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This book, written by Dr. John E. Sarno, presents a groundbreaking approach to understanding and treating chronic back pain. Dr. Sarno's research on Tension Myoneural Syndrome (TMS) suggests that stress, anxiety, and other psychological factors, rather than structural abnormalities, are the root cause of chronic pain. The book explains how repressed emotions trigger tension in the body, depriving muscles and nerves of oxygen, and provides guidance on recognizing the emotional roots of TMS and severing the connection between mental and physical pain. It also advises on how to accept negative emotions, resume physical activity, and change the brain's behavior to heal shoulder, neck, and lower back pain without drugs, surgery, or physical therapy.