeed does exist, its origins are emotional. It is a physical manifestation of subconscious thoughts your brain does not want to consciously consider. Celebrities who have benefitted from the diagnosis include Howard Stern and Rosie O’Donnell.
As a quick example of TMS let’s say Jim has an elderly mother facing increasing challenges on her own. Jim won’t consider her living anywhere but with him, he loves her so. After converting a wing of his house she moves in to the entire family’s approval. A month into the arrangement it snows 8 inches and Jim, as he has always done, shovels the driveway. Bending down to haul up a particularly large clump of the white stuff, Jim feels a pop and his lower back locks up in spasm. For the next week he is fully bed ridden and even when he finally is up and around the pain never fully subsides. When it snows again a few weeks later he doesn’t even consider shoveling, but a couple weeks after that he is unloading groceries and another episode occurs.
This time he sees an orthopedist, who runs an MRI and let’s him know a small herniation can be seen at a lower disc site. The doctor recommends a conservative rehab approach but asserts surgery is an option. Jim chooses a laminectomy, which scrapes the cartilage presumably pressing the nerve. Doctor says all went well and assumes after rehab Jim will be back to “near” 100%. Yet and still, perhaps he should accept some limits that come with age.
Jim is happy with the results, religiously follows the rehab schedule, and within several months has forgotten his back issue. Then one morning he wakes up in serious pain. By noon he can barely walk and is fully debilitated. This time there is no activity or incident he can blame so he assumes he slept in a bad position, or maybe the disc has somehow herniated again. Another week of convalescence but the pain really hasn’t subsided and now fully obsesses him. Back to the orthopedist, another MRI, a diagnosis that there “could” be some impingement but nothing conclusive. Could be stenosis. Fusion surgery may solve the problem. Thus, Jim is now fully imprisoned within the chronic pain cycle, which will rob him of his active lifestyle, threaten his ability to make a living, and even imperil what was a very happy marriage.
A TMS perspective examines a parallel time line dating back to when the symptoms began. Anything in Jim’s life change significantly around then? His mom moved in. How has that gone? It’s wonderful. We all love her. The kids couldn’t be happier. Sure she needs some help doing things, and keeping up with her medications and the sale of her house has been a bit of a hassle, not to mention the added worry of seeing her diminished mental acuity day to day, but on balance we love having her. It is what a grateful child does for his mother.
What TMS asserts is that deep in Jim’s subconscious there is a part of his emotional landscape that fully rebels against this selfless mentality. It is me me me oriented… like a child. It is enraged that what was a free and easy routine of enjoying dinners out and self-sufficient kids, now has to suffer at the service of a failing senior. Why do I have to do this? What about my sister? Everything always falls to me? And mom is only getting worse. What about when she is fully incapacitated? It’s not fair!!
Of course, Jim’s conscious mind would never entertain such thoughts. He loves helping his mom. Whatever needs to be done he’ll do. She’s wonderful and brings everybody together. She’s his mother for God’s sake! It is the conflict between the conscious mind’s selfless love for his mom and the shameful, childish narcissism of the unconscious that a TMS diagnosis blames for his chronic back pain. Jim’s back is perfectly fine, but to protect itself from unacceptable, shameful thoughts of the unconscious, his brain has provided a distraction through the autonomic nervous system (that which regulates all of the things we do not think about… like breathing or reflexes).
By depriving his lower torso of just enough oxygen to cause a cramp or spasm, Jim’s consciousness has provided something else to think about, thus protecting itself from an invasion of ugly unacceptable thoughts about his mother’s care. The prescription? Simply recognize the unconscious thoughts and reassure the conscious mind they exist. Above all understand the back is structurally fine, the pain benign. All of the activities you gave up can be pursued again. Voila. TMS explained.
Who knew an orthopedic surgeon, thinking outside the box to cure chronic pain, would also diagnose what now ails our Republic? What Sarno isolates in the human emotional landscape has surfaced to bedevil our political life. A slice of our body politic, once silent in the subconscious of our national discussion, now incessessently chattering toxic narcissism and causing spasms within our national identity. Selfish whiners, ceaselessly complaining about the responsibilities and deference to diversity our civic platform has adopted over the decades. A relentless chorus of “it’s not fair” and “why do I have to pay for that?!
Just like with Jim, surrendering to a distraction is not an option. Understanding that striving toward our better nature is necessary for the survival of the system we revere means our darkest feelings, while clearly evident in our national psyche, belong in the recesses of our identity. The fact our POTUS is their creation must be understood as an aberration, a vile distraction in our experiment’s continuum. We love our nation and understand what constitutes its greatness. To accept anything else will ruin us, and chronic back aches will become the least of our concerns. Me me me is not us us us! BC