Just noticed this post, so wanted to respond, even if a bit on the late side (assume the pain continues, as does this stuff unfortunately). I have chronic pain in my upper back. It could be connected to past traumas but I have not been able to unravel it really...but I do know it becomes unbearable when I feel emotionally swamped. It does feel like a protective bracing...it happens unconsciously and creates pretty bad spasms. Over the past couple years of therapy and working on my own to find out what helps, I can say I have many more good days and am generally taking fewer pain killers.
I've worked on strengthening core muscles, partly to improve muscle imbalances and posture, but also to help my body be stronger to help me get through the spasms and fits more quickly. So I do Pilates daily, not thinking I can "fix" this back thing right away, since there is a big psychological component, but because it helps me pay attention to my body, slow down, and feel a little more empowered. And while I still have some bad days, they seem to come in fits of 1-3 days of bad spasms versus dragging on and leading into lots of fatigue. If I need to curl into myself for a couple days, my body can tolerate it better because I am getting physically stronger. The pain itself was leading to too many compounded feelings of powerlessness and panic, so Pilates lessons along with therapy felt helpful for me
What will work for you will be different than what works for me, or for others, but I believe we can find some relief (especially when we know it is muscular vs in the spinal bones themselves). For me it is a combination of many things:
- Therapy and continuing to work on the emotional regulation, peace, and safety
- Walking or safe movement
- Gentle Pilates and strengthening (emotional stress can lead to postural imbalances over time...so the pain becomes a gnarly mix of emotional and physiological issues)
- Yin yoga, foam roller, or other gentle stretching or myofascial release (and doing all of this with soothing or uplifting music if it feels hard to slow down
- Occasional compression for when the pain is really bad or I'm getting panicky (like wrapping a scarf tight around my chest while I'm hanging out at home)
- Finding comfortable ways to rest, like loading up my bed with my pets and a teddy bear
- Low doses of muscle relaxants...not every day but I do need to take Flexeril a few times a week to help keep things in check.
- And lots of water, good hydration and nutrition (electrolytes + magnesium as natural muscle relaxant)
So, that seems like a lot, but I'm learning and noticing improvement over time. If you don't do it already, maybe keep a pain journal or notes of what helps or makes pain worse...including what you notice as links to your emotions or stressors so you can work to address the root of pain in therapy. Good luck...I know back pain can be really depressing and disempowering at times.