There are also trigger points at the rectus abdominus or the stomach that may cause the excruciating middle back pain. This is often undiagnosable and even the best therapists may not be able to determine this condition. In this form of middle back pain, no therapy may be applied. You see, the actual pain may be complex enough to make things hard both for the sufferer and the physician. Though the pain felt in this location, the actual anatomical cause may probably be situated somewhere else. Or they may be no actual anatomical cause only defaults on the trigger points. The trigger points re normally located nearest to the muscles covering the bones. This is why patients don't normally recognize the exact sites of pain and consequently feel them on another site. Oftentimes, the sufferers and even the physicians themselves are not certain of the actual site of the pain's origin. Since lower back pain radiates into the other sections of the body, people tend to become unsure of how to provide initial relief on themselves and how would doctors diagnose the condition. Contrary to what is popularly believed back pain is seldom related with the spinal chord. Nor does the spinal chord causes any back problems, unless damage is made directly on the spinal cord. This is when paralysis occurs. Otherwise, the chord has nothing to do with frequent back pain rather, the problem may be associated with nerve roots. Clinical depression goes beyond the normal sadness felt by everyone and it persists for longer than a few weeks. To help us acknowledge the truth behind clinical depression, here are some symptoms that generally occurs on clinically depressed individuals: A prevalent mood that is sad, depressed, blue, low, hopeless, and irritable, trhat often include periods of crying spells. To alleviate the pain and symptoms of back neck pain, the sufferer may use conservative methods such as physical therapy, ice or heat, osteopathic manipulation and medications. Chronic Back Neck Pain This form of neck pain is very much the same in effects with acute back neck pain. However, they largely differ on the symptoms.