My back gets tense when I have symptoms, and this results in huge muscle knots and potentially strains in my back (usually the upper back) that make it very difficult to sleep. I'm pretty sure that these strains actually are a structural issue that arises from the non-structural tension, and once this happens, I think I really do need to treat it physically rather than mentally. I'm curious if anyone else gets problems like this? In particular, these things make it hard for me to sleep. I can only get a few hours at a time because of the pain of muscle knots/strains, and it makes it very hard to sleep. If anyone has advice for getting better rest during this I'd appreciate it.