Sometimes when I give this diagnosis to a patient, the patient misunderstands me and thinks that I am saying that the pain is not real, that it is all in the head. This could not be more wrong and I need to clarify things for the patient. TMS symptoms are physical symptoms, but are generated by a feeling. There are many things that can cause back pain. Some examples include infection, cancer, and a fracture from thinning bone. Emotions are another cause.
