What is the physiology of Tension Myositis Syndrome (TMS)?

Tension Myositis Syndrome (TMS), also known as Tension Myoneural Syndrome, is a condition characterized by chronic pain caused by repressed emotions and psychological stress.

Dr. John Sarno, a pioneering physician and professor of rehabilitation medicine, introduced TMS to the medical field in the 1970s, arguing that psychological factors could create real physical pain by altering the physiology of the musculoskeletal system.

This mind-body connection in TMS proposes that repressed emotions manifest as physical symptoms, particularly in the back, neck, and shoulders.