How do you know if your chronic back pain is Tension Myositis Syndrome (TMS) rather than a structural problem?

If you have lived with chronic back pain for months or years, you have likely asked a persistent question: “Is something structurally wrong with my spine?”

You may have had scans. You may have been told you have disc degeneration, bulging discs, arthritis or “wear and tear.”

Yet your symptoms fluctuate. Some days are manageable. Others flare without a clear physical cause. Treatments aimed at correcting structure may have helped temporarily or not at all.