
Not long ago, someone asked me:
“If my back pain is emotional… then who, exactly, is angry?”
It’s a great question.
Because for most people, it’s not the rational adult part of you that’s upset.
It’s the part that never got to grow up.
We’re taught to see pain as purely physical. But centuries of psychology—and decades of neuroscience—tell us otherwise: emotion and physiology are deeply entangled.
Dr. John Sarno called it Tension Myoneural Syndrome—a theory that emotional pressure can restrict blood flow to muscles and nerves, producing real, burning pain.
Not imagined. Not malingering.
A nervous system trying to say:
“Something’s wrong. Please listen.”
Modern neuroscience backs this up.
Your anterior insula—one of the brain’s key pain hubs—lights up during physical injury, emotional distress, even heartbreak.
Same with the anterior cingulate cortex (ACC). It doesn’t just register pain—it interprets it. Decides if it’s dangerous. Decides if it matters.
And when those regions get sensitized by stress—grief, rage, fear—the nervous system begins treating even harmless signals from the back as threats.
That’s how emotional tension turns into physical pain.
So you don’t rage at your parents. You don’t snap at your partner. You don’t collapse at your desk.
But your back does.
Because the child inside you still wants to be heard.
It flares when your mother visits.
Spasms after a quiet but devastating letdown.
Numbs out after a “win” that feels hollow.
Your body becomes the only place that will speak the truth.
Healing doesn’t start with new stretches or better posture.
It starts by asking:
“What is my body trying to tell me?”
When I guide someone to this realization, it’s not therapy. It’s clarity.
And usually, a thought surfaces:
“I’m tired of always doing the right thing.”
“Nobody ever checks if I’m okay.”
“Maybe I just want to quit.”
These aren’t escape plans.
They’re truths that finally want to be seen.
And once they are—once they’re felt and acknowledged—the body can stop using pain as a shield.
Most chronic back pain isn’t mechanical.
It’s emotional.
Letting your inner child speak might not make logical sense at first. But ironically, it often makes the pain disappear faster than any stretch or surgery ever could.
That might sound like weakness, but it’s actually deep wisdom.
Because sometimes the smallest voice—the one you buried long ago—is the only one that can finally set you free.
Sources:

A two-hour neuroscience education class at Stanford helped chronic pain patients reduce symptoms as much as weeks of therapy. Understanding how the brain misinterprets signals allowed participants to feel safe again—and that’s when the pain subsided.

If your pain moves around, worsens with stress, or fades when you’re distracted, it may not be structural at all. This short self-test helps you recognize patterns that point to a nervous system stuck in ‘protect’ mode—and how to begin calming it down.

The endless search for fixes—new stretches, supplements, devices—often keeps the brain focused on danger. Real recovery begins when you stop trying to “fight” the pain and start teaching your brain that it’s safe to relax again.
You’ve fought hard and tried it all, but the burden was never yours to carry forever. Your brain is ready to reset, your body to feel safe again. Pain is not who you are - it’s time to reclaim your life.