What is TMS?

TMS (Tension Myoneural Syndrome) is a pain syndrome or a number of different symptoms that originates from our emotions. The term was conceptualized by Dr. John Sarno M.D. 

Dr. Sarno treated thousands of patients and pain sufferers in New York as a specialist for rehabilitation medicine. In TMS the person may suffer from pain, numbness, loss of muscular tone and many other symptoms anywhere in the body, however these symptoms arise not out of a structural abnormality, but rather from emotional reasons. 

These genuine physical symptoms are considered Psychosomatic coming from both the mind and body  These symptoms that have been called TMS arise typically from stressful life events, unconscious emotions and past trauma.


What are the symptoms of TMS?

The symptoms are numerous and quite varied. Since TMS involves mostly muscle, nerve and tendon tissue in the body, almost any part of the body could be affected. A few of the more common manifestations are:

  • Chronic and recurrent back pain
  • Chronic neck pain
  • Pain that radiates to a leg or arm
  • Carpal tunnel syndrome
  • Tendinitis of the elbow (tennis elbow, golf elbow)
  • Knee pain
  • Achilles tendinitis (pain and inflammation of the Achilles tendon)
  • Weakness, numbness, loss of sensation or diminished reflex reactions in the arms and/or legs
  • It is important to notice that TMS symptoms may closely resemble a herniated or protruding disc symptoms, various inflammations symptoms, and other symptoms that stem from structural abnormalities (Spondylolisthesis, Spondylolisis, Spinal stenosis and many more).

According to the general medical literature there are many other medical conditions that may be referred to as synonyms of TMS, among those are:  Migraine, Tinnitus, Fibromyalgia, Irritable Bowel Syndrome (IBS),  Anxiety

How is TMS diagnosed and treated?

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It is important to note that TMS is a medical diagnosis, and therefore should be diagnosed by a Medical Doctor. Tumor, malignancy, acute inflammatory arthritis, fracture or sprains should be ruled out first. Imaging studies as well as other medical examinations should be performed.

The diagnosis includes a complete physical medical examination. In addition, a thorough case history of the patient and their health from both a psychological and emotional perspective is performed.  

 How is TMS treated effectively?

 The treatment plan is one where the patient is ask to take 100% responsibility for their problem and solution. Dr Tovah Goldfine works as a mutual partner. 

 Knowledge of the physiology and psychology of TMS and acceptance of the validity of the diagnosis are key factors in initiating a curative response. Other researched techniques of CBT (cognitive behavior therapy), Meditation, Journaling and a regular exercise program are taught. These are a few of the proven programs that directly affect changes in the patient, their nervous system and brain.

Treatment is highly effective, and produces sustainable long lasting results for the vast majority of patients.

If you suspect that you might suffer from TMS, please don’t hesitate to contact us

Write an email to, or call (+972) 052-420-1201 for a complimentary phone consultation.  

Other sources for TMS in Israel:

Dr. Nir Brosh

Dr. Nir Brosh’s book