In cases of traumatic injury, such as whiplash or a lifting injury, a strain, sprain, or joint damage may in fact have occurred. In many cases, however, pain reflects chronic muscular hypertonicity following injury or subsequent to long-term stress. Lactic acid buildup and tissue irritation follow.
Psychotherapy: How it Works and How it Can Help. Psychotherapy (also known as talk therapy) can be an important part of treatment for depression or bipolar disorder (manic depression). A good therapist can help you cope with feelings and symptoms, and change behavior patterns that may contribute to your illness.
A physical therapist can teach you the exercises that will strengthen your back muscles to better support your spine and compensate for the pain. Massage and manipulation may not help this kind of problem because it originates in your bones, not in your muscles or tendons.