The Divided Mind: The Epidemic of Mindbody Disorders

by John E. Sarno

Tenderness findings at the shoulder show a similar pattern of diffuse involvement when TMS is the cause of pain. The upper end of the biceps tendon is a common location for TMS, with tenderness extending several centimeters below the acromion process at the top of the shoulder. Many patients report pain throughout the upper arm, and have several tender areas at multiple locations, especially at the lateral epicondyle of the elbow (the common site for “tennis elbow”). These findings are not consistent with the common diagnoses I used to make, namely, impingement syndrome and tendinitis. These conditions do occur but typically present with very localized findings or aggravation of pain by the “impingement test.”