Writing Understanding pain

What is TMS, the name Dr. Sarno gave to mind-body pain?

TMS stands for tension myositis syndrome. It's the name Dr. John Sarno gave to chronic pain that is real and physical, but that comes from the nervous system responding to emotional tension rather than from structural damage.

Leyla on a forest path with one hand on an old cedar, looking up into the tree

Who was Dr. John Sarno?

John Sarno was a doctor of rehabilitation medicine at the Rusk Institute at New York University. Over decades of treating back pain, he kept noticing the same thing: what he saw on scans often didn't match his patients' pain. Two people with the same disc bulge could feel completely different, one in agony, one with no pain at all.

He came to believe the body can create pain to keep difficult emotions out of awareness, especially anger we were never allowed to feel. For him, the pain was a distraction, and once a person understood that, the pain often lost its grip.

He wrote about this in Mind Over Back Pain, Healing Back Pain, The Mindbody Prescription and The Divided Mind. He died in 2017, and his books have helped people heal all over the world, often after nothing else had worked.

Why the name keeps changing

Sarno himself later switched to tension myoneural syndrome, and then simply the mindbody syndrome. Today you'll hear people say mind-body pain or neuroplastic pain. Doctors now use a related term, nociplastic pain, for pain driven by changes in how the nervous system processes signals.

The names come from different people and different eras, but they all point toward the same thing: pain can be real without damage behind it.

How I use his work

I found Dr. Sarno's work when I had barely been able to walk for almost a year. I read his books, I journaled, and I stopped fighting the pain long enough to listen to it. Within two weeks, it lifted completely.

I went on to train in the SarnoXSachs Chronic Pain Practitioner Training. Today I bring his work together with breathwork and somatic practice, through a decolonial lens.

Sarno wrote a lot about the pressure we put on ourselves to be perfect and to hold everything together. I believe the pressure the world puts on us belongs in that picture too.

With love,
Leyla

Related questions

Is TMS an official medical diagnosis?

No. You won't find TMS in standard medical manuals, and most doctors don't use the term. But the idea behind it, that the nervous system can create lasting pain without tissue damage, is now widely accepted in pain science and theory.

What is the difference between TMS and neuroplastic pain?

They describe much the same experience. TMS is Sarno's original term, centered on hidden emotions. Neuroplastic pain is a newer term that focuses on how the brain learns and keeps repeating pain signals.

How do people recover from TMS?

Sarno believed the first step is understanding that the pain isn't caused by damage. From there, people often work with their emotions through writing or reflection, and gradually return to activities they had been avoiding out of fear.

Do I need to read Dr. Sarno's books before we work together?

No. Many people find them helpful, but you can start without them. My free class covers the basics of my understanding.

Keep reading

Banner for Mind Body Medicine 101, a free 50-minute class with Leyla Fıratlı. It lists what the class covers. 01 My story. 02 How to know if your pain is mind-body. 03 A roadmap to freedom from pain.

Free 50-minute class

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I share my story, explain how mind-body pain happens, help you tell whether you might be experiencing it, and leave you with a roadmap and tools to start working with it.