I haven't been around for quite a while. Let me first say I understand that some questions are unanswerable on the internet and need to be answered by a tms aware physician in person. That said, I am going to ask anyway : ). But first I will give some history to hopefully make things a little more clear.
Around 10 months ago I was entrenched in the unlearn your pain program when I was contacted out of the blue by an individual who had a similar set of symptoms as me. At the time I was diagnosed with "Pudendal neuralgia" a scary and debilitating pelvic pain diagnosis. The man that contacted me had discovered (with the help of his doctor) that his "pudendal neuralgia" was actually referred pain from between t10 and L2. One day, he popped his back and within a week he was completely pain free. Anyway, he reached out to me and I dismissed the information as I was confident in my tms diagnosis. After all, how on earth could I have entrapped a completely random nerve on both sides of my body? However, at my wife's urging we explored the possibility and sure enough every symptom I have ever had is reproducible by palpating the t12/L1 vertebrae. This includes the symptoms that I have that were never linked to my so called pudendal nerve entrapment. Also, prior to the onset of my symptoms I had injured that area of my back while squatting with free weights. I was squatting 300 lbs at the time. The back injury was never treated.
After some research and some doctors appointments I was diagnosed with "thoracolumbar syndrome" which is essentially the irritation of the nerves as the leave the thoracolumbar junction. Objectively, I have a textbook case of thoracolumbar syndrome. According to the physical therapists. So I have been treating this spine problem for the last few months and have seen some improvement. I can now sit as long as I want and am back to work in a light duty capacity (I am a firefighter). Over the last month or so my progress has plateaued. This has caused me to explore the possibility that this is in fact tms and the structural issues at the thoracolumbar junction are not physically causing pain as my MRIs are relatively normal. BUT... here is my hang up. Part of the diagnostic criteria for thoracolumbar syndrome is that there is "cellulagia" in the corresponding dermatomes. It is essentially neural inflammation. On me, this so called neural inflammation is palpable and corresponds directly to the correct dermatomes. The tissue appears swollen as well. I had this "cellulagia" long before I was aware of the thoracolumbar syndrome diagnosis.
Now to my question... finally... Can tms cause physical changes throughout a nerves dermatome? Can tms cause inflammation? I practice a lot of the principles that I learned here but also understand that I will not get the full benefit of the program until I accept the tms diagnosis which as of right now I have not. Mostly because of the physical changes in my tissue in the thoracolumbar dermatomes. The fact that pressure over the vertebrae reproduces my symptoms is also a hang up for me. Any insight into this issue would be greatly appreciated.