There are several distinct symptoms of having back pain, as a result of twisting. If when you twist your body to the left or the right and you receive sudden or sharp pain, bend over to pick up something, or when you sit down in a chair or your bed than and it is uncomfortable then you need to evaluate how you are going to fix this problem. Also, if you feel like your back is not straight or distorted, your ribs stick out improperly, or you have knots or pain below your neck you may have a twisted back.