Our expert says:
Even if there is a clear and obvious physical "cause" for backache, psychosomatic facotrs can play a very large part, as stress, Anxiety and depression are terrific amplifiers of any sort of pain, as well as causing some even without physical causes ; so counselling and working on that approach can help, in any case. It's usually a bad idea to see the causes of su8ch problems as EITHER physical OR psychological --- almost always, it's both. The interplay can be complex, and it's worth using combined approaches to help.
I periodically suffer severe backache problems, myself, and have noticed both episodes which do arise at times of psychological stress, episodes which arise after obvious unwise physical strain, and episodes that arise for no apparent reason whatever. And periods when there is no problem at all.
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