<s>[INST] Many people with psychiatric difficulties appear to have co-occurring physical problems such a lower and upper back pain, recurrent indigestion. Is there a documented relationship between the presence of positive psychiatric symptoms, and spinal column difficulties? [/INST] HiI had gone  through your query.There are no direct relationship between these two.But spinal column difficulties make person stressful due to inability to maintain daily routine precisely.Chronic pain may associated with psychiatrist morbidity like stress, anxiety and depression.Pain can be part of somatization or psychological pain.There are psychological reason behind physical symptoms.Medicines like TCA, SSRI and anxiolytic can be useful.Better to go for psychological evaluation before taking any medicines.Consult psychiatrist and get help.I hope i have answered your query.Thank you. </s>